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
FOREST SURGERY	142	3564	4.0%	99
MOUNT FARM SURGERY	174	5888	3.0%	98
THE GUILDHALL AND BARROW …	161	5790	2.8%	97
SWAN SURGERY	124	4632	2.7%	97
HARDWICKE HOUSE GROUP PRACTICE	283	10866	2.6%	96
SUDBURY PCN	369	15053	2.5%	99
BURY ST EDMUNDS PCN	592	27622	2.1%	97
SIAM SURGERY	86	4187	2.1%	93
BRANDON MEDICAL PRACTICE	49	2389	2.1%	92
WOOLPIT HEALTH CENTRE	142	7012	2.0%	92
OAKFIELD SURGERY	53	2657	2.0%	92
THE ROOKERY MEDICAL CENTRE	90	5635	1.6%	87
FOREST HEATH PCN	444	28952	1.5%	89
NHS WEST SUFFOLK CCG	1677	112515	1.5%	95
ORCHARD HOUSE SURGERY	63	4258	1.5%	85
VICTORIA SURGERY	70	4779	1.5%	84
BLACKBOURNE PCN	170	14585	1.2%	78
SUFFOLK AND NORTH EAST …	3270	288331	1.1%	0
ANGEL HILL SURGERY	63	6533	1.0%	73
UK	198850	23098109	0.9%
NHS England	187810	21994258	0.9%
GLEMSFORD SURGERY	18	2539	0.7%	62
WICKHAMBROOK SURGERY	19	2747	0.7%	62
EAST OF ENGLAND COMMISSIONING …	17648	2643966	0.7%	28
MARKET CROSS SURGERY	34	5142	0.7%	60
WGGL PCN	60	13598	0.4%	28
BOTESDALE HEALTH CENTRE	21	4910	0.4%	46
HAVERHILL FAMILY PRACTICE	23	5694	0.4%	44
HAVERHILL PCN	42	12705	0.3%	16
THE REYNARD SURGERY	9	2890	0.3%	34
THE LONG MELFORD PRACTICE	15	5337	0.3%	31
UNITY HEALTHCARE	19	7011	0.3%	30
CLARE GUILDHALL SURGERY	8	2975	0.3%	29
STANTON SURGERY	7	2663	0.3%	28
LAKENHEATH SURGERY	4	2417	0.2%	14

QOF database

NHS WEST SUFFOLK CCG

Data for OST004 adj