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
HARDWICKE HOUSE GROUP PRACTICE	123	22962	0.5%	98
MOUNT FARM SURGERY	49	13460	0.4%	95
THE ROOKERY MEDICAL CENTRE	29	13986	0.2%	86
SIAM SURGERY	19	9212	0.2%	86
ANGEL HILL SURGERY	29	14215	0.2%	86
THE GUILDHALL AND BARROW …	21	11576	0.2%	83
NHS WEST SUFFOLK CCG	374	246145	0.2%	82
ORCHARD HOUSE SURGERY	15	10541	0.1%	77
VICTORIA SURGERY	14	10791	0.1%	73
UK	82806	66776248	0.1%
CLARE GUILDHALL SURGERY	6	5005	0.1%	70
WICKHAMBROOK SURGERY	5	4405	0.1%	68
NHS England	64426	57552144	0.1%
MIDLANDS AND EAST OF …	18743	17417266	0.1%	50
LAKENHEATH SURGERY	5	5201	0.1%	62
NHS ENGLAND EAST OF …	4143	4465227	0.1%	9
BRANDON MEDICAL PRACTICE	5	5502	0.1%	60
OAKFIELD SURGERY	5	6970	0.1%	49
THE REYNARD SURGERY	5	7769	0.1%	45
GLEMSFORD SURGERY	3	4911	0.1%	43
HAVERHILL FAMILY PRACTICE	9	14780	0.1%	43
FOREST SURGERY	4	7106	0.1%	39
THE LONG MELFORD PRACTICE	5	9554	0.1%	36
SWAN SURGERY	6	11710	0.1%	36
BOTESDALE HEALTH CENTRE	4	9009	0.0%	30
MARKET CROSS SURGERY	4	11173	0.0%	23
UNITY HEALTHCARE	6	17768	0.0%	21
STANTON SURGERY	1	4906	0.0%	11
WOOLPIT HEALTH CENTRE	2	13633	0.0%	7

QOF database

NHS WEST SUFFOLK CCG

Data for OST004