Malnutrition is a common and significant public health problem especially for older adults, as the consequences are costly. National guidelines (NICE CG32/QS24) highlight the need to identify and manage malnutrition, the implementation of which was deemed a high impact to produce cost savings. The Malnutrition Pathway endorsed by NICE and other professional bodies is a practical evidence-based guide to help community healthcare professionals (HCP) to implement guidance on malnutrition management. Managing malnutrition significantly reduces healthcare use, with a positive budget impact in older malnourished patients in primary care. This represents an opportunity to improve patient care with benefit on health care spend.