About this Toolkit

Key Contact:

Victoria Hilton - Care Home Dietitian - victoria.hilton@ggc.scot.nhs.uk 

Lead Clinician:

Gillian Mackay - Advanced Practice Care Home Dietitian - gillian.mackay3@ggc.scot.nhs.uk

Senior Responsible Owner:

Michelle Wardrop - Community Manager - Dietetics - michelle.wardrop@ggc.scot.nhs.uk 

Alt-Text added for images so they can be read by a screen reader.

Posters included within the Toolkit are compliant with accessibility guidelines.

Toolkit Authors:

Advanced Practice Care Home Dietitian
Care Home Dietitians

Approved by:

Approved by Care Home Dietetic Team and Care Home Clinical Effectiveness Group at time of initial publication

Review Process:

Content to be reviewed 6 monthly initially, before being reviewed annually going forwards. This will ensure that content which has been added remains relevant, accurate and current.

When the content is due for review, any changes will be approved at a Care Home Dietetic Team meeting.

Ongoing Development:

Care Home Clinical Effectiveness Group will oversee development of the Toolkit.

Community Dietetic Lead Michelle Wardrop has reviewed pathways included within this Toolkit. In addition, she has reviewed all other content within this Toolkit.

Michelle is a member of the Care Home Clinical Effectiveness Group.

NHSGGC MUST step 5 care home pathway (published 2013) NHSGGC MUST step 5 residential pathway have been followed.

BAPEN Malnutrition Action Group (MAG), Elia, M. (2003). The ‘MUST’ report. Nutritional screening of adults: a multidisciplinary responsibility. Development and use of the ‘Malnutrition Universal Screening’ Tool (‘MUST’) FOR ADULTS. [Accessed 27th June 2025]

BAPEN Malnutrition Action Group (MAG) (2011). The ‘MUST’ explanatory booklet. A guide to the ‘Malnutrition Universal Screening Tool’ (‘MUST’) for adults. [Accessed 27th June 2025]

International Dysphagia Diet Standardisation Initiative (IDDSI).  The IDDSI Framework. [Accessed 27th June 2025]

NICE Nutrition support in adults Quality Standard 24 (November 2012) [Accessed 27th June 2025]

NICE Nutrition support for adults: oral nutrition support, enteral tube feeding, and parenteral nutrition Clinical Guidance 32 (last Updated August 2017) [Accessed 27th June 2025]

European Society for Clinical Nutrition and Metabolism (ESPEN) European Guidelines [Accessed 27th June 2025]

Care Home Clinical Effectiveness Group have approved the publication (some user testers were part of this group).

Feedback Form is included within About this Toolkit Tile.

Any User feedback will be discussed at Care Home Dietetic meeting. Consultation with Care Home Clinical Effectiveness Group where necessary.

Potential Risk - Toolkit no longer reflects the current clinical guidance.

Control - Regular clinical reviews of evidence

User Testing has been carried out.

4 Staff Users have given feedback. Usability feedback was positive. Two new Tiles were created based on feedback from users.