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
CASTLE MEDICAL GROUP PRACTICE	50	2682	1.9%	98
LARKSIDE PRACTICE	24	2156	1.1%	91
BUTE HOUSE MEDICAL CENTRE	21	2339	0.9%	87
MEDINA MEDICAL CENTRE	7	1072	0.7%	79
MALZEARD ROAD PRACTICE	2	369	0.5%	74
NHS ENGLAND MIDLANDS (CENTRAL …	7071	1447796	0.5%	66
UK	103500	21570190	0.5%
NHS England	98423	20903770	0.5%
MIDLANDS AND EAST OF …	28754	6413900	0.4%	75
LISTER HOUSE SURGERY	8	1827	0.4%	67
THE OAKLEY SURGERY	8	1835	0.4%	67
THE TOWN CENTRE PRACTICE	3	811	0.4%	61
SUNDON MEDICAL CENTRE	11	3037	0.4%	60
BELL HOUSE MEDICAL CENTRE	11	3132	0.4%	59
NHS LUTON CCG	213	61692	0.3%	34
BRAMINGHAM PARK MEDICAL CENTRE	6	1739	0.3%	58
THE BLENHEIM MEDICAL CENTRE	8	2530	0.3%	54
KINGSWAY HEALTH CENTRE	4	1473	0.3%	47
DR DV SHAH'S PRACTICE	3	1170	0.3%	45
DR PS BATH'S PRACTICE	5	1956	0.3%	45
LEA VALE MEDICAL PRACTICE	13	5485	0.2%	42
NEVILLE ROAD SURGERY	1	635	0.2%	25
DRS MIRZA SUKHANI & …	2	1345	0.1%	24
THE MEDICI MEDICAL PRACTICE	5	3584	0.1%	22
STOPSLEY VILLAGE PRACTICE	5	3775	0.1%	20
WOODLAND AVENUE PRACTICE	5	3908	0.1%	19
DR I SALEH'S PRACTICE	1	856	0.1%	16
KINGFISHER PRACTICE	3	2752	0.1%	14
BARTON HILLS MEDICAL GROUP	3	2864	0.1%	13
CONWAY MEDICAL CENTRE	1	1258	0.1%	8
GARDENIA PRACTICE	2	3562	0.1%	5
DR WHM MATTA'S PRACTICE	1	2591	0.0%	4
SUNDON PARK HEALTH CENTRE	0	949	NA%	4

QOF database

NHS LUTON CCG

Data for OST004 adj