Course
Level 3 Exercise Referral Course
Exercise plays a vital role in improving health, managing long-term medical conditions, and enhancing quality of life. The Level 3 Certificate in Supporting Participation in Physical Activity: Long-Term Health Conditions qualification (formerly known as the Level 3 Diploma in Exercise/GP Referral) equips you with the knowledge and practical skills to safely design and deliver exercise programmes for adults living with a wide range of health conditions.
By completing this industry-recognised qualification, you'll be able to work alongside healthcare professionals, GP practices, and community health services, helping people become more active, healthier, and more independent.
✔ Nationally recognised qualification
✔ Supportive learning environment
✔ Expand your career opportunities
✔ Advanced Learner Loan eligible course
✔ 0% interest payment plans available

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Next Course Dates
- Sheffield - Start Date: 15th Aug 2026
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Cost: £825.00
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Course Summary
This qualification meets the latest industry standards and enables fitness professionals to safely plan, adapt, and deliver exercise programmes for adults living with long-term health conditions. You'll develop the knowledge, confidence, and practical skills to support clients while working within recognised professional guidelines.
Throughout the course, you'll learn how to support clients living with conditions including:
- Hypertension (high blood pressure)
- High cholesterol (Hypercholesterolaemia and Hyperlipidaemia)
- Hypothyroidism and Hyperthyroidism
- Coronary Heart Disease
- Peripheral Vascular Disease
- Type 1 and Type 2 Diabetes
- Obesity
- Chronic Obstructive Pulmonary Disease (COPD)
- Asthma
- Osteoarthritis
- Rheumatoid Arthritis
- Osteopenia
- Osteoporosis
- Low Back Pain
- Joint Replacement
- Depression
- Stress
- Generalised Anxiety Disorder (GAD)
Help Change Lives Through Exercise
How You're Taught
This course is delivered face-to-face over five non-consecutive days by highly experienced tutors who combine classroom learning with practical workshops. Each training gives you plenty of opportunity to ask questions, develop your practical skills, and receive individual feedback.
We believe face-to-face learning provides the best experience, allowing you to build confidence through hands-on coaching and interaction with both tutors and fellow learners.
- Duration: 5 training days
- Time: 9.00am – 5:00pm
- Delivery: Face-to-face
You'll be learning in the same elite facilities used by Team GB athletes, at Sheffield's prestigious English Institute of Sport. Click the link below for further details about how to get there, accessibility and what's available.
Assessment
Assessment is completed throughout the course with no final written exam.
You'll complete:
- Worksheets
- Applied case study
- Exercise consultation and programme design
- Programme delivery and evaluation
- Case study presentation
- Professional discussions with your tutor
Progression
This qualification allows qualified fitness professionals to expand their scope of practice and work with adults living with long-term health conditions. It can open opportunities to work with GP Referral Schemes, Leisure Trusts, Community Health Programmes, Private Health Providers and Rehabilitation Services.
The qualification also provides a strong foundation for further specialist training and continued professional development.
Want to study more with Envisage? Click on the links below for more information.
✔ Level 3 Gym Instructing & Personal Training
✔ Level 4 Nutrition
✔ Pilates Instructor
✔ Level 3 Sports Massage
Entry Requirement
To enrol, learners must:
- Be aged 16 or over.
- Hold a recognised Level 2 or Level 3 fitness qualification (Gym Instructor, Personal Trainer, Group Exercise Instructor, Pilates Matwork Instructor or Strength & Conditioning Trainer).
- Have completed an appropriate Level 3 Anatomy and Physiology unit (or equivalent) within the last three years.
- Be able to communicate effectively with individuals and groups.
We also recommend having at least six months' experience delivering exercise sessions before starting the course, helping you get the most from the practical elements.
Need Level 2 Gym Instructing or Level 3 Gym Instructing and Personal Training? Click on the links below.
Modules
The qualification covers:
- The role of physical activity and exercise in the prevention and management of long-term health conditions
- Programming, adapting and delivering exercise for adults with long-term health conditions
Fees & Funding
The fee for this course is £825.00
- £100 deposit to secure your place
- Interest-free Envisage payment plans available
- Advanced Learner Loan available (19+ eligible learners)
- Employer-funded and invoice payment options accepted
- ELCAS Scheme is eligible for Military personnel