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

Organisation	Numerator	Denominator	Ratio	Centile
NHS AIREDALE, WHARFEDALE AND …	948	160203	0.6%	94
NHS HARROGATE AND RURAL …	808	163882	0.5%	89
NHS VALE OF YORK …	1645	361706	0.5%	84
NHS NORTH EAST LINCOLNSHIRE …	498	170074	0.3%	59
NORTH EAST AND YORKSHIRE …	26084	8998182	0.3%	57
NHS SHEFFIELD CCG	1735	608195	0.3%	57
UK	187358	65767658	0.3%
NHS England	168884	59442513	0.3%
NHS EAST RIDING OF …	865	306139	0.3%	55
NHS CALDERDALE CCG	583	221736	0.3%	49
NHS BRADFORD DISTRICTS CCG	842	321424	0.3%	48
NHS GREATER HUDDERSFIELD CCG	628	250028	0.3%	47
NHS ENGLAND NORTH EAST …	13990	5747686	0.2%	15
NHS NORTH KIRKLEES CCG	456	194640	0.2%	43
NHS LEEDS CCG	1838	889368	0.2%	38
NHS BASSETLAW CCG	230	113586	0.2%	36
NHS WAKEFIELD CCG	669	377984	0.2%	30
NHS SCARBOROUGH AND RYEDALE …	209	120856	0.2%	28
NHS DONCASTER CCG	537	323041	0.2%	24
NHS HULL CCG	481	301134	0.2%	23
NHS ROTHERHAM CCG	401	264343	0.2%	20
NHS NORTH LINCOLNSHIRE CCG	221	180334	0.1%	14
NHS BARNSLEY CCG	312	262267	0.1%	13
NHS BRADFORD CITY CCG	84	156746	0.1%	1

QOF database

NHS ENGLAND NORTH EAST AND YORKSHIRE (YORKSHIRE AND HUMBER)

Data for OST004