FaME Evaluation in Plymouth (2025)
Help us find the right course for you
I am a
commissioner
or funder
commissioner
or funder
I am a
health
professional
health
professional
I am an
exercise
professional
exercise
professional
I am a
social care
professional
social care
professional
I am a
wellbeing & active ageing
co-ordinator
wellbeing & active ageing
co-ordinator
The following courses are suitable for health professionals working within the NHS. Which team are you part of?
NHS falls service
Stroke services
Private practices/NHS settings
Care settings
Both the Otago and PSI training courses will be most pertinent to you. The RCP audit 2012 may be of additional interest to you. It is important to understand the differences between these two evidence based interventions and the role that health professionals play in their implementation, and their role in supporting rehab assistants/support workers and patient assessment for suitability etc.
Our EfS training course will be most pertinent to you, especially if you are working in partnership with specialist exercise services/referring onto EfS instructors in exercise settings.
It is important that you understand the remit of your professional practice and how exercise fits within it, and to ensure that you have adequate insurance to implement the training you have undertaken. Anyone is welcome to attend our training, we urge you to consider the considerable workloads and level of learning outlined in each of the course leaflets.
Whilst any activity that promotes older people to move more and sit less is beneficial, LLT are committed to supporting 'more than' the minimum and towards the most effective physical activities and working towards targeted strength, mobility and ultimately standing balance. We have a suite of training products ranging nationally recognised leadership awards, CPD and bespoke training approaches.
Chair Based Exercise
The LLT CBE training course teaches exercise leaders to be knowledgeable and competent in delivering the 22 exercises that make up the LLT evidence based ‘Sit Tall, Stand Strong’ CBE Programme.
Care to Move
The LLT CTM course teaches approaches to promote movement and empower older people to move more during packages of care and everyday living
Integrated CBE/OEP
If you work in an organisation that actively wants to progess participants out of chairs and into standing - our integrated CBE/OEP course option may be of interest to you.
LLT courses are endorsed and aligned with the Register of Exercise Professionals training framework. Whether you are employed or self-employed, suitable courses will depend on; your profession/scope of practice, the qualifications you hold/population groups you are qualified to work with, and the work settings and associated insurance you hold.
What best describes your work setting?
Leisure/Health Club
Community Venues
NHS Care Settings
Peoples Homes
Exercise Service Coordination
Which qualification do you hold?
Level 2 fitness instructor
Level 3 fitness
Level 4 fitness
If you hold a L2 Fitness Instructor qualification, courses from the LLT programme that you could be eligible for are shown below.
If you are working in a fitness/leisure setting additional criteria applies for the OTAGO course; you are required to be working as part of an integrated team/service with direct links to physiotherapy or as part of an agreed referral pathway.
If you hold a L3 Fitness Instructor qualification, courses from the LLT programme that you could be eligible for are shown below.
If you are working in a fitness/leisure setting additional criteria applies for the OTAGO course, i.e you are required to be working as part of an integrated team/service with direct links to physiotherapy or as part of an agreed referral pathway.
As a fitness professional holding a L3 qualification you may be suitable for the PSI (falls prevention) specialist training course, see our PSI eligibility here
If you have a L3 Exercise Referral Qualification (or are working towards this qualification) courses from the LLT programme that you could be eligible for are shown below.
If you are working in a fitness/leisure setting additional criteria applies for the OTAGO course; you are required to be working as part of an integrated team/service with direct links to physiotherapy or as part of an agreed referral pathway.
For instructors who are not REPs members and do not hold insurance with REPs, you may still be eligible for our L4 courses depending on qualifications, experience, work setting and insurance (see our PSI and EfS eligibility guidance).
If you hold a L4 Fitness Instructor qualification, you would be eligible for all of our courses shown below.
Whilst any activity that promotes older people to move more and sit less is beneficial, LLT are committed to supporting 'more than' the minimum and towards the most effective physical activities and working towards targeted strength, mobility and ultimately standing balance. We have a suite of training products ranging nationally recognised leadership awards, CPD and bespoke training approaches.
Chair Based Exercise
The LLT CBE training course teaches exercise leaders to be knowledgeable and competent in delivering the 22 exercises that make up the LLT evidence based ‘Sit Tall, Stand Strong’ CBE Programme.
Whilst any activity that promotes older people to move more and sit less is beneficial, LLT are committed to supporting 'more than' the minimum and towards the most effective physical activities and working towards targeted strength, mobility and ultimately standing balance. We have a suite of training products ranging nationally recognised leadership awards, CPD and bespoke training approaches.
See our eligible courses below, or contact us about your bespoke training needs.
If you are working in peoples homes this would suggest that you either work for a coordinated exercise service/part of NHS services with a specific remit of exercise delivery, or that you are a personal trainer. The following courses may be appropriate, please read eligibility criteria of each course.
If you have job role and remit to establish and develop an exercise continuum for older people and falls prevention in your locality, here are some pointers and guidance to help inform your decisions.
If you are looking to up-skill your workforce;
We have a range of endorsed training courses to meet best practice requirements for evidence based falls prevention exercise training, or we can design bespoke study days with you to meet your identified training needs, for example;
- 'walk-ways to strength and balance' - is a 4 hour workshop for walk leaders and walking sports leaders designed to upskill information and knowledge about physical activity guidelines and strength and balance as vital components of fitness, especially older adults.
- 'raising the bar on strength and balance' is designed for all exercise instructors at any level of training working in health club settings (gym and group exercise), the day embraces successful ageing and how exercise programming on the gym floor can be even more effective in supporting workforce standards/consistency when it comes to effective programmes for already active older people.
- PSI/OEP/CBE CPD study days available on request
and if you’re not sure what your training needs are, we can assist you with that too - contact us
Depending on fitness qualifications you hold (i.e L4 PSI, L3 GP Exercise referral), and depending on your profession/job role, you may require support and supervision, from physiotherapy/specialist exercise professional, with regards to assessing suitability for inclusion into the programme. The MMe course provides a good start to having the conversation with an older person about the value of being more active to maintain independence as long as possible and the 1st Steps in Dementia course provides helpful techniques on communicating with people with Dementia about being more physically active.
Our Foundations to Wellbeing and active Ageing learning modules allow you to design bespoke training for your workforce. They expand our remit to work further upstream to identifying whole workforce education and training opportunities aligned to the promotion of physical activity and the promotion of Wellbeing and Active Ageing
Commissioning Groups
Are you a commissioner or funder wanting to establish or further develop your falls prevention service/ strength and balance provision for older people, or exercise continuums for stroke survivors? Here is everything you need to know to get you started.
Click below on your area of interest:
Exercise programmes Evidenced to Reduce Falls
The FaME (PSI) and Otago programmes are the most widely utilized programmes for falls prevention within the NHS (RCP report). We are committed to supporting you in getting off to the best possible start by identifying a suitable workforce to train in order to develop evidence-based exercise continuums and exercise referral pathways in your locality. Initial considerations for planning for successful implementation are;
- Do you know what referring partners will be linking into your programmes/what partners do you need on board (GPs/physio teams)?
- Have you identified organisations and people who will coordinate and quality assure the instructors delivering the programmes?
- Do you know what outcomes you want to capture and how?
- Who can identify a suitable workforce to undertake training?
What programme are you wanting to establish/develop? Otago, FaME, or both? PSI – pre-requisites for this can be found here OEP – pre-requisites for this can be found here - What is your provision for exit routes/progressive programmes in your locality (for onward participation when programmes end or when people are ready to progress)
- LLT Guidance in response to COVID-19 FaME & OEP Delivered as Virtual Exercise Programmes
- LLT Statement on Consistent and Accurate Messaging for Commissioners and Stakeholders in Frailty and Falls Services (OEP/PSI)
- LLT Implementation Guidance for Commissioners, Public Health Officers and Leisure Service Managers (OEP/FaME)
- LLT Statement - FaME and OTAGO as Dance OR Structured Exercise Formats? (Dance To Health Programmes)
- LLT/AGILE/BASES Collaboration Statement – Partnership working for Successful Falls Care Pathways
- LLT Statement – Rationale for maintaining face to face approaches within our qualifications
- LLT Home Alone - supporting home-based exercise and guidance for instructors and leaders: The Otago Exercise and FaME Programmes
Part 1: Virtual delivery of FaME/OEP- The importance of assessment
Part 2: Virtual delivery of FaME/OEP- Quality, Fidelity
Part 3: Virtual delivery of FaME/OEP- Service improvement and self-reflective practise
Specific evidenced based programmes (Otago/FaME) should ideally form just ONE PART of a broader strength and balance continumm in any locality whereby all older people have a variety of exercise opportunities and choices to meet their needs and preferences. Strength and balance are just two components of fitness that are likely to be included in many of your existing provision; ‘how’ these are delivered and ‘who to’ (identifying most suitable programmes), and what information/education are embedded with them, are key to establishing a continuum of strength and balance activities that lead into evidence based falls prevention programmes. Often ‘raising the bar’ on existing strength and balance exercise provision doesn’t mean lengthy training. Identifying opportunities across the whole workforce to talk about and embed correct messages about strength and balance is a win-win
Building strength and balance exercise programmes whereby falls prevention becomes everyone’s business can be achieved by firstly identifying;
- What exercise and physical activity (e.g. walking groups, walking sports, zumba gold) provision do you already have available for ALL older people (not falls evidence based falls prevention programmes)?
- What awareness training have the workforce had around; physical activity guidelines for older people, falls risk factors, strength and balance as critical components for (maintaining independence ie walking isn’t enough!)
- Do your organisations delivering activities to all older people understand when/how to signpost to more specialist exercise provision?
- Does your wider activity workforce understand progressive strength training and how to challenge balance safely?
Exercise and Fitness after Stroke
The STARTER programme is an evidenced exercise programme (cardiorespiratory and strength) for ambulant stroke survivors delivered by exercise instructors holding the Specialist Exercise and Fitness after Stroke (EfS) Qualification (to tailor exercise for stroke impairments). EfS instructors work in partnership with referrers from physiotherapy stroke teams to maintain and improve gains made in therapy settings. Initial considerations for planning for successful implementation are;
- What exercise provision for stroke survivors do you already have in your locality? (Delivered by appropriately qualified staff)
- What programmes do you want to provide and how will they link into existing exercise provision (establishing pathways/exit routes)?
- What referring partners will be linking into your stroke programme?
- Who will coordinate the programmes and quality assure the instructors delivering the programmes?
- Who can identify a suitable workforce to undertake training?
EfS – pre-requisites for this can be found here
Resources for Commissioners
Whilst any activity that promotes older people to move more and sit less is beneficial, LLT are committed to supporting 'more than' the minimum and towards the most effective physical activities and working towards targeted strength, mobility and ultimately standing balance. We have a suite of training products ranging nationally recognised leadership awards, CPD and bespoke training approaches.
Chair Based Exercise
The LLT CBE training course teaches exercise leaders to be knowledgeable and competent in delivering the 22 exercises that make up the LLT evidence based ‘Sit Tall, Stand Strong’ CBE Programme.
Care to Move
The LLT CTM course teaches approaches to promote movement and empower older people to move more during packages of care and everyday living
Integrated CBE/OEP
If you work in an organisation that actively wants to progess participants out of chairs and into standing - our integrated CBE/OEP course option may be of interest to you.
LLT, more than a training provider
We understand that planning for change takes time. It is important to us that our training and our service (before and after training) supports effective change and programmes that achieve outcomes. We are involved in many UK wide projects that reflect our passion for successful, innovative implementation. Depending on your setting/workforce (and associated scope of practice and requirements for training frameworks) we can work with you to design bespoke CPD training for your workforce for leisure, care or therapy settings.
About us
If you cant find the answer to all of your questions here, give us a call and we would be happy to talk you through your training needs and readiness to up-skill your workforce.
What people say about us
“Later Life Training has made such a difference. Doing chairbased exercises and now Otago has changed my life. The change in the older people I work with has inspired me as a social care worker. Seeing older people gaining confidence is so humbling. I love my job so much more now."
Connie Laing, CBE and OEP Leader, Social Care Worker
“Freedom Leisure in Hailsham Leisure centre is the lucky recipient at the “National Fitness awards" in the UK of the Best Rehabilitation Facility of the year Award 2015. It has been wonderful to be able to use some of the training LLT have given us to reach out to the more vulnerable and harder to reach clients in our community. The training has certainly enabled and helped give us the confidence to assist this group of clients. Long may it continue."
Stephanie Wadlow, EfS & PSI instructor
“It was lovely to see Bex last week - what a fabulous motivating and knowledgeable trainer she is. Everything ran smoothly, it was a joy to see. Assessments to come of course, but so far so good! We're grateful for Bex's expertise with questions from us as team leads, and we're excited to take plans forward with everyone who did the Otago course. Thank you for all that you do at Later Life Training to make the course run well."
Jax Fursman, Falls Team Lead
“As the commissioner of training for the scheme I look for accredited evidenced based training providers that will meet the needs of my instructors. Later Life Training (LLT) is an excellent example of these providers and they have played a significant role in the development of the schemes Level 4 Pathways." read more...
Jeannie Wyatt-Williams, National Exercise Referal Co-ordinator
Personal stories of success
The Strictly No Falling FaME classes (4.07 mins)
Gateshead Staying Steady FaME classes (4.45 mins)
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