L3 Diploma in Exercise Referral Course

Price: £400


This qualification is aimed at fitness professionals wishing to design and lead exercise programmes for individuals with certain medical conditions. This is a challenging but very rewarding career pathway which not only expands your knowledge but also prepares you to work within exercise referral schemes.

Who is it for?

This course is suitable for anyone with the drive and passion to improve health and fitness. Regardless of whether you are a personal trainer, yoga teacher or gym instructor, you will meet people with medical conditions. Therefore, it is good practice to enhance your knowledge and understanding to ensure you provide the safest and most effective form of exercise. If you are considering completing any Level 4 specialist qualifications then this course is the mandatory pre-requisite.

If you are passionate about helping to improve the health, wellbeing and quality of life for a diverse range of clients then this is the course for you.


Learners must hold one or more of the following:
Level 2 Certificate in Fitness Instructing or equivalent
Level 3 Certificate in Personal Training
Level 3 Diploma in Teaching Pilates
Level 3 Diploma in Teaching Yoga
Any qualifications which give entry to the REPs ‘Physical Activity Advisor category (e.g. YMCA Awards Level 2 Certificate in Fitness Walking)

If you are a L2 Instructor you are required to complete two extra mandatory units as part of the Diploma which are:

L3 Anatomy & Physiology for Exercise and Health and L3 Applying the Principles of Nutrition to a Physical Activity Programme. These are completed as online learning with mentor support. The cost of these extra units is £240.

Course Content

During this course you will cover:

  • Professional practice for exercise referral instructors
  • Understanding medical conditions for exercise referral
    • 13 conditions covered, including osteoarthritis, rheumatoid arthritis, hypertension, high cholesterol, asthma, COPD, type 1 & type 2 diabetes, joint replacements, depression, stress, anxiety and simple mechanical back pain
  • Planning exercise referral programmes with patients
  • Instructing exercise with referred patients
  • L3 Applying the principles of nutrition to a physical activity programme (L2 Instructors Only)
  • L3 Anatomy and physiology for exercise and health (L2 Instructors Only)


Study Formats

This course is offered as blended learning which requires home study using eLearning resources followed by an intensive four days with direct face to face learning plus one assessment day.

Length of Course

4 days, Monday to Thursday 9 am – 5 pm, 1 Assessment Day 9am-5pm, with home study required ( you will be allocated to a provisional assessment time).

Plus for Level 2 Instructors only:

Online learning is required for 8-10 weeks prior to the first attendance day. The 8-10 weeks of online learning is a recommendation based on 2-3 hours a day; if you are able to dedicate a little more time, then this section could be completed in a shorter time period.


The assessments include:

  • 2 theory exams (Anatomy and Physiology and Applying the Principles of Nutrition)
  • Multiple Worksheets
  • Initial consultation
  • Exercise referral programme
  • Programme review
  • Letter to healthcare professional
  • Session plan
  • Practical assessment
  • Knowledge questions and case study related to Applying the Principles of Nutrition

Cost of Course

Level 3 Instructors: £400

* Proof of prior learning achievements will be required and a decision will be made as to whether the learner is exempt. L3 Personal Trainers need to have qualified within the last 3-4 years to be exempt.

Level 2 Instructors: £640

PTD Hub members receive a 10% discount from all of our courses*.

Finance options available via Payl8r. View the repayment calculator and find out more here. Simply select Payl8r on the course application form and email it to info@puretraininganddevelopment.co.uk


2020 Dates

29th, 30th June, 6th, 7th & 13th July – David Lloyd, Norwich

13th, 14th, 15th, 16th & 25th July – Truro, Cornwall (Morgan’s Well-being Center, Greenbottom, Truro, Cornwall TR2 8QL)

22nd, 23rd, 29th, 30th October & 5th November – David Lloyd, Norwich

We are in discussions with a date in Coventry. Get in touch if this is of interest to you.

How Do I Enrol?

You can enrol by downloading the application form below (see ‘Helpful Documents’) and then send it to info@puretraininganddevelopment.co.uk

If you wish to pay for this course via PayPal then click the button at the bottom of this screen and follow the steps. Alternatively, we will send you an invoice.

REPs Points & Accreditation

By the end of this course, you will be a fully qualified exercise referral instructor receiving a Level 3 Diploma in Exercise Referral (YMCA Awards). You will gain Level 3 status onto the Register of Exercise Professionals (REPs) and will be awarded 20 CPD points.


What will I gain by completing this course? 

You will have the knowledge and competence to plan and instruct exercise programmes for individuals with controlled medical conditions, working independently with clients or in a group. This course provides you with the opportunity to get involved in local exercise referral schemes and improve the health of your community. Following this course, you can progress your health and fitness career, including the opportunity to study Level 4 specialist disciplines such as Chronic Lower Back Pain, Cancer Rehabilitation, Phase IV Cardiac Rehabilitation and many more.

Free Revision

We run revision sessions for a range of conditions and topics over on our Facebook page. Have a look at our Page for the existing topics and then join us inside our private Facebook group to access further training sessions and future ones too!

Helpful Documents

Application Form for Pure Training (PDF)

If you aren’t sure how to complete or sign your form use the support documents for computers here, iOS here, Android here & OSX here (Mac).

Full Terms and Conditions

Online Booking Terms and Conditions



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