An exercise specialist professional working with a client
An exercise specialist professional working with a client
An exercise specialist professional working with a client

Leading the Way

Be the difference, serve the medical community and tackle chronic health conditions

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Exercise Specialist Courses and Qualifications

Working with the medical community, tackling obesity, diabetes and low back pain, you'll be able to master your trade and become a Level 4 exercise specialist.

Exercise Specialist Diplomas

Take your Level 4 training further by combining our most popular courses and benefit from exclusive content and more

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Exercise Specialist Courses and CPD

Take a step by step approach to becoming an exercise specialist with our range of courses and CPD

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Exercise Specialist Diplomas

Your direct route to Level 4 success. Expertly-delivered courses, cutting-edge content, interest-free payment plans and hands-on training at a nationwide venue.

  • Exercise Referral and LBP Diploma


    Develop a working knowledge of exercise referral schemes and the tools needed to help clients combat low back pain with this diploma.

    Back pain specialist assisting a client with an exercise


    • Level 3 Exercise Referral Diploma
    • Level 4 Exercise for Low Back Pain Certificate

    Key Content

    • Pathophysiology of Common Diseases and Medical Conditions
    • Prescribing Exercise to Referred Clients
    • Medicolegal Considerations in Exercise Referral
    • Causes, Symptoms and Strategies for Improving Low Back Pain
    • Functional Assessments for Low Back Pain
    • Adapting Exercise for Clients with Low Back Pain


    • CV Connect
    • Discounted REPs membership
    • 12 months ongoing career support
    • 10-14 weeks to qualify

    Payment Options

    • Pay in full

      Total payable £831.25 5% discount £43.75
    • 6 month payment plan

      1 x £105 and 5 x £104 Minimum deposit £250 Total payable £875
  • Exercise Referral and Obesity Diploma


    Hone your skills and broaden the scope of clients you can work with by tackling the prevalent conditions of obesity and diabetes.


    • Level 3 Exercise Referral Diploma
    • Level 4 Obesity and Diabetes Certificate

    Key Content

    • Pathophysiology of Common Medical Conditions and Diseases
    • Planning and Teaching Exercise for Referred Clients
    • Communicating Effectively with Medical Professionals
    • Prevalence, Classification and Causes of Obesity and Diabetes
    • Exercise and Nutritional Strategies for Obesity and Diabetes
    • Behavioural Change Strategies for Obese and Diabetic Clients


    • CV Connect
    • Discounted REPs membership
    • 12 months ongoing career support
    • 10-12 weeks to qualify

    Payment Options

    • Pay in full

      Total payable £802.75 5% discount £42.25
    • 6 month payment plan

      1 x £100 and 5 x £99 Minimum deposit £250 Total payable £845
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Exercise Specialist Exclusives

A wealth of job opportunities and exciting career prospects are waiting for our graduates.

  • Get Connected

    Using CV Connect is as simple as uploading your CV, selecting the employers in your area and pressing send.

  • HFE graduates receive 12 months on-going career support

    12 Months of Expert Guidance

    The course is over but support continues, we're here to offer 12 months ongoing career advice if you need it.

One Career. Unlimited Possibilities.

Join an exclusive group of exercise professionals who have achieved the highest of standards.

HFE graduates work with David Lloyd clubs across the countryHFE graduates with at Virgin Active gyms across the countryHFE graduates work at Nuffield Health facilities across the country
HFE graduates work at Bannatyne gyms and health clubs across the countryHFE graduates work with leading budget gym chain Xercise4LessHFE graduates work with popular fitness brand PureGym


From getting Level 4 qualified to advanced course content, we've answered the most frequently asked questions about our exercise specialist courses.

Do I need any prior qualifications?

In order to enrol on a specialist Level 4 course, you must already hold, or be working towards a Level 3 Diploma in Exercise Referral (or equivalent). Don't worry however if you haven't yet booked your place on this course because we have a variety of packages below that combine and discount the Level 4 and exercise referral qualifications when they are booked together.

What career opportunities are available once I qualify?

As a Level 4 Exercise Specialist a number of employment and career opportunities are open up. A popular career path is to work in a formal exercise referral scheme, providing specialist exercise instruction to clients referred by their GP.

Other opportunities also include working privately with patients suffering from these specific conditions, working with weight management groups, physiotherapists, chiropractors and podiatrists to provide specialist exercise advice. It’s perhaps important to stress here that even when you’ve completed these qualifications, you’ll still be required to work alongside clinicians and other members of the medical community.

What can I expect to learn on my Level 4 course?

This largely depends on the specific pathway you select. Generally, speaking, you'll gain a deep understand of your chosen medical condition and how to effectively program physical activities for individuals with said conditions.

You’ll also learn about the medications used to control these conditions, their side effects and how to assess and monitor patients’ progress throughout their exercise journey. These qualifications really are packed with lots of advanced knowledge and skills to enable you to meet the specific needs of their target population.

Are your Level 4 courses accredited?

Our Level 4 courses are certificated by Active IQ and are fully recognised by all fitness industry employers. The Register of Exercise Professionals (REPs) also endorses these programmes and awards 20 CPD upon successful completion. When combined with the appropriate Level 3 credentials and the required number of professional practice hours, you'll be able to gain the title of a Specialist Exercise Instructor with REPs.

Additionally, if you are a graduate with a relevant bachelor’s degree, and a member of the British Association of Sport and Exercise Science (BASES), your Level 4 REPs status will also make you eligible to become a BASES Certified Exercise Practitioner.

How will I be supported on my Level 4 course?

As a HFE student you’ll be supported continuously throughout the course. During the home-study phase of the programme, you’ll have a dedicated Learner Support Tutor who will guide you through your course. The practical element of the course is delivered by a team of highly qualified and experienced fitness industry and medical professionals.

In addition to our team, these courses are also extremely well resourced. You’ll receive training manuals, awarding winning online learning materials, mock exams, interactive worksheets, video lectures and much more. Our support and resources really are second to none.

How difficult are these courses?

These qualifications are designed for exercise professionals (not doctors) so you don’t have to worry about failure. All of the content that you need to know is provided and our team of expert tutors will explain exactly what you need to do – all you need to do is work hard and follow the programme.

The Level 4 Exercise Specialist courses do not have knowledge-based assessments and so you don’t have to worry about passing any tricky exams. What you will, however, need to do is develop a sound understanding of the relevant medical conditions and your ability to assess, design and instruct exercise to patients with these conditions effectively.

Our Reputation Precedes Us
574 reviews |
out of 5
  • James Crossley, also known as Hunter from Gladiators, endorses HFE's fitness courses

    "HFE is the ultimate fitness training provider, without a doubt their personal training courses are the best in the industry."

    James Crossley

    (Hunter from Gladiators)

  • "The course has really helped me to better understand yoga so that I can improve my performance and remain World No. 1"

    Laura Massaro

    (World No. 1 Squash Player - 2016)

  • Team GB Olympic pole vaulter Holly Bradshaw is an HFE personal training student

    "HFE have produced some of the best materials I have seen in education."

    Holly Bradshaw

    (Team GB Olympic Pole Vaulter)

  • "HFE is the most professional and cutting edge fitness provider I have ever seen."

    Kardy Laguda

    (International Fitness Presenter)

  • Rating: 5 out of 5

    I have never done an online course before with distance learning. I found the content informative, easy to understand and use and received plenty of support from the course tutors.


  • Rating: 5 out of 5

    I did my Level 2 Excercise to Music qualification with HFE. They were brilliant from start to finish. I hope to one day do my Level 3 and will definitely use HFE again.

    Mrs K Thomas

  • Rating: 4 out of 5

    Good feedback from the course tutor for the two written tasks enabled me to make a couple of adjustments and resend. Would definitely recommend to others in the industry looking to work with older adults.


  • Rating: 5 out of 5

    Great support throughout. I had very personal circumstances that significantly hindered my training and with the support of Gil Cramer and the HFE staff, I am moving in the right direction.

    Ronald Parker

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