Managing Malnutrition
According to Risk Category
using 'MUST'

  • The 'Malnutrition Universal Screening Tool' ('MUST') is a simple validated 5 step nutrition screening tool to identify malnutrition risk category.
  • Where use of a screening tool is not possible or practical, clinical judgement may be used.
  • Actions to manage malnutrition should be linked to the degree of malnutrition risk.
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Pathway for using Oral Nutritional Supplements (ONS) in the Management of Malnutrition

Where individuals require (or already have) a prescription of ONS, the actions in this pathway will guide you in:

  • Setting goals.
  • Deciding on dose and duration of ONS.
  • How and when to monitor progress.
  • How to discontinue ONS prescription or escalate treatment depending on progress.
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To view an interactive version of the pathway, click View.

To download or see the pathway as it appears in the document, click Download.

Download the full document

Malnutrition Pathway Video Channel

View a collection of videos from UK experts

View the videos

Latest News

New App Launched

New App Launched

The 'Managing Adult Malnutrition in the Community' guide and pathway is now available in an app which aims to help professionals in their day to day assessment of patients.

The app incorporates the 'Malnutrition Universal Screening Tool' ('MUST') too developed by the British Association for Parenteral and Enteral Nutrition (BAPEN).  It enables professionals to work out whether patients are at low, medium or high malnutrition risk and gives advice on management according to risk based evidence and shared best practice as defiend in the 'Managing Adult Malnutrition in the Community' guide.

New Malnutrition Care Plans for Nurses

New Malnutrition Care Plans for Nurses

The 'Managing Adult Malnutrition in the Community' guide has joined forces with the National Nurses Nutrition Group (NNNG) to develop three malnutrition care plans for use with patients in residential and care homes who are either at low, medium or high risk of malnutrition.

The care plans have been designed to complement the 'Managing Adult Malnutrition in the Community' guide and pathway for use of oral nutritional supplements and aim to assist nurses in their day to day care of patients at risk of malnutrition. 

Share Best Practice and Win an Educational Award

Share Best Practice and Win an Educational Award

The Managing Adult Malnutrition in the Community Awards Scheme has been launched. This offers professionals the opportunity to be awarded £500 towards attendance at an educational event or conference of their choice by sharing examples of best practice in the management of malnutrition. Click here for further information.

New GP Surgery Poster

New GP Surgery Poster

A new A4 printable poster is now available for display in the GP surgery.  This outlines the care pathway that should be followed for individuals at risk of malnutrition in the community.

New Support Materials Launched

New Support Materials Launched

A new series of leaflets and videos have been developed by a multi-professional panel to support the 'Managing Adult Malnutrition in the Community' document and are now available for download from this website.


There are two leaflets for use with patients and carers:

- 'Your Guide to Making the Most of Your Food': this provides some simple ideas as to how patients can get the most nutrition from the food they are eating

- 'Nutrition Drinks (known as oral nutriitonal supplements) - advice for patients and carers': this gives information on why patients will have been prescribed oral nutritional supplements and offers them general advice on getting the most from their supplements


In addition there is a further leaflet aimed at healthcare professionals:

-'Managing Malnutrition with Oral Nutritional Supplements (ONS) - advice for healthcare professionals': this gives professionals an overview of malnutrition, the types of ONS available and the patients who might benefit from their prescription.  It is a quick guide which details different styles, flavours and products.


Three new videos have also been uploaded to the website which include interviews with key professionals involved in the management of malnutrition in the UK. 


Healthcare professional leaflet

Healthcare professional leaflet

Click here to see our leaflet for healthcare professionals.

Leaflets for patients and carers

Leaflets for patients and carers

Click here to see our leaflets for patients and carers.

Share good practice!

Share good practice!

Have you implemented a policy for identifying and managing malnutrition in your area, based on 'Managing adult malnutrition in the Communiy'?

We would like to develop an area for sharing good practice on this site.

Please submit your information to:

Hilary Franklin Healthcare Communications

Tel: 020 8398 8551


Malnutrition pathway presentation

Malnutrition pathway presentation

Presentation outlining the content of 'Managing Adult Malnutrition in the Community'

(to deliver as a presentation select 'full screen' in 'view')

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