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
HASSENGATE MEDICAL CENTRE	109	12537	0.9%	91
ORSETT SURGERY	52	7389	0.7%	87
STANFORD-LE-HOPE PCN	186	32756	0.6%	81
MEDIC HOUSE	24	5175	0.5%	77
SOUTHEND ROAD SURGERY	11	2831	0.4%	72
UK	223326	62376883	0.4%
NHS England	223326	62376883	0.4%
EAST OF ENGLAND COMMISSIONING …	22546	7177439	0.3%	28
DELL MEDICAL CENTRE	14	5062	0.3%	61
MILTON ROAD SURGERY	7	3061	0.2%	54
PEARTREE SURGERY & WEST …	17	8030	0.2%	52
DR DEVARAJA VC PRACTICE	6	2992	0.2%	50
THE RIGG-MILNER MEDICAL CENTRE	9	4507	0.2%	50
SANCTA MARIA MEDICAL CENTRE	5	2531	0.2%	50
NHS THURROCK CCG	367	186238	0.2%	17
MID AND SOUTH ESSEX …	2483	1264884	0.2%	11
DR YADAVA N PRACTICE	10	5200	0.2%	49
TILBURY AND CHADWELL PCN	72	38466	0.2%	34
COMMONWEALTH HEALTH CENTRE	10	5404	0.2%	47
HORNDON-ON-THE-HILL SURGERY	5	2724	0.2%	47
TILBURY HEALTH CENTRE	19	12109	0.2%	42
STIFFORD CLAYS MEDICAL CENTRE	14	10052	0.1%	38
THE GRAYS SURGERY	6	4438	0.1%	37
KADIM PRIMECARE MEDICAL CENTRE	3	2402	0.1%	34
DERRY COURT MEDICAL PRACTICE	8	7175	0.1%	31
GRAYS PCN	75	73979	0.1%	14
SAI MEDICAL CENTRE	10	11271	0.1%	25
CHAFFORD HUNDRED MEDICAL CENTRE	13	14815	0.1%	24
ASOP PCN	34	41037	0.1%	10
DR DESHPANDE AM PRACTICE	3	4283	0.1%	19
DR YASIN SA PRACTICE	3	4535	0.1%	18
BALFOUR MEDICAL CENTRE	2	5472	0.0%	9
ODDFELLOWS HALL & ST …	4	11788	0.0%	9
THURROCK HEALTH CENTRE	2	11689	0.0%	3
AVELEY MEDICAL CENTRE	1	12314	0.0%	2
PURFLEET CARE CENTRE	0	6452	NA%	1

QOF database

NHS THURROCK CCG

Data for OST004