The health benefits of regular physical activity are undeniable. There is a dose-response relationship between total physical activity and health outcomes, and thus every opportunity should be seized to exercise more. Among the methods used to increase the level of physical activity, physical activity counselling delivered in clinical practice is effective. The Pas à Pas+ project presented in this article allows to extend the advice from the healthcare professional and to lead up the patient to a physically more active lifestyle, providing a support in physical activity on prescription. There are several -challenges that need to be addressed in order to anchor definitely physical activity counselling and its delegation to professionals in adapted physical activity in the healthcare setting.