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
PARK FARM	23	886	2.6%	93
WHITE CLIFFS MEDICAL CENTRE	69	2904	2.4%	88
GUILDHALL STREET SURGERY	60	2706	2.2%	83
THE NEW SURGERY	74	3369	2.2%	83
CHURCH LANE HEALTH CENTRE	79	3701	2.1%	80
BUCKLAND MEDICAL PRACTICE	37	1768	2.1%	78
HAWKINGE AND ELHAM	77	3696	2.1%	78
PETER STREET SURGERY	51	2460	2.1%	77
ORCHARD HOUSE	39	1890	2.1%	77
WHITE HOUSE SURGERY	79	3856	2.0%	76
AYLESHAM MEDICAL PRACTICE	48	2391	2.0%	74
CHURCH ROAD	26	1296	2.0%	74
HARBOUR MEDICAL PRACTICE	19	1007	1.9%	67
SUN LANE	51	2758	1.8%	64
HIGH STREET SURGERY	55	2988	1.8%	64
NHS SOUTH KENT COAST …	1605	87620	1.8%	76
PENCESTER SURGERY	62	3396	1.8%	63
NEW LYMINGE SURGERY	35	1949	1.8%	60
SANDGATE ROAD	91	5094	1.8%	60
OAK HALL	54	3058	1.8%	58
FOLKESTONE EAST FAMILY PRACTICE	30	1724	1.7%	56
OAKLANDS HEALTH CENTRE	104	6014	1.7%	55
THE CEDARS SURGERY	87	5147	1.7%	52
UK	348660	20643075	1.7%
NHS England	345039	20473471	1.7%
MANOR ROAD SURGERY	19	1136	1.7%	50
LYDDEN SURGERY	40	2431	1.6%	48
NHS ENGLAND SOUTH (SOUTH …	29279	1825896	1.6%	18
SOUTH OF ENGLAND COMMISSIONING …	89554	5682899	1.6%	25
PENCESTER HEALTH	16	1017	1.6%	41
BALMORAL SURGERY	93	5951	1.6%	40
MARTELLO HEALTH CENTRE	40	2582	1.5%	39
ST RICHARDS ROAD SURGERY	72	4709	1.5%	37
ST JAMES' SURGERY	40	2996	1.3%	21
MANOR CLINIC	35	2740	1.3%	17

QOF database

NHS SOUTH KENT COAST CCG

Data for OST004 adj