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
PORTSDOWN GROUP PRACTICE	547	57439	1.0%	96
PORTSDOWN PCN	547	57439	0.9%	98
HAMPSHIRE AND THE ISLE …	10569	1902228	0.6%	90
THE DRAYTON SURGERY	100	18491	0.5%	87
PORTSMOUTH NORTH PCN	166	37564	0.4%	82
KIRKLANDS SURGERY	39	9379	0.4%	80
NHS PORTSMOUTH CCG	897	230084	0.4%	84
SOUTH EAST COMMISSIONING REGION	36873	9465121	0.4%	85
CRANESWATER GROUP PRACTICE	40	11893	0.3%	74
NORTH HARBOUR MEDICAL GROUP	27	9694	0.3%	67
NHS England	169076	60710952	0.3%
UK	211022	76842114	0.3%
PORTSMOUTH SOUTH COAST PCN	77	35902	0.2%	47
Dr Tutte, Minay & …	26	13014	0.2%	56
EAST SHORE PARTNERSHIP	24	12990	0.2%	54
TRAFALGAR MEDICAL GROUP PRACTICE	37	24009	0.2%	48
ISLAND CITY PRACTICE	31	20558	0.2%	47
ISLAND CITY PCN	55	47895	0.1%	21
DERBY ROAD GROUP PRACTICE	14	13707	0.1%	35
BRUNEL PCN	52	51284	0.1%	18
SUNNYSIDE MEDICAL CENTRE	10	13630	0.1%	24
THE UNICITY MEDICAL CENTRE	2	16907	0.0%	2
PHL SAS SERVICE	0	8373	NA%	1

QOF database

NHS PORTSMOUTH CCG

Data for OST004