Frequently asked questions
What’s the process
After your initial complimentary telephone consultation with us, we will both have a much better idea as to whether our service is the right fit for you. Thereafter, you will have the opportunity to book an Initial Assessment with us in person (lasting up to 2 hours) that will take place in your own home (or other location to be agreed), and at a time and day of your choosing.
The fee for our Initial Assessments are £85.
During the Initial Assessment we will assess the following:
Your Personal Health Goals & Needs
Daily Routine/Functional Capabilities
Fitness Testing includes Cardiovascular, Musculoskeletal, Flexibility, Balance & Body Composition
Mental Wellbeing levels
Is there anything I need to do before I receive my Initial Assessment?
Before your Initial Assessment, we strongly recommend you download, print and complete our ‘Physical Activity Readiness Questionnaire’ (PAR-Q).
We recommend you complete this form and send it to your GP practice as soon as possible. As your GP has oversight of your entire medical records, they are in the best position to determine whether you are medically safe to begin an exercise therapy programme in the home as opposed to in a clinical setting, such as a hospital.
As every GP practice operates differently, it can take your GP anywhere between 2-8 weeks to complete and return this form. We therefore, strongly recommend you hand-deliver or email your GP Practice your completed PAR-Q form as soon as you have booked your Initial Assessment with us.
**Please Note: If your GP subsequently determines that you are not medically safe to exercise in the home environment, we can still offer you alternative therapeutic options with us**
What happens after my Health & Fitness Assessment?
Once we have met you in person and gathered all the necessary information we need, we will then design your personalised programme that has the sole aim of helping you to achieve your unique health goals, while taking into account your medical conditions, injuries, prescribed medications, as well as your current commitment and motivation level.
Your personalised programme can include any combination of the following specialist services we currently have available:
What is Exercise Therapy?
Exercise Therapy is a plan of physical activities that is designed and then implemented by a qualified exercise specialist in order to help you achieve your specific therapeutic goals.
As no two people or their situations are alike, each person’s recommended plan of physical activity will be unique to them. This is why we tailor-make our service according to your own health goals, physical capabilities, medical conditions, prescribed medications, motivation and commitment level, which allows us to put together a personalised programme of one-to-one support for you.
What is the difference between Exercise and Physical Activity?
Physical activity is defined as any bodily movement produced by skeletal muscles that results in energy expenditure. The energy expenditure can be measured in kilocalories.
Exercise is a subset of physical activity that is usually planned, structured, and repetitive and has as a final, or an intermediate, objective for the improvement or maintenance of physical fitness.
How can Exercise Therapy benefit me and my health condition?
Regardless of your function level, type of injury or diagnosis, regular Exercise Therapy will help to improve your overall health and mental well-being, which is why it is frequently cited by health professionals as a “miracle cure”.
The numerous known health benefits that Exercise Therapy will provide are, however, more apparent once someone can reach 150 minutes of moderate-intensity over the course of a week.
For a lot of our clients who are already struggling with a debilitating health condition or injury, the thought of achieving even just a few minutes of moderate-intensity activity can seem overwhelming or near to impossible.
This is why having someone who can directly support and encourage you to get as near as possible to achieving around 30 minutes of moderate-intensity activity per day will make all the difference to you and your health.
What are the health benefits of being physically active?
Physical activity helps to manage more than 20 chronic medical conditions, including coronary heart disease, stroke, type 2 diabetes, cancer, obesity, mental health problems and musculoskeletal conditions¹
Whatever your age, there is very strong scientific evidence that being physically active will lead you towards a healthier and even happier life².
Examples include, but are not limited to:
Increased energy levels
Increased brain volume (improved cognitive function)
Increased strength and flexibility
Increased feelings of wellbeing
Normalised blood pressure
Improved weight management
Take a look at our Case Studies to see how exercise therapy has directly benefited our clients, and their quality of life, in as little as 12 weeks.
What happens at the initial assessment?
We will usually come to visit you at home (or other agreed location) at a time and place that suits you, in order to assess your needs and your home environment, and establish whether it is actually safe for you and our team to support you with our service in the home environment.
During this visit, we will spend time getting to know you, your health goals and health challenges, as well as your local surroundings, so we can learn more about your existing capabilities, your daily routine and preferences and your current options for performing physical activity, as well as getting a better understanding of your current motivation and commitment levels in terms of achieving the goals you want for yourself.
Take a look at our Case Studies to see what our previous clients wanted to achieve for themselves.
What Health & Wellbeing practitioners are on your team?
We currently have Exercise Therapists, Chartered Physiotherapists, Registered Nutritional Therapists, Yoga Therapists and Massage Therapists who are all available to support you if we both feel it would benefit you in terms of achieving your health goals.
As we are a young, dynamic and forward-thinking organisation, we are always open to considering having other Wellbeing Practitioners join us from other disciplines so long as they share our values of empowering people with compassion to improve their health.
Has your service been accredited?
Yes it has. Each year our service is independently assessed at local authority level for quality assurance and we are measured against 8 specific standards. These standards are in place to ensure that when it comes to us supporting you, you will be able to confidently say:
1. I have the support that is right for me
2. I get what I want out of the service
3. I am supported to take risks and stay safe
4. I have all the information I need to understand the service and to make sure it is right for me
5. The organisation listens to people and makes changes
6. The organisation treats everyone as equally important and respects everyone’s needs
7. Staff have the right qualities, skills and experience
8. The organisation has everything in place to work safely
What is the difference between Exercise Therapy and Physiotherapy?
The main difference between a Physiotherapist and an Exercise Therapist is that a Physiotherapist’s profession is statutorily regulated due to their medical background, which allows them to assess and diagnose injuries. An Exercise Therapist is not trained or qualified to assess or diagnose injuries.
Both an Exercise Therapist and a Physiotherapist can however, deliver a personalised exercise plan on your behalf, in order to help maximise movement and physical independence, as well as teach you how to stay fit and well.
A ‘Physiotherapist’ or ‘Physical Therapist’ is a protected title, as it is one of the healthcare professions regulated by the Health and Care Professions Council (HCPC), which also includes Social Workers, Dieticians, and Occupational Therapists. Exercise Therapy is not regulated in the same way.
Our Exercise Therapists can be found on the independent, public register, known as REPS, which recognises the qualifications and expertise of exercise professionals in the UK. In addition, our Exercise Therapists are also qualified in GP Exercise Referral along with other accreditations, such as a Level 3 Certificate in Personal Training, Level 4 Specialist Exercise Instructor, or a Sports/Exercise Science degree.
What is the difference between a Nutritional Therapist and a Dietician?
As mentioned above, a Dietician is a protected title and statutorily regulated by HCPC. Dieticians are qualified ‘to give advice on all aspects of eating and diet’, whereas a Nutritional Therapist is qualified ‘to provide information about food and healthy eating’.
Historically, Dietitians tend to be employed by the NHS with the aim of using conventional approaches to focus on weight reduction through dietary intervention. Nutritionists are more likely to be found working privately with clients, using food to promote health and supporting people from a holistic, judgement-free perspective.
All our Nutritional Therapists have professional membership with the British Association of Nutritional Therapy (BANT) and are registered with the Complementary & Natural Healthcare Council’s (CNHC) independent public register.
At N.ableD we choose to work with Nutritional Therapists because we feel their values are more closely aligned with ours in terms of promoting health, rather than weight loss.
What is Yoga Therapy?
A Yoga Therapist chooses yoga techniques in relation to how they will specifically benefit individuals with health conditions, whether physical or emotional. This includes an understanding of contraindications and modifications of yoga practices to suit individuals requirements.
A Yoga Therapist determines what they can do to support clients to reduce or manage their symptoms, to improve their function and help them with their attitude in relation to their health conditions. After assessing clients, Yoga therapists establish appropriate goals, develop a practice intervention, and then teach clients to practice that intervention.
What is Yoga?
Yoga is a mind and body practice with historical origins in ancient Indian philosophy. Various styles of yoga combine physical postures, breathing techniques, and meditation or relaxation.
What is Massage Therapy?
Massage is a treatment which aims to relax, revive and heal the body. Using manual hands-on movements and manipulation of the soft tissues and muscles in the body, massage therapy works to promote healing and enhance a person’s overall well-being.
There are many different styles of massage, each with different origins and aims, but the premise of the treatment is the same - to relax and rebalance the body and to make the person receiving the treatment feel good.
How do you decide on what health & wellbeing practitioners I will benefit from seeing?
This will ultimately depend on your Initial Assessment with us. During your 2-hour Initial assessment, we will look at the extent to which your medical condition or injury is affecting your ability to be physically active in your day-to-day life, as well as the impact it is having on your mental wellbeing. We will also ask you to tell us about other health challenges you are currently experiencing and how this is impacting on your overall quality of your life. Once we gather all the information we need, this will inform us of the various approaches we feel will work best in helping you to achieve your unique health goals.
What is the Physical Activity Readiness Questionnaire (PAR-Q)?
This is a short, one-page form, which both you and your health professional (such as a GP) will need to complete. By completing the form you will be providing us with your personal data such as your Full Name, Date of Birth, Address, Contact Number/Email, as well as provide YES/NO answers to 7 health questions. This information is required as the PAR-Q form is then sent to your GP practice for their completion and they will need to be able to identify you as their patient in order to complete it.
The PAR-Q form can be downloaded from our website.
**Please Note: Due to the length of time it can take for us to receive this form back from your GP after completion, if you are considering using our service, we strongly advise you download this form from our website at the earliest opportunity to complete it and then email/hand-deliver it in person to the GP practice where you are registered as a patient. If you are not registered with a GP, you will need to arrange for a private health professional to complete this form on your behalf.
Why do I need my GP to sign-off the Physical Activity Readiness Questionnaire (PAR-Q)?
As your GP is has oversight of your entire medical history and hold your complete health record, they are in the best position to understand whether or not you are medically safe to begin an exercise regime in the home, as opposed to in a clinical setting, such as a hospital, to perform either Exercise Therapy or Physiotherapy.
How do you store my Personal Data and who else sees it?
We take the processing of your personal data very seriously. As you will be sharing sensitive and person information with us relating to your health, medical history and medications prescribed, we use a Digital Care Management Platform, which has been approved and vetted by NHS England and the National Institute for Health and Care Excellence, which is also compliant General Data Protection Regulations (GDPR).
Your Personal Data is shared with your GP practice via the completion of the PAR-Q form that is completed before the Initial Assessment with us. After that point, we will need your expressed written permission to contact your GP, or another health professional, about you.
As the safeguarding of your personal welfare is of utmost importance to us, there are occasions when we may need to share your personal information outside of our organisation with statutory regulated professions, such as Paramedics, Doctors, Physiotherapists or Social Workers, to allow them to honour their public duty to protect your health and welfare. For example, if there is:
A disclosure or evidence of physical, sexual, financial or serious emotional abuse or neglect
A suicide threatened or attempted
A disclosure or evidence of serious self-harm, including drug or alcohol misuse that may be life-threatening
An injury, or decline in your medical condition, which has not received, or may require, medical attention for further assessment
Evidence of serious mental illness (e.g. psychosis)
What do you do with the profits you make?
We reinvest as much as 65% of the profits we make in order to serve the wider community with our service who may not have the necessary funds available to receive our award-winning service. Our core values are all about empowering our communities with compassion, which means we will do our very best to help those who are without a voice but are looking for support and a solution to take back the control of their health and mental well-being.
I know someone who would really benefit from your service but they cannot afford to pay privately. What shall I do?
We welcome clients across all sections of the community as we love to help educate people as to the medically proven benefits of exercise! All we ask is that they are motivated enough to try and become physically active and are then committed to making the necessary changes to their lifestyle.
If the person you know fits this profile, we would ask that you tell them about us and they can then choose to write, email or call us, expressing why they feel they would benefit from receiving our help. We will then send them a short form to complete, which will help us to find them a suitable sponsor to help them pay for all or some of the costs of using our service.
How do I pay for your services?
We accept Cash, Cheque or Standing Order either on a monthly basis or in full if you are being supported over 3-, 6- or 12 months. We cannot provide our service unless payment has been received and cleared at least 48 hours before your session with us begins.
¹ Chief Medical Officers of England, Scotland, Wales and Northern Ireland (2011)
“Start active, stay active: a report on physical activity from the four home countries”