Table 1.

NERS components as conceived and as delivered in practice

Planned key components of NERS	NERS 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