HEALTH AND SERVICE EVOLUTION
Health Referral Services On Site
PUBLIC VS PRIVATE DELIVERY MODELS IN HEALTH PROVISION
HEALTH REFERRAL SERVICES ON SITE
%
PUBLIC
%
PRIVATE
% %
PUBLIC
REFORMER PILATES STUDIO
PRIVATE
%
PUBLIC
WELLNESS REHAB AREAS
%
PRIVATE
% OF GYMS
Coverage for emerging wellness categories varies by audited sample response.
areas such as rehabilitation and reformer-based training is more prevalent within private facilities, re ecting a consumer-led model focused on performance, recovery and premium experiences. The result is a clear distinction in how health is delivered across the market. Public provision is embedded within healthcare pathways, while private operators are building health-adjacent services within a commercial framework. Together, these models highlight both a structural divide and an opportunity as demand for preventative health and recovery continues to grow. Public facilities are far more likely to offer structured health services, while private operators remain commercially focused.
Health provision is becoming an increasingly impor- tant dimension of the UK tness market, although delivery varies signi cantly between sectors. Public facilities play a leading role in structured health services, with substantially higher levels of and referral-based provision. Over half of public sites offer health referral services, compared to a small minority within the private sector. This re ects the broader mandate of public leisure, which is closely aligned to accessibility, prevention and community health outcomes. Services such as GP exercise referral and onsite healthcare provision position these facilities as key components of the wider health system. In contrast, the private sector demonstrates a different approach to health. While formal health referral services remains limited, operators are increasingly expanding into commercially driven wellness and recovery services. Provision of
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STATE OF THE UK FITNESS INDUSTRY REPORT 2026
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