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
DR A BISARYA	23	2543	0.9%	94
BEACON PRIMARY CARE	152	17218	0.9%	93
ORMSKIRK PCN	237	46080	0.5%	82
PARKGATE SURGERY	42	8708	0.5%	81
EXCEL PRIMARY CARE	74	18044	0.4%	76
NHS WEST LANCASHIRE CCG	406	114102	0.4%	71
SKELMERSDALE PCN	131	38739	0.3%	65
UK	198850	63513738	0.3%
ORMSKIRK MEDICAL PRACTICE	28	8975	0.3%	68
NHS England	187810	60407685	0.3%
NORTH WEST COMMISSIONING REGION	23368	7579345	0.3%	42
NHS ENGLAND NORTH WEST …	4141	1422591	0.3%	40
HALL GREEN SURGERY	19	7371	0.3%	63
TARLETON GROUP PRACTICE	16	9552	0.2%	49
MANOR PRIMARY CARE	9	5485	0.2%	48
THE ELMS PRACTICE	8	5178	0.2%	46
NORTHERN PARISHES PCN	38	29283	0.1%	24
STANLEY COURT SURGERY	7	5705	0.1%	39
AUGHTON SURGERY	7	6001	0.1%	37
BURSCOUGH FAMILY PRACTICE	3	2617	0.1%	37
LATHOM HOUSE SURGERY	5	4397	0.1%	36
ASHURST PRIMARY CARE	6	5296	0.1%	36
PARBOLD SURGERY	7	7012	0.1%	32

QOF database

NHS WEST LANCASHIRE CCG

Data for OST004