--- title: "Home Visits for Prostate Cancer Exercise Rehabilitation | HealthySwitch.Me" url: /home-visits primary_question: "Do you offer exercise sessions at home?" sources: - "NICE NG131 ยง1.4.19" --- # Home visits for specialist exercise rehabilitation Piotr Kardas brings one-to-one specialist exercise rehabilitation into your own home, for men living with or beyond prostate cancer, in London and Surrey, arranged with him. ## Do you offer exercise sessions at home? Yes. A home visit is a single one-to-one appointment at your own home in London or Surrey, arranged directly with Piotr, who agrees the date and time with you himself. The price depends on where you live and what you need, so Piotr agrees it with you first. You can mix home visits with online appointments by video call anywhere in the UK, and move between the two as suits you. You arrange a home visit through a paid 15-minute consultation first. It is the same careful, one-to-one work he does online by video call, adapted to the space you have. Many men choose home visits at particular moments: fatigue from hormone therapy can make travel feel like too much, recovery after surgery can keep you close to home, and others simply prefer the privacy of their own place. Some men have a home visit at the start to settle in, then carry on online. ## Where are home visits available? Home visits run across London and Surrey. Piotr settles the address, the timing, the travel and the price with you after your paid 15-minute consultation. If a visit is not practical for where you live, the same one-to-one work runs online by video call anywhere in the UK. ## What safeguards are in place for a home visit? Bringing someone into your home is a matter of trust, and you are entitled to check the details first. You are welcome to raise the practical arrangements for a home visit before you book one: - Ask Piotr about insurance and background checks for home visits, and he will talk you through the arrangements before your first session. - You are always welcome to have a partner, family member, or friend in the room. Ask if you would like this noted in advance. - Ask which professional registers Piotr is listed on, and he will point you to them. Piotr is a Prostate Cancer Exercise Specialist, Registered Clinical Exercise Physiologist. You can read more about his background and experience on the About Piotr page. ## How do home-visit sessions work? A home visit brings the same one-to-one session Piotr runs online by video call into your living room or garden. Each visit runs for around an hour. He builds each one around your treatment, your energy that day, and what your home allows. Every visit starts with a check-in. You work through movements chosen for you, drawing on adapted methods that need little space: Pilates, Tai Chi, Qigong, gentle resistance work, and light aerobic movement. Over time, resistance and strength work usually become the core of the programme. For men on or starting hormone therapy, national guidance is specific. NICE recommends: > "Offer people who are starting or having androgen deprivation therapy supervised resistance and aerobic exercise at least twice a week for 12 weeks to reduce fatigue and improve quality of life." > (NICE guideline NG131, recommendation 1.4.19) NICE recommends supervised resistance and aerobic exercise at least twice a week for 12 weeks for people starting or having hormone therapy. How often you see Piotr is agreed with you at the consultation, and he can advise on exercise between appointments. You can read the plain-English version on our NICE exercise guideline page. ## Is it safe to exercise at home with prostate cancer? Whether exercise at home is safe for you depends on your own situation, so the first step is to get clinical clearance from your care team. With that in place, Piotr keeps every session one-to-one, adjusts it to how you feel, and eases back the moment anything feels off. Supervised exercise has been shown to reduce fatigue and improve quality of life (NICE NG131). He will also ask you to follow any triage or escalation advice your oncology team gives on when to pause, scale back, or seek help, and to keep your oncologist or consultant in the loop. > Always consult your oncologist or consultant before beginning any exercise programme. Clinical exercise physiologist at a world-leading NHS cancer centre ## How to arrange a home visit Home visits start with a paid 15-minute online video consultation, so Piotr can understand your situation first. It is a calm, private conversation, with no pressure to commit. Book a 15-minute consultation: /consultation To see all the options after the consultation, visit The Programme: /programme