P-38 An innovative alternative to physio-led palliative rehabilitation: the exercise & wellbeing practitioner model

<h3>Background</h3> In response to challenges in recruiting a physiotherapist and feedback from patients seeking more holistic support, an Exercise &amp; Wellbeing Practitioner role was established within a day hospice setting. This role serves as an alternative to physiotherapy-led palliative rehabilitation for individuals with life-limiting conditions, including cancer, neurological diseases, and long-term conditions. <h3>Aims</h3> To evaluate a sustainable model of palliative rehabilitation delivered in a day hospice by an Exercise &amp; Wellbeing Practitioner, supporting physical function, independence, and emotional wellbeing. <h3>Methods</h3> The practitioner, registered with the Chartered Institute for the Management of Sport and Physical Activity, has been in post for three years. The role includes one-to-one assessments, virtual sessions, and small group programmes delivered in the day hospice. Sessions focus on strength, balance, mobility, falls prevention, symptom management, and relaxation. Interventions include neuro-exercise, seated Tai Chi, resistance band training, fatigue management, and stress reduction. Carers also receive falls prevention education. The service is delivered in-person, online, and works within the multidisciplinary team (MDT). <h3>Results</h3> Patients were assessed using validated tools over a three-month period, demonstrating: 59% improvement in emotional peace (IPOS). 67% reduction in low mood (IPOS). 26% improvement in mobility (IPOS). 15% increase in daily activity (AKPS). 30% reduction in support needs (ECOG). Qualitative feedback highlighted that the service was empowering, accessible, and increased confidence in daily living. <h3>Conclusion</h3> The Exercise &amp; Wellbeing Practitioner model provides a cost-effective, person-centred approach to physiotherapy-led palliative rehabilitation. Delivered in a day hospice setting, it enhances emotional wellbeing and physical function, works within the MDT, and offers a scalable solution for hospices facing similar workforce constraints.