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
CEDAR MEDICAL PRACTICE	50	3209	1.6%	88
THE OSWALD ROAD MEDICAL …	22	1665	1.3%	84
NHS England	192389	22637551	0.8%
UK	192389	22637551	0.8%
HUMBER, COAST AND VALE …	6319	765341	0.8%	42
NORTH EAST AND YORKSHIRE …	26333	3503582	0.8%	42
THE CENTRAL SURGERY BARTON	45	8096	0.6%	54
WINTERTON MEDICAL PRACTICE	25	4938	0.5%	51
WEST COMMON LANE TEACHING …	15	3094	0.5%	50
THE BIRCHES MEDICAL PRACTICE	11	2364	0.5%	48
NORTH LINCOLNSHIRE NORTH PCN	73	16588	0.4%	28
CHURCH LANE MEDICAL CENTRE	13	3692	0.4%	38
NORTH LINCOLNSHIRE SOUTH PCN	108	30488	0.4%	20
CAMBRIDGE AVENUE MEDICAL CENTRE	22	6508	0.3%	37
NORTH LINCOLNSHIRE WEST PCN	53	16647	0.3%	16
NHS NORTH LINCOLNSHIRE CCG	251	78864	0.3%	3
THE OAK TREE MEDICAL …	3	1231	0.2%	26
THE KIRTON LINDSEY AND …	11	5128	0.2%	23
BARNETBY MEDICAL CENTRE	3	1537	0.2%	20
THE KILLINGHOLME SURGERY	1	681	0.1%	13
TRENT VIEW MEDICAL PRACTICE	6	5447	0.1%	8
NORTH LINCOLNSHIRE EAST PCN	17	15141	0.1%	1
RIVERSIDE SURGERY	6	6055	0.1%	7
BRIDGE STREET SURGERY	3	3554	0.1%	5
ANCORA MEDICAL PRACTICE	6	7325	0.1%	5
ASHBY TURN PRIMARY CARE …	4	5224	0.1%	4
WEST TOWN SURGERY	1	1421	0.1%	4
SOUTH AXHOLME PRACTICE	4	7695	0.1%	3

QOF database

NHS NORTH LINCOLNSHIRE CCG

Data for OST004 adj