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Acute hospitalisation can result in significant decline in functional ability, termed hospital associated deconditioning (HAD). Older adults are most vulnerable with increased falls, increased disability with resultant institutionalisation. It is known that bed rest and immobility results in acute muscle atrophy and decrease muscle strength. Aim of the study: The aim of this “stay fit in hospital” exercise program is to introduce a very early exercise program of sufficient intensity starting within 48 hours of admission to hospital with a tailored exercise program for hospital associated deconditioning. We anticipate this program will prevent hospital associated deconditioning and significantly shorten their length of stay in hospital to enable them to return to the community safely, maintaining their functional level. We hypothesise that if we commence the rehabilitation program targeting strengthening of the muscles before the changes of deconditioning sets in, we can maintain the level of functioning during hospital stay to enable early safe discharge back to community. Specific Objectives 1. To determine the effectiveness of the “Stay Fit in Hospital” exercise intervention in preventing hospital associated deconditioning. 2. To determine the feasibility and cost-effectiveness of such a program in its implementation. 3. To determine its longer-term effects in maintaining functioning.