The British Association of Parenteral and Enteral Nutrition (BAPEN) recommend that all hospital in-patients should have nutritional screening, and this also applies to those with bone fractures. Preventing and managing malnutrition is an important aspect of managing bone fractures and promoting healing. This study completed the audit cycle, assessing rate and type of nutritional screening in patients admitted to a district general hospital with bone fractures and comparing outcomes once the nationally recommended Malnutrition Universal Screening Tool (MUST) tool was brought in.