Feet and shadows of people walking on a sunny path. Photo credit: Age Cymru (Unsplash.com)
By Caroline Bartle, Visiting Researcher; Eda Beyazit, Research Fellow; and Asa Thomas, Research Fellow in CTS
In the week that marks National Social Prescribing Day in the UK, we reflect on the findings of an innovative pilot project in Bath & North East Somerset (B&NES) that introduced a range of walking, wheeling and cycling schemes into the portfolio of activities to which residents could be referred through social prescribing. As evaluators of the project, CTS researchers analysed participant surveys and interviewed participants, activity leaders and social prescribers to explore experiences and impacts of the project. Our evaluation found positive impacts in the form of a modest overall increase in walking and improved attitudes to walking, as well as narrative accounts of marked improvements – some of them profound – in many participants’ wellbeing. What can we learn from this about the potential benefits – and challenges – of a closer integration of active travel and public health programmes?
To set the scene we first outline the context and content of the B&NES project, called The Active Way, and the steps that led up to it.
What is social prescribing?
Social prescribing is the process of referring a patient into non-medical activities in their community to help address practical, social and emotional needs that affect their health and wellbeing. It offers an additional route of support alongside, or instead of, traditional pharmaceutical interventions. It can be particularly helpful for people who have one or more long term health conditions, and/or complex social needs which affect their wellbeing, including social isolation [1, 2].
The benefits of physical activity and exercise to physical and mental health are well established; hence, social prescribing referrals to activities that focus on physical activity are popular, alongside arts, culture and nature activities (e.g. ‘Green Prescribing’). Here in the UK, interventions centring on active travel, such as group-based walking, wheeling and cycling activities, are increasingly being added to the options to which an individual may be referred, via bodies such as the Primary Care Networks.
What constituted ‘active travel’ in this project?
Definitions of active travel differ, but here it comprised walking, cycling and the use of wheeled mobilities such as manual or powered wheelchairs, mobility scooters and rollators. (‘wheeling’).

Two people looking at the referral portal to The Active Way on a computer screen. Photo credit: Tim Rawlings.
Embedding active travel schemes within social prescribing
UK Government support for this move was heralded by the Department for Transport’s 2020 strategy for cycling and walking – ‘Gear Change’ – which made a commitment to fund a national pilot Active Travel Social Prescribing (ATSP) programme. Managed by Active Travel England, the programme was innovative in bringing together the two complementary objectives of increasing active travel and improving health, with ancillary economic and environmental objectives in the form of potential reductions in the use of some NHS services, and the replacement of some car journeys by active travel modes. It thus represents a bold ambition in terms of translating the vision of integrating physical activity, health of individuals, reduced car dependence, and health of the planet, into reality through practical local actions.
The Active Way pilot in Bath & North East Somerset
B&NES was one of 11 local authorities to obtain funding through the 3-year ATSP programme, starting in 2023. The Active Way activities were concentrated in and around the rural Somer Valley area, and aimed to address needs identified by the local community relating to under-represented groups, high levels of deprivation and health inequalities. People could either be referred (for example, by GP practices or social prescribing link workers), or they could sign up directly (self-referral).
The activities offered included: led walks, such as a walking and photography group; led cycle rides; inclusive cycling using adapted cycles; cycle maintenance workshops; and loaning out of e-bikes. Some activities did not focus on walking and cycling directly but instead aimed to improve general health and wellbeing; for example: seated dance classes; and mentoring coupled with a wearable device that allowed participants to track their physical activity. By February 2026, nearly 2000 residents had participated in one or more of some 18 schemes, many run by local community organisations. In addition, over 4,200 people took part in an online game involving walking, cycling, running, scooting and wheeling.

Five people cycling along on a cycle path though trees. Photo credit: Tim Rawlings.
Outcomes of the pilot
Our evaluation focussed on three primary aims of the ATSP programme:
(1) Increased active travel for utility purposes,
(2) Increased physical activity, and
(3) Improved health and wellbeing.
We found evidence of positive impacts among Active Way participants in all three of these areas. The survey analysis found a modest increase in active travel and a statistically significant increase in the frequency and variety of participation in physical activities generally. These were small changes spread broadly across the sample and concentrated on changes to walking rather than cycling.
Qualitative responses were much stronger on the improvements in health and wellbeing. Indeed, some of those who had participated in activities over a period of weeks or months characterised the experience as transformative to their wellbeing, which emanated from both the physical activity and a growing sense of social connectedness.
Many of those interviewed highlighted their increased participation in walking and cycling recreationally, although this had translated only rarely into using active travel modes as a means of transport (for example, walking to local shops instead of driving). There were some examples, however, of people who were already physically active and had needed only a small nudge to start (or re-start) cycling or walking for utility trips. The survey analysis found positive changes in attitudes and confidence that may in time lead to more walking or cycling for transport. However, given the rural nature of the area, this is likely to require considerable improvements to infrastructure; many interviewees spoke of poor-quality pavements and busy roads that made walking, wheeling, and cycling for local journeys difficult.

Three people poised to set off on e-bikes. Photo credit: Tim Rawlings.
Reflections on the social prescribing of active travel
So what can we learn from these findings about the practicalities of integrating public health and active travel goals through policies and local actions?
Mainstreaming the ‘prescription’ of recreational walking, wheeling and cycling
The pilot provided further evidence that recreational walking, wheeling and cycling activities can support health and wellbeing. Social prescribing helps formalise this relationship and widens the reach of walking, wheeling and cycling to people who may struggle to engage for reasons of poor health, social isolation and/or economic deprivation. Participant accounts of wellbeing improvements as a result of the activities appear fully consistent with the goals of social prescribing more broadly. This suggests a strong argument for mainstreaming walking, wheeling and cycling within the portfolio of activities to which people may be referred through social prescribing routes.
Prescribing ‘active travel as transport’ is more problematic
The relationship between walking, wheeling and cycling as means of transport, and the prescribing of these as a form of health intervention, is more complex. This is partly about the availability (or lack) of infrastructure such as good-quality pavements, cycle paths, lighting and crossings. It is difficult to make a strong health and wellbeing case for walking and cycling for utility trips if such trips are fraught with anxiety about negotiating traffic or uneven surfaces. In rural areas such as the Somer Valley this is compounded by the longer distances between local services than is typically found in cities; the distances may create an additional barrier for people with health and mobility challenges.
Aligning behaviour change programmes with transport infrastructure improvements that support active travel
The Active Way is essentially a behaviour change intervention, although small-scale physical infrastructure improvements such as new signage did fall within its remit. It has been successful in improving people’s readiness for active travel by building knowledge, confidence and motivation, by improving physical capabilities to walk and cycle, and changing people’s perceptions of what constitutes a ‘walkable’ or cyclable’ distance – especially if they have been introduced to an e-bike. This provides a solid basis for behaviour change towards walking and cycling, not just for exercise and recreation, but also for travel. However, it really needs to happen in parallel with larger-scale infrastructure improvements to the network, such as those planned through the Somer Valley Links project (works start this year), if typical barriers to travel behaviour change are to be overcome. The challenges of aligning different types of transport intervention, supported by different funding streams, are by no means new, but need to be addressed if the benefits of prescribing walking and cycling are to feed through more smoothly into the substitution of some car trips car by active modes.
The rural planning dimension
Finally, and taking a further step back, it can be argued that rural areas are ‘rural’ in character for many reasons, one being a scarcity of services, which may be appealing to many who want to live in a peaceful environment with access to nature. However, this same spatial characteristic can create isolation when everyday opportunities for encountering other people reduce – for example if local shops, church halls or pubs close. In communities where such shared spaces remain, isolation may be less pronounced. In this context it is unsurprising that so many participants placed value on the social interaction these activities provided. If social prescribing and active travel aim to get people out of their houses and physically active, but do this by asking them to undertake long rural trips by active modes, this cannot be resolved only by fixing the problems in transport infrastructure and increasing travel opportunities. It may also require the reconstruction of social spaces by incorporating new spatial planning and design practices more commonly used in urban settings, for example ‘placemaking’ initiatives such as pop-up markets. Thus, socio-spatial planning also needs to be a part of the wider process.
The rural focus of The Active Way may have given it a distinctive flavour within the national ATSP programme, which incorporates a mix of urban and rural local authorities, but our evaluation suggests nonetheless that there would be clear benefits to rolling out the social prescribing of walking, wheeling and cycling further, or at least maintaining current levels (within the context of limited budgets). We await the results from the other ATSP areas with interest.
Acknowledgement: we are grateful to B&NES Council for reviewing this article and giving permission for us to publish the information on The Active Way contained herein. The reflections presented here remain those of the authors.
[1] NHS England » Social prescribing: Reference guide and technical annex for primary care networks
[2] Polley M. & Sabey A. (2022). An evidence review of social prescribing and physical activity. NASP.
This blog was written by Caroline Bartle, Eda Beyazit, Asa Thomas
Dr Caroline Bartle is a Visiting Fellow at the Centre for Transport & Society, University of the West of England (UWE Bristol UWE). She was formerly a Senior Research Fellow in CTS, where she undertook research and evaluation on sustainable transport and travel behaviour, including heading up the CTS evaluation of The Active Way from 2023 to 2025.
Dr Eda Beyazit is a Research Fellow at the Centre for Transport & Society, University of the West of England, UWE Bristol. Eda completed her DPhil in transport geography at the Transport Studies Unit, University of Oxford. Her research lies in the intersection of transport-related inequalities, transport poverty, urban periphery, gender, and precarity.
Dr Asa Thomas a Research Fellow at the Centre for Transport & Society, University of the West of England, UWE Bristol. His PhD research was conducted at the Active Travel Academy at the University of Westminster and his research centres around active travel in under-represented groups – particularly children and young people, as well as the design of street environments.






























