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Table 1 Details of the three programme types delivered by NERS

From: Adaptations to the welsh national exercise referral scheme during the COVID-19 pandemic: a qualitative study exploring the experiences of service users and providers and supplementary out-of-pocket cost analysis

Programme type

Standard

Remote

Modified

Timeline

Scheme initiation (2007)-March 2020

March 2020-March 2021

March 2021 onwards

Core Elements

• Referral from a GP or allied health professional

• Consultation/first assessment

• 16 weeks of exercise sessions (expectation of two sessions per week)

• 16-week assessment

As per standard

As per standard

Location

In person assessment and exercise sessions at a leisure setting

First consultation in person. Minimum of 4 weeks of face-to-face exercise sessions required to permit starting virtual sessions. Follow-up assessment at 16-weeks held virtually. ‘Check-in’ phone calls made

All elements delivered face-to-face, virtually, or as a mix. Delivery determined for each service user based on a combination of their clinical vulnerability and Welsh national/local Covid-19 alert levels at that time

Home programme option

While service users could opt for one of their two weekly exercise sessions to be supported at home by their ERP (using a written home exercise plan), this was not actively encouraged

Service users who did not want virtual delivery could choose to be supported using a written home exercise plan, supplemented with telephone calls with their ERP

As per standard

Pathways covered

Generic; stroke; falls prevention; back care; cardiac; pulmonary; cancer; mental health; weight management; lifestyle (for patients awaiting hip/knee replacement); pregnancy

As per standard

As per standard