The Southern DHB, WellSouth PHO and the Otago School of Physiotherapy are currently working together to develop a generic exercise and education programme to support the health and wellness of people living with long-term conditions across the southern district. This activation grant aims to explore how to transform a current city-based programme with demonstrated benefit to a programme able to support people living anywhere within southern New Zealand. As this programme will be delivered in communities of varying sizes, situated across a large and frequently remote region, a systematic approach of how to remotely deliver and support it are required. This approach will necessitate a systematic critique of extant literature; building of community relationships; and co-creation of appropriate skills and capacity. This knowledge will enable future implementation research of the new generic, community-wide programme into southern NZ.