Pre‐procedure

ActionRationale

1. 1.Show
   Introduce self to patient, in either inpatient or outpatient setting.
   To establish professional and clinical rapport. E
2. 2.Show
   Gain consent from the patient for the intervention.
   To ensure the patient understands the procedure and provides verbal consent (NMC [202]).
3. 3.Show
   Ensure a safe environment.
   To decrease the risk of falls. E

Procedure

1. 4.Show
   Carry out a holistic needs assessment.
   To provide a baseline of the patient's concerns. E
2. 5.Show
   Ensure that the patient does not have additional complex health issues or contraindications (Campbell et al. [35]) prior to supporting and advising on physical activity.
   To ensure health and safety. E
3. 6.Show
   If additional complex health issues or contraindications are identified, ensure medical review prior to proceeding with the consultation.
   To ensure health and safety. E
4. 7.Show
   If appropriate, carry out a valid screening tool such as the Godin‐Shephard Leisure‐Time Physical Activity Questionnaire (Godin [113]) to evaluate level of physical activity.
   To ascertain baseline assessment of physical activity levels. E
5. 8.Show
   Identify from information gained as to whether the patient is experiencing difficulty in being physically active at the recommended levels.
   To identify a patient who requires further information or support in order to improve physical activity levels.
6. 9.Show
   Give verbal and written advice (such as the Macmillan booklet on physical activity, 2016) on both the benefits of physical activity and also how to start increasing physical activity levels.
   To provide best evidence‐based practice (Hall‐Allston [121]). E
7. 10.Show
   Consider recommending use of other resources to support physical activity such as pedometers, apps, fitness bands.
   To assist in self‐management (Bourke et al. [25]). E
8. 11.Show
   Consider onward referral for supervised exercise sessions depending on local provision.
   To help support patient with achieving increasing physical activity (Bourke et al. [25]). E
9. 12.Show
   Document the action taken.
   To provide best evidence‐based practice. E