Nutrition has a strong positive linear relationship with hospitalisation, recovery and death. Nutritional status serves as an independent predictor of hospital morbidity and mortality. There is an ensuing academic debate concerning the role and magnitude of nutrition in modifying health outcomes and the strategies that are to be employed to ensure nutritional adequacy. Professional, skill, knowledge and experience are important correlates that may modify patient outcomes, but hospitals continue to be under-resourced even in developed states. It is imperative that current standards, recommendations and policies be examined with the view to aligning the appropriate needs and services to realise positive gains with hospital mortality and morbidity.