Diploma in Exercise Referral

Level 3 Exercise Referral Instructor

This is an industry recognised online qualification that allows the holder to work as an exercise referral instructor and gain entry in this category with CIMSPA. The aim of this qualification is to equip fitness instructors or personal trainers with the underpinning knowledge and practical skills required to plan, deliver, manage and evaluate a safe, effective and progressive adapted physical activity programme for referred clients/patients with specific controlled conditions.

It will give you the skills to work with those defined as low risk in the Exercise Referral Quality Assurance Framework and CIMSPA, where specialist training is required in order to devise suitable programmes. Students will have access to one-to-one course support from a Specialist Tutor. This will be via telephone, email or Zoom for help with learning and assessment.

Course includes access to a fantastic dedicated online Study Support Area giving you detailed guidance to completing your studies and assessments along with a wealth of additional information and resources for you to use!

Course Details

You will complete this course from home so no attendance is required. The assessments are submitted via email which will include a video for marking too. The practical session (using a family/friend as your client) will need to be in a discipline that you are already qualified in.

The following will be supplied for your studies:

  • Hard-copy course manual
  • Active IQ eLearning
  • Amac eLearning to guide you through assessments plus loads of additional resources
  • Tutor support as required via Zoom, email or phone

‘Learners benefit from outstanding advice and guidance that raise their aspirations for working in the fitness industry.’

Ofsted Inspection Report, 2019

Course Content

  • The principles of collecting information to plan an exercise referral programme, the principles of risk stratification in exercise referral and the principles and procedures of record keeping
  • How to identify goals with exercise referral patients and instruct, adapt, and review exercise sessions with these patients
  • How to plan, prepare, monitor and adapt an exercise referral programme with patients and understand the importance of long term behaviour change for these patients
  • The current healthcare systems in the UK, the exercise referral process, the roles and responsibilities of the professional within an exercise referral scheme and the role and importance of exercise referral, related policies and key documents
  • The concept of a patient centred approach
  • The clinical features of medical conditions relevant to exercise referral programmes, the relationship between exercise and specified exercise referral medical conditions, the accepted methods for treatment/management of medical conditions relevant to exercise referral programmes and how to programme safe, effective exercise programmes for patients with specified exercise referral medical conditions
  • Level 3 Active IQ Diploma in Exercise Referral
  • Entry requirements: Over 16 + One or more of the following: Level 3 Certificate in Personal Training, Level 3 Diploma in Teaching Pilates or Level 3 Diploma in Teaching Yoga
  • Note: If you are a Level 2 instructor, then you may book this course, however there will be an additional charge of £250 (£125 for one unit) to study the required level 3 theory in A&P and Nutrition. Please contact us to book additional units




Unit Topic Method Assessment
3 Professional practice for exercise referral instructors Online and independent learning Worksheet
4 Understanding specific controlled conditions Online and independent learning Worksheets
5 Planning exercise referral programs with patients Online and independent learning Worksheets and video submission of practical demonstration
6 Delivering exercise referral sessions Online and independent learning Worksheets and video submission of practical demonstration
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Please note that the payment options below are for those with who already hold the Level 3 Personal Trainer qualification. If you hold a Level 2 qualification only, then please contact us for prices and payment options available when adding on Level 3 A&P and/or Nutrition units.

Book your place now!

Price Description Link to Payment
£745 Full Cost – eLearning format including hard-copy manual
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£250 Deposit for Payment Plan – eLearning format including hard-copy manual Payment plan initial deposit payment with x5 £116 further monthly payments (total cost £830) Book Now
£372.50 First Payment for 50:50 Payment Plan – eLearning format including hard-copy manual First payment of £372.50 and then a second payment of £372.50 due four weeks later (total cost £745) Book Now