What is hospital-acquired deconditioning? ‘A complex process of physiological change that can affect multiple body systems’ (Hanson et al 2019) The process of decline results in the loss of ability to complete one or more basic activities of daily living independently at discharge (Ortiz-Alonso et al., 2019). HAD is associated with long term disability, institutionalisation and death (Ortiz-Alonso et al. 2019). Secondary complications; cardiovascular disease, diabetes, osteoporosis, frailty, cognitive decline and depression (Kirwan et al, 2020, p.1547).