Posted on: 30 July 2025
An NHS exercise programme in Camden is helping people with neurological conditions like stroke, multiple sclerosis (MS) and Parkinson’s disease to stay active. This month, an article evaluating the programme was published in the Journal of Evaluation in Clinical Practice - with promising results.
Many people living with neurological conditions can struggle to exercise, often due to fatigue, mobility problems or lack of accessible facilities. Staying inactive can make their health worse over time and increase their reliance on healthcare services.
Led by the Camden Neurology and Stroke Service (CNSS), the NeuroActive pathway is a co-designed programme that starts in NHS settings and transitions people to community exercise schemes. Developed with input from service users, physiotherapists, local gyms (like Better Gym), public health and community groups, it was designed to break down barriers that people with neurological conditions face when trying to stay active after rehabilitation.
At first, participants take part in a tailored programme in an NHS gym, guided by neuro-specialist physiotherapists. They learn how to use the equipment, build up strength and gain confidence. The sessions are adapted to suit all abilities, including wheelchair users and people with limited strength or balance. Once they’re ready, participants transition to a nearby gym where they continue, supported by the service and trained fitness instructors.
CNSS worked with local providers to make sure the equipment was inclusive to all users. The article reads:
“Better Gym purchased neuro-specific equipment such as MOTOmed machines as well as strengthening and cardio equipment that was inclusive to access. For example, equipment had parts that could be removed to allow access for wheelchair users and back supports or additional straps on rowing machines and bikes to support those with reduced balance or strength. These adaptations were low-cost and made it easier to operate for all users.”
Importantly, participants were given tools like a health passport for physical activity to help them feel safe and supported in new environments. This document shows the fitness instructor their exercise ability and precautions.
Out of 35 participants, 25 (71%) successfully completed the NHS programme and moved to local gyms after discharge. Many improved their strength, walking, and activity levels.
One service user said the pathway was a "turning point" in adjusting to life after their diagnosis.
The programme also saved time and resources for the NHS. Before NeuroActive, many patients would end up back on waiting lists because they couldn’t access suitable exercise options on their own. Now, with support in place to help them continue independently, none of the participants needed to be re-referred to NHS services.
Picture shows: Dr Caroline Appel, Physiotherapy Lead at CNSS and lead author.