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Background In response to challenges in recruiting a physiotherapist and feedback from patients seeking more holistic support, an Exercise & Wellbeing Practitioner role was established within a day hospice setting. This role serves as an alternative to physiotherapy-led palliative rehabilitation for individuals with life-limiting conditions, including cancer, neurological diseases, and long-term conditions.Aims To evaluate a sustainable model of palliative rehabilitation delivered in a day hospice by an Exercise & Wellbeing Practitioner, supporting physical function, independence, and emotional wellbeing.Methods The practitioner, registered with the Chartered Institute for the Management of Sport and Physical Activity, has been in post for three years. The role includes one-to-one assessments, virtual sessions, and small group programmes delivered in the day hospice. Sessions focus on strength, balance, mobility, falls prevention, symptom management, and relaxation. Interventions include neuro-exercise, seated Tai Chi, resistance band training, fatigue management, and stress reduction. Carers also receive falls prevention education. The service is delivered in-person, online, and works within the multidisciplinary team (MDT).Results Patients were assessed using validated tools over a three-month period, demonstrating:59% improvement in emotional peace (IPOS).67% reduction in low mood (IPOS).26% improvement in mobility (IPOS).15% increase in daily activity (AKPS).30% reduction in support needs (ECOG).Qualitative feedback highlighted that the service was empowering, accessible, and increased confidence in daily living.Conclusion The Exercise & Wellbeing Practitioner model provides a cost-effective, person-centred approach to physiotherapy-led palliative rehabilitation. Delivered in a day hospice setting, it enhances emotional wellbeing and physical function, works within the MDT, and offers a scalable solution for hospices facing similar workforce constraints.