patients was re-audited 6 months after the introduction of the late evening snack round to evaluate its impact. Carbohydrate content of food and drink were analysed using manufacturer's labels or a carbohydrate database [5]. The audit included 26 participant contacts pre and post-snack round. After introducing a late evening snack round the number of participants consuming 50g of carbohydrate increased, however, 50% still did not achieve this target. The mean total carbohydrate intake more than doubled and the number of participants consuming carbohydrate increased from 50 to 96%. The number of participants taking oral nutritional supplements increased, which contributed to total carbohydrate intake but did not significantly alter the number of participant consuming carbohydrate.