Liverpool John Moores University and Central Liverpool PCN Limited KTP 24_25 R5

A GP surgery in Liverpool is prescribing structured exercise classes, not pills, to patients juggling multiple long-term health conditions. Many people with two or more chronic illnesses—such as diabetes, heart disease, and depression—struggle to become physically active on their own. Standard advice to "exercise more" often fails because these patients need tailored, supervised support to overcome pain, fatigue, and low motivation. This project aims to validate a clinical exercise service embedded directly within GP practices, where trained staff deliver intensive, personalised activity programmes alongside usual medical care. If the service proves effective, it could be rolled out across primary care networks, giving GPs a concrete, non-drug option for improving both physical and mental health in their most complex patients. Instead of referring patients to distant gyms or generic online programmes, surgeries would offer on-site, medically supervised exercise as a routine part of chronic disease management. The potential impact is a shift in how the NHS handles multimorbidity: moving from symptom management alone toward active rehabilitation that tackles the root causes of poor health. This is applied, translational research with a clear, near-term goal of changing clinical practice.