Malnutrition is often linked to stunted growth, poor peripheral circulation, delayed wound healing, heightened spasticity , and increased irritability . The latest NICE guidelines recommend regular assessments of nutritional status in children with cerebral palsy (CP) to ensure proper management and care. Most scientific literature on nutrition in children with neurological impairment has focused on those with Cerebral Palsy (CP), where malnutrition has been reported in 46%–90% of cases. Aim: (as per the NICE guidelines),Whether Children with CP seen in a tertiary care children wardare having regular reviews of their nutritional status. Methodology: Retrospective Case notes review . Tools of study: An observational checklist based on a guideline [1] developed by the investigators in order to assess the nutritional status and intervention for children with cerebral palsy admitted at Khyber Teaching Hospital from 1st of October to 30th of December 2024. Data Analysis: was done using SPSS. Sample selection criteria: All cerebral palsy children admitted to Paeds ward KTH. Acceptable Exceptions criteria: Severely ill and comatose cerebral palsy children. Sample size: Average sample size is 12 based on Total no. of admissions in these 3 months are 1158 and 33 patients with CP admitted. audit standard: Cerebral palsy in under 25s: assessment and management NICE guideline . Results: A total of 14 patients were included in the study , with an equal distribution of males and females (50% each).areas for improvement, recommendations and reaudit done.