Thanks for the feedback everyone.
I maybe shoud have introduced the Great Geln Way ... It's a long-distance trail between Fort William and Inverness suitable for all levels of walker but it also croassable by bike, boat, kayak and horse. If you run "Great Glen Way" through Google (other search engines are available!) you'll be able to get more information.
I tried moving the icons above and below the line of the profile but they didn't look right in either position. Also, with the scatter brush varying the size of the elements around their centre rather than their base I got a number of floaters that just looked ridiculous

and the overhanging buildings that Jacques noticed. As people seem to like the style of my plan maps (

!) I've gone back to the drawing board to make a better map altogether rather than try to have one diagram to two things badly.
Sorry it's such a departure from the original and it's pretty rough! This is what the 6 maps would look like side by side - there is an overlap between each map that would enable you to join all 6 together if you wanted.
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I've made a couple of cycling maps in the past with a profile at the bottom of the page but I've moved the profile to the top here so I can still have a horizon of sorts without interfering with the plan map below. Also, there should be plenty of room top and bottom to have labels above and below the profile for geographic/interesting features or to have certain things picked out in a different font, as Kru and Jacques suggested , but I don't now if there will be enough going on along the route to justify this - it may just come down to an aesthetic choice if the text looks better above or below. The extra room around the profile also means that if the text on the profile is rotated then I won't have to turn any annotation a different direction to get it to fit. I've also moved the title down into the middle of the map make a bit of a visual break and reinforce the idea that there is a change in projection from the top to the bottom of the page.
The profile along the top isn't quite right yet. It's the profile of the entire route not including overlaps between the 6 maps so I'll need to go back and make profiles for the part of the route on each page and then highlight the relevant section on the profile as in the example. What it does show is the issue with vertical exaggeration largely disappears when you consider the route as a whole - the first section now looks much more accessible as opposed to the alpine extravaganza in the first draft! I'm using Global Mapper to make the profiles and I've not found a way to manually set the vertical exaggeration so it's constant - Global Mapper just burps up a profile to fit inside the size of the pop-up window that the profile generator makes so when I make 6 different profiles, they are all the same size but they all have different vertical scales

- I'll just have to manually transform each profile to fit inside the scale set by the highest profile.
The space under each profile will have a plan map of each part of the route in my usual style. I just used some OS maps to fill the gaps while I test the idea.
Interesting point you raised Jacques, about the River Nevis/Nevis River but River Nevis is correct apparently. There is the odd exception where you have the Balnagown River as opposed to River Balnagown but I think it may be bacuse it scans better as Balnagown River - I honestly don't know

!