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
FOLKESTONE EAST FAMILY PRACTICE	28	4724	0.6%	99
OAK HALL	24	5775	0.4%	96
SANDGATE ROAD	34	11260	0.3%	93
BUCKLAND MEDICAL PRACTICE	11	3768	0.3%	92
MANOR ROAD SURGERY	6	2241	0.3%	91
ORCHARD HOUSE	9	4068	0.2%	88
GUILDHALL STREET SURGERY	17	7923	0.2%	87
SUN LANE	9	4958	0.2%	83
PETER STREET SURGERY	10	6608	0.2%	79
SOUTH OF ENGLAND COMMISSIONING …	21276	14668758	0.1%	100
THE NEW SURGERY	13	9489	0.1%	76
NHS ENGLAND SOUTH (SOUTH …	6142	4725563	0.1%	72
THE CEDARS SURGERY	13	10176	0.1%	73
UK	82806	66776248	0.1%
NHS SOUTH KENT COAST …	249	201582	0.1%	67
NHS England	64426	57552144	0.1%
AYLESHAM MEDICAL PRACTICE	7	6330	0.1%	68
NEW LYMINGE SURGERY	4	3893	0.1%	65
PARK FARM	3	2987	0.1%	64
HIGH STREET SURGERY	7	7685	0.1%	60
ST RICHARDS ROAD SURGERY	8	9581	0.1%	56
PENCESTER HEALTH	3	4057	0.1%	51
WHITE HOUSE SURGERY	6	9755	0.1%	43
ST JAMES' SURGERY	5	8221	0.1%	43
HAWKINGE AND ELHAM	5	9077	0.1%	39
WHITE CLIFFS MEDICAL CENTRE	4	7541	0.1%	37
BALMORAL SURGERY	6	12625	0.0%	33
OAKLANDS HEALTH CENTRE	5	11056	0.0%	31
PENCESTER SURGERY	4	9243	0.0%	29
MANOR CLINIC	3	7330	0.0%	27
CHURCH ROAD	1	2567	0.0%	25
CHURCH LANE HEALTH CENTRE	2	7106	0.0%	17
MARTELLO HEALTH CENTRE	1	4323	0.0%	13
LYDDEN SURGERY	1	4717	0.0%	11
HARBOUR MEDICAL PRACTICE	0	2498	NA%	6

QOF database

NHS SOUTH KENT COAST CCG

Data for OST004