The contractor establishes and maintains a register of patients: 1. Aged 50 or over and who have not attained the age of 75 with a record of a fragility fracture on or after 1 April 2012 and a diagnosis of osteoporosis confirmed on DXA scan, and 2. Aged 75 or over with a record of a fragility fracture on or after 1 April 2014 Although the register indicator OST004 defines two separate registers, the disease register for the purpose of calculating the APDF is defined as the sum of the number of patients on both registers. NICE 2011 menu ID: NM29 Denominator adjusted for over 50s only

Organisation	Numerator	Denominator	Ratio	Centile
UNITY SURGERY	28	1609	1.7%	97
THE IVY MEDICAL GROUP	19	1944	1.0%	88
HIGHCROFT SURGERY	31	4715	0.7%	79
DAYBROOK MEDICAL PRACTICE	20	3761	0.5%	73
UK	103500	21570190	0.5%
NHS England	98423	20903770	0.5%
STENHOUSE MEDICAL CENTRE	25	5393	0.5%	69
MIDLANDS AND EAST OF …	28754	6413900	0.4%	75
WEST OAK SURGERY	9	2074	0.4%	67
NHS ENGLAND MIDLANDS (NORTH …	3897	902846	0.4%	41
PLAINS VIEW SURGERY	11	2708	0.4%	64
NHS NOTTINGHAM NORTH AND …	207	61058	0.3%	32
THE OM SURGERY	2	656	0.3%	52
OAKENHALL MEDICAL PRACT	8	2908	0.3%	48
PEACOCK HEALTHCARE	6	2196	0.3%	48
NEWTHORPE MEDICAL PRACTICE	7	2803	0.2%	44
APPLE TREE MEDICAL PRACTICE	4	1785	0.2%	39
PARK HOUSE MEDICAL CENTRE	7	3410	0.2%	36
WESTDALE LANE SURGERY	7	3609	0.2%	33
GILTBROOK SURGERY	3	1841	0.2%	27
TRENTSIDE MEDICAL GROUP	6	4032	0.1%	24
THE CALVERTON PRACTICE	5	4368	0.1%	15
WHYBURN MEDICAL PRACTICE	4	4502	0.1%	10
JUBILEE PARK MEDICAL PARTNERSHIP	1	1210	0.1%	9
TORKARD HILL MEDICAL CTRE	4	5534	0.1%	7

QOF database

NHS NOTTINGHAM NORTH AND EAST CCG

Data for OST004 adj