The 1, 2, 3 approach: nourishing snacks

Snacks provide vital additional nutrition to those at risk of malnutrition and should be offered. Where malnutrition risk has been identified using MUST screening (i.e. MUST = one or more), two to three nourishing snacks (totalling at least 200kcal) should be offered per day. High calorie fortified snacks should be offered as a first line option if intake is very poor.

High calorie fortified snacks

Top recommended: Fortified thick and creamy yoghurt (300kcal, 10g protein) • Mix 1 heaped tbsp (~15g) dried skimmed milk powder and 1 tbsp double cream with a 150g thick and creamy yoghurt.

Only one of the following should be offered in a day:

Fortified lemon cream (618kcal, 5g protein per portion) - makes three portions • Mix 300ml double cream with 30g skimmed milk powder. • Heat gently until powder has dissolved then add 70g caster sugar. • Boil for three minutes then stir in the juice of 1-1½ lemons. • Chill in dessert bowls in the fridge before serving. Keep refrigerated.

Fortified chocolate caramel cream (440kcal, 6g protein per portion) - makes three portions • Gently heat 150ml double cream, 30g skimmed milk powder and 30ml whole milk in a small saucepan. Stir until the powder has dissolved. • Stir in two finely chopped standard size (50g) Mars bars (or similar) until melted. • Chill in dessert bowls in the fridge before serving. Keep refrigerated. Everyday nourishing snacks

Approximately 100kcal per snack 200kcal or more per snack Savoury Savoury • One slice of toast with butter • Two slices of toast with butter and cheese • One bag of crisps • Two crackers with butter and cheese/cream • Three plain crackers cheese • Two oatcakes • Two oatcakes with butter/houmous/cheese • Small handful of nuts • One crumpet with butter +/- Marmite • Matchbox-sized piece of cheese • One mini pork pie • Two tbsp houmous • One cocktail pasty • One small sausage roll • One cheese scone with butter • One mini quiche • One boiled egg • Two chicken nuggets/fish fingers • 30g pate • One tbsp peanut butter • Handful Bombay mix Sweet Sweet • One scoop of ice cream • Scone with butter/margarine and jam • 150g full fat yoghurt • Slice of cake • A handful of nuts/dried fruit • Cupcake/doughnut/chocolate brownie • One medium/large banana • One saffron bun • Jam tart • Two slices of toast with butter and thickly • One shortbread finger/digestive biscuit spread jam/honey/marmalade • Two Jaffa cakes/rich tea or bourbon biscuits • One crumpet/scotch pancake with butter and • One slice malt loaf jam • One mini Swiss roll • Two digestive biscuits with butter • Three squares milk chocolate • 30g cereal with 100ml whole milk • Two Kit Kat fingers • Small trifle pot • One fudge bar • One standard size chocolate bar • ½ Crunchie • 100g chocolate mousse • Four jelly babies/boiled sweets • One medium croissant • One tbsp chocolate spread • Fruit corner type yoghurt