How to apply for permission to use ‘MUST’

Process for applying for a permission to reproduce the Malnutrition Universal Screening Tool ‘MUST’

The malnutrition universal screening tool (‘MUST’) was developed by the British Association of Parenteral and Enteral Nutrition (BAPEN) for the routine screening of patients in the healthcare settings and the community in the United Kingdom. The copyright for ‘MUST’ is owned by BAPEN. Therefore, anyone wishing to reproduce ‘MUST’ is required to apply for permission from BAPEN. Figure 1 (below) shows the process for application.

On application a permission letter or licencing agreement will be issued by BAPEN depending on the user category as shown in Table 1 in the ‘MUST’ User Categories and Costs PDF. The reproduction of ‘MUST’ may be audited by BAPEN periodically to ensure accurate reproduction of the copyrighted tool. This may include requesting a copy of the reproduction from the user.

Where a letter of permission has been issued, permission stands if ‘MUST’ is used within the agreed terms. Where the user wishes to change the terms of use, the user must reapply for permission.

Where users have been issued a licence agreement, contracts are for 12 months as standard. Three months prior to the licence expiry date, BAPEN office will contact the user to identify if a renewal is required.  Ongoing prices will be subject to changes in the consumer price index as at 1st January each year.

‘MUST’ is free in the download version from the BAPEN website to individual health and social care professionals using the tool. The online tool for ‘MUST’ is free to access for this purpose.

Agreements are subject to English Law and the jurisdiction of English Courts.

Application Form

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Name of organisation

Name of person applying for permission

Profession/position of person applying for permission

Contact details of applicant:

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Phone

Email *

UK and British Isles use only or international use? *

• United Kingdom and British Isles Use Only
• UK, British Isles and International
• International Use/any use outside the UK or British Isles

Permission to use for free

Chargeable categories

Confirm which free to use category your organisation belongs to (tick applicable) *

• National Health Service
• Private Healthcare UK based only
• Social care facility UK based only
• Electronic patient record UK based use only
• App for use in the UK only
• ’MUST’ use in an APP
• Educational organisation*
• Research*
• EPR In a single low-income country

*Where ‘MUST’ is used in research, education or mentioned in any publication BAPEN must be acknowledged. A copy of any published work must be sent to the BAPEN office.

State which country *AfghanistanBurkina FasoBurundiCentral African RepublicChadDemocratic Republic of the CongoEthiopiaEritreaThe GambiaGuinea-BissauKoreaLiberiaMadagascarMalawiMaliMozambiqueNigerRwandaSierra LeoneSomaliaSouth SudanSudanSyrian Arab RepublicTogoUgandaRepublic of Yemen

These low-income countries are eligible for free use of ‘MUST’. These are countries that are defined by the World Bank as low-income economies.

Confirm which category your organisation or intended use of ‘MUST’ belongs to (tick applicable)

Confirm which free to use category your organisation belongs to (tick applicable) *

• Educational organisation*
• Research*

‘MUST’ use in an electronic patient record *

• Not applicable
• In a single country outside the UK £20,000 + VAT
• In multiple countries outside the UK £100,000 +VAT

‘MUST’ use in an app *

• Not applicable
• In a single country outside the UK £20,000 +VAT
• In multiple countries outside the UK £100,000+ VAT

‘MUST’ use by a Commercial Partner *

• Not applicable
• In a single country £20,000 + VAT
• In multiple countries £140,000 + VAT

Changing the branding of ‘MUST’ / Adding ‘MUST’ to another tool (UK and International) *

• Not applicable
• In a single country £5,000 + VAT
• In multiple countries £20,000 + VAT

Educational Organisation or Research? *

• Not applicable
• Educational organisation*
• Research*

*Where ‘MUST’ is used in research, education or mentioned in any publication BAPEN must be acknowledged. A copy of any published work must be sent to the BAPEN office.

Billing Details

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Purchase Order Number (if required)

Confirm ‘MUST’ will be used as per copyright permission (Tick to confirm)

BAPEN logo

• Is the current BAPEN logo used?

Acknowledgement *

• Ensure the following statement is included on the documentation: ‘The [insert item e.g. ‘Malnutrition Universal Screening Tool’ (‘MUST’) or weight loss chart] is reproduced here with the kind permission of BAPEN (British Association for Parenteral and Enteral Nutrition).

For further information on ‘MUST’ see www.bapen.org.uk

Step 1 footnote *

• If documentation does not have a reverse side use alternative wording ‘If unable to obtain height and weight, see ‘MUST’ Explanatory Booklet for alternative measurements and use of subjective criteria.

A PDF of the ‘MUST’ flowchart with amended text below step 1 is available.

Step 2 *

• Ensure the term ‘unplanned’ is used before weight loss. This is sometimes omitted by mistake. Intentional or planned weight loss is not relevant at step 2.

Step 3 *

• Ensure that the following statement is reproduced accurately ‘If patient is acutely ill and there has been or is likely to be no nutritional intake for >5 days’. We commonly see materials that refer to one or other part of this statement. To score 2 here an individual ‘MUST’ have both an acute illness and have had or is unlikely to have no nutritional intake for >5 days. Step 3 should NOT be renamed.

Step 3 footnote *

• If the documentation is for use outside the hospital setting add a footnote explaining that step 3 is unlikely to apply. Step 3 should still be shown in materials outside of a hospital such as care homes, GP practices, individuals living in their own home but with the footnote added. This is because ‘MUST’ applies equal weighting to each of the three criteria. ‘MUST’ is a five Step process and it may be confusing for staff working across different care settings if Step 3 is omitted.

Steps 1 + 2 + 3 *

• Check that none of the criteria, cut off points and scores have been changed from the original ‘‘MUST’’ If they are changed the validity of the altered tool would be uncertain.

Subjective criteria *

• Ensure documents mention the use of subjective criteria. These criteria should be used collectively if weight and height cannot be obtained. MUAC can be used with the subjective criteria to aid professional judgement and assessment of risk category (low, medium or high). No scores should be assigned to subjective criteria.

Step 5 *

• Copyright approval covers steps 1-4 of ‘MUST’. Step 5 can be modified in line with local policy. If the documentation includes brand names of products in Step 5 – Management Guidelines, then a statement must be included on the management guidelines to make it clear that by granting copyright BAPEN does not necessarily support the use of specific brands or individual nutritional products.

BMI and weight loss charts *

• A variety of BMI and weight loss charts are available for download on the BAPEN website. Any charts associated with ‘MUST’ need to have the appropriate BAPEN logo.

Note: The licence agreement only exists when the application is approved and both parties have signed and dated the agreement.

Signature *

Clear Signature

Submit