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Background Promoting participation in meaningful activities, communicating with others, and independent physical function are key in rehabilitative palliative care. Drumming has shown benefits for Parkinson’s Disease and was an appropriate and safe activity to use for people with other long-term progressive conditions.Aim To deliver a group drumming intervention for the hospice’s wellbeing programme, promoting physical activity and participation in a fun, social, and supportive environment.Method Six staff and six volunteers were trained as drum-based exercise instructors. Participants, screened for suitability, attended six drumming sessions. They completed self-reported questionnaires on physical and psychological domains and on their perceived upper body strength pre and post intervention. They completed a Views on Care survey on completion of their last drumming session.Results 45 participants (average age 73) attended 175 sessions from June 2024 to April 2025. Diagnoses included cancer (39%) and non-cancer conditions (61%). Post-intervention, 56% of participants reported lower total scores (21% average reduction), with notable improvements in anxiety (40% of participants, 28% reduction), anger (48% of participants, 36% reduction), and boredom (40% of participants, 38% reduction). Reported upper body strength increased for 53% of participants, with an average increase of 21%. 73% of participants felt the group provided a lot of benefit, with 23% reporting some benefit.Conclusion Seated drum-based exercise groups can be safely delivered in an outpatient hospice setting to people with a variety of conditions and abilities, benefiting physical strength and reducing feelings of anxiety, anger, and boredom.