First reported 7 May 2015•Latest report 27 Nov 2025
Definition
What this concern includes
Includes failures of controls specifically dedicated to managing malnutrition risk, including risk recognition, MUST assessment or scoring, care planning, nutritional monitoring and recording, dietetic input, and timely nutritional intervention.
Not included
Excludes generic documentation, staffing, training, audit or communication deficiencies unless the report directly ties them to malnutrition-risk management.
Excludes unrelated care-planning or assessment failures that do not concern malnutrition risk.
Excludes broader failures in general patient care or nutrition where malnutrition risk is not the identified safety concern.
Reports
12
Distinct published reports
Individual concerns
20
A report can raise multiple concerns
Date range
2015–2025
First to latest report issue date
Stated actions
35
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Department of Health and Social Care2
49 Marine Avenue Surgery1
Aneurin Bevan University LHB1
Barts Health NHS Trust1
Care Quality Commission1
Department for Work and Pensions1
Downshaw Lodge1
East Sussex Healthcare NHS Trust1
Frimley Health NHS Foundation Trust1
Kent and Medway Mental Health NHS Trust1
Maidstone and Tunbridge Wells NHS Trust1
Moorbridge1
NHS North East and North Cumbria Integrated Care Board1
Northumbria Healthcare NHS Foundation Trust1
Royal Devon University Healthcare NHS Foundation Trust1
NHS trust10
Ministerial department3
Multi-service care provider2
Health and social care service regulator1
Integrated care board1
Local health board1
Pupil referral unit / alternative provision1
Residential care home1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
Surrey
Concerns raised4
Inaccurate scoring of Malnutrition Universal Scoring Tool charts
Failure to properly complete required food charts
Failure to identify patients who require food charts
Delay in recognising significant patient weight loss
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.6
Action
Record nutrition assessments, care plans, MUST scores, BMI, weight loss, fluid intake and food intake in the Patient Bedside Safety Booklet.
Stated by Surrey and Sussex Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 21 December 2020.
Action
Deliver annual MaST training on MUST scoring, nutrition screening and assessment, supported by online learning and ward-based refresher training.
Stated by Surrey and Sussex Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 21 December 2020.
Action
Include MUST checks in daily ward huddles and escalate nutrition concerns to the nurse in charge.
Stated by Surrey and Sussex Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 21 December 2020.
Action
Audit the effect of MaST nutrition training on completion of MUST documentation and address any identified deficiencies with further training.
Stated by Surrey and Sussex Healthcare NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 21 December 2020.
Action
Conduct twice-weekly nutritional ward rounds led by a Consultant Gastroenterologist.
Stated by Surrey and Sussex Healthcare NHS TrustStated completedThe respondent said that this action was complete when they made their response on 21 December 2020.
Action
Implement a formal complex nutrition MDT meeting with active surgeon membership.
Stated by Surrey and Sussex Healthcare NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 21 December 2020.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The audit of nutrition training impact was delayed by COVID-19 pressures and limitations.
Stated by Surrey and Sussex Healthcare NHS TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Brighton and Hove
Concerns raised1
Failure to complete the malnutrition assessment tool
This report raised 24 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Monitor documentation more closely and provide nurses with real-time feedback.
Stated by University Hospitals Sussex NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 7 May 2015.
Action
Review and condense Acute Medical Unit documentation into multidisciplinary paperwork that directs care and reduces duplication.
Stated by University Hospitals Sussex NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 7 May 2015.
Pin
Get email alerts
Request correction
Includes failures of controls specifically dedicated to managing malnutrition risk, including risk recognition, MUST assessment or scoring, care planning, nutritional monitoring and recording, dietetic input, and timely nutritional intervention.
