Less than half of general practitioners have access to an exercise referral scheme according to new research published by the Mental Health Foundation (MHF).

In the report, called Moving on up , MHF identifies barriers that are preventing patients with depression from accessing exercise on prescription, especially for cases of mild to moderate depression. The foundation, off the back of the research which is partly funded by the Department of Health, has called for providers of exercise schemes to fund the development of physical activities for those with mental health problems.

Other recommendations include the building of closer links between healthcare professionals and exercise staff as well as development of a clear referral protocol. Wider promotion of exercise referral schemes at health centres, local pharmacies, libraries, colleges and hospitals was also suggested along with a wider selection of activities, not just gym-based programmes, that attract people of different interests and fitness levels. The report also showed that of the GPs that have access to an exercise referral scheme, more than 80 per cent use it as a form of treatment.

Central YMCA chief executive, Rosi Prescott, said: "Despite the increasing evidence to support exercise schemes, much more needs to be done to persuade those in the health service of their benefits. Although the number of GPs who would prescribe exercise as a first line treatment for mild to moderate depression is increasing, it is disappointing that it remains so low. More needs to be done to ensure that all people working within primary care have access to exercise referral schemes - there should be no postcode lottery." Andrew McCulloch, chief executive of the Mental Health Foundation, said: "Exercise therapy is an effective, clinically approved treatment option that can help treat mild to moderate depression, yet this report tells us of the barriers that must be overcome before GPs in all parts of the country can offer exercise on prescription to patients experiencing the illness."