Dietetic referral timing is one of the most common points of dispute in hospital malnutrition litigation. Allegations are frequently framed around delay — particularly where referral was triaged as routine rather than urgent. However, dietetic referral negligence does not arise simply because a patient was not reviewed immediately. The legal analysis is more structured. Hospitals triage referrals based on screening scores, intake, nil-by-mouth duration, metabolic stability

The Malnutrition Universal Screening Tool (MUST) appears in almost every hospital malnutrition case I review as an expert witness dietitian. A score of 2 is frequently described as “high risk” — but in litigation, the presence of a high score alone does not automatically create negligence. MUST is a screening tool, not a diagnosis or treatment plan. It identifies patients at risk of malnutrition based on BMI, weight loss, and acute disease effect. A score of 2 or more indica

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