Promoting Physical Activity in the Over 65s

Inclusion Criteria: * Eligible patients will be those aged 65+ who can walk around at home (i.e. not chair or bed bound) and would be physically able to take part in a group exercise class, who are not already receiving any long term physiotherapy and who do not fulfill the exclusion criteria. Exclusion Criteria: * Chair or bed bound * Receiving long-term physiotherapy * Three or more falls in the previous year i.e. frequent fallers (only excluded if their GP does not consent to them taking part in exercise) * Resting BP \> 180/100 mmHg, tachycardia \> 100bpm, uncontrolled hypertension * Significant drop in BP during exercise * Psychiatric conditions or physical abilities which would prevent participation in an exercise class (for example psychotic illness, acute systemic illness (e.g. pneumonia), uncontrolled visual or vestibular disturbances which the GP considers would exclude patients from undertaking the exercise programme, poorly controlled angina, acute rheumatoid arthritis, unstable or acute heart failure, or conditions requiring a specialist exercise programme e.g. uncontrolled epilepsy significant neurological disease or impairment, unable to maintain seated upright position or unable to move about independently indoors) * Not living independently (e.g. residential care) * Significant cognitive impairment (unable to follow simple instructions)