Abstract Background Frailty At The Front Door (FATFD) teams are ideally positioned to facilitate screening for risk of malnutrition in the frail older person. The aim of this quality improvement initiative is to improve malnutrition risk identification and first point of contact intervention, in a frail older Emergency Department (ED) population. Methods Dietetic assessment was initially triggered using a non-standardised screen in a Comprehensive Geriatric Assessment (CGA). Referral to dietetics was triggered if there was a ‘yes’ response to - have you lost weight and/or do you have a poor appetite? Patient demographics were prospectively entered onto Excel. A shorter CGA which included a validated MST screen was developed. All patients at risk of malnutrition were referred for dietetic intervention. Patient demographics, MST and Clinical Frailty Score (CFS) score of referred patients were prospectively entered onto Excel. Results were analysed using descriptive statistics. Results Pre-standardised screen, an average of 7 patients per week received an intervention. The mean(SD) age was 83.8(6.9) years. The male to female ratio was 1:1.5. No information was available on malnutrition risk or CFS. Post standardised screen, The mean(SD) age was 84(7) years. The male to female ratio was 1:1.2. Mean(SD) CFS was 5 (1.5). An average of 10.3 patients received an intervention per week. Conclusion Prioritisation of malnutrition risk screening was successful within a shortened CGA. A 47% increase in dietetic intervention was achieved. This has created an opportunity to further develop specialist pathways for example: Tube Feeding and Oral Nutritional Supplements.