Table 1 NERS components as conceived and as delivered in practice

Health professional referral to NERS

Health professional referral to NERS

Baseline consultation including

Baseline consultation including

• Health check and lifestyle assessment

• Health check and lifestyle assessment

• Motivational interviewing

• Goal setting

16 week exercise programme including

19 week (median) exercise programme including*

• £1 per class rate

• £1 per class rate

• Patient only group exercise classes as well as supervised gym use

• Patient only group exercise classes as well as supervised gym use

• Supervision by a level 3 qualified instructor

• Supervision by a level 3 qualified instructor

• Four week contact to discuss goals and experiences of the programme

• Contact to discuss goals and experiences of the programme.

• Contact of non-attendees at this stage to encourage back to programme

• Non-attendees typically not contacted.

Scheme exit consultation including

Scheme exit consultation including

• Repeat health check and lifestyle assessment

• Repeat health check and lifestyle assessment

• Discussion of goal progress

• Discussion of goal progress

• Signposting to exit routes

• Signposting to exit routes (including replacement of NERS discount with local discounts in most areas)

8 and 12 month follow up consultations to discuss progress since the scheme

8 and 12 month follow up consultations to discuss progress since the scheme (variable delivery)

*indefinite access to NERS classes offered after scheme exit consultations by most professionals during the trial period