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
WENSUM VALLEY MEDICAL PRACTICE	115	3362	3.4%	98
OLD PALACE MEDICAL PRACT.	27	1035	2.6%	93
WOODCOCK RD SURGERY	54	2109	2.6%	92
UEA MEDICAL CENTRE	11	443	2.5%	91
OAK STREET MEDICAL PRACT.	72	3090	2.3%	87
THE LIONWOOD MEDICAL PRACTICE	61	2648	2.3%	86
NEWMARKET ROAD SURGERY	64	2798	2.3%	86
TRINITY & BOWTHORPE MEDICAL …	74	3270	2.3%	85
MAGDALEN MEDICAL PRACTICE	115	5109	2.3%	85
TAVERHAM SURGERY	76	3383	2.2%	85
OLD CATTON MEDICAL PRACTICE	57	2723	2.1%	78
NHS NORWICH CCG	1497	71854	2.1%	94
ST STEPHENS GATE MEDICAL …	96	4616	2.1%	78
BACON ROAD MEDICAL CENTRE	34	1653	2.1%	77
PROSPECT MEDICAL PRACTICE	32	1558	2.1%	76
LAKENHAM SURGERY	67	3296	2.0%	76
CASTLE PARTNERSHIP	132	6504	2.0%	75
LAWSON ROAD SURGERY	49	2463	2.0%	73
BEECHCROFT AND OLD PALACE	30	1561	1.9%	69
EAST NORWICH MEDICAL PARTNERSHIP	135	7153	1.9%	67
NHS ENGLAND EAST OF …	30980	1728945	1.8%	81
MIDLANDS AND EAST OF …	111783	6401386	1.7%	100
WEST POTTERGATE MED PRAC	27	1576	1.7%	54
UK	348660	20643075	1.7%
NHS England	345039	20473471	1.7%
THORPEWOOD MEDICAL GROUP	88	5703	1.5%	38
HELLESDON MEDICAL PRACTICE	65	4627	1.4%	26
NORWICH PRACTICES HEALTH CENTRE	16	1174	1.4%	23

QOF database

NHS NORWICH CCG

Data for OST004 adj