MUST is a validated tool for use within the primary care setting and involves three steps -BMI score -Percentage weight loss score -Disease effect score likely decrease in oral intake for more than five days (Figure 1)- It is vital that community nurses screen all new patients and continue to regularly screen current patients as per local guidelines only in this way will they be able to spot any deterioration in the patient's nutritional status. -Patients with a MUST score of '2' or more should be referred directly