In the circumstances it is my statutory to report to you _ There was within Mr Richardson's records an ambulance crew report which recorded that Mr Richardson was said to have not eaten for 5 days. In evidence before me it was confirmed that the ambulance report would have been available to the person who undertook the MUST screen. It also appeared that this may not have been reviewed at the time. If it had been reviewed the evidence given before me was to the effect that the information might have led to a MUST score of 2 which in turn have led to a referral to dietician services Although the expert evidence was that Mr Richardson's nutrition did not play a material part in his death, am nevertheless concerned that in' different circumstances a failure to follow up information or review the ambulance record andlor any other records with which a patient is admitted and aged duty would so miss the information could affect the outcome for the palient and that there is therefore a risk of future deaths.