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
CREECH	57	1837	3.1%	99
MILBORNE PORT SURGERY	99	3600	2.8%	98
CHURCH VIEW MEDICAL CENTRE	39	1503	2.6%	97
DIAMOND HEALTH GROUP	156	6102	2.6%	97
GROVE HOUSE SURGERY	68	2821	2.4%	97
RYALLS PARK MEDICAL CENTRE, …	53	2208	2.4%	97
ST JAMES MEDICAL CENTRE	133	5642	2.4%	96
CROWN MEDICAL CENTRE	89	3856	2.3%	96
POLDEN MEDICAL PRACTICE	103	4813	2.1%	94
TAUNTON VALE HEALTHCARE	94	4712	2.0%	93
LANGPORT SURGERY	132	6816	1.9%	93
BRUTON SURGERY	47	2558	1.8%	91
QUANTOCK VALE SURGERY	49	2677	1.8%	91
YEOVIL PCN	369	20374	1.8%	95
WELLINGTON MEDICAL CENTRE	118	6883	1.7%	90
TAUNTON CENTRAL PCN	425	24816	1.7%	94
PRESTON GROVE MEDICAL CENTRE, …	88	5334	1.6%	89
HAMDON MEDICAL CENTRE, STOKE-SUB-HAMDON	43	2691	1.6%	88
GLASTONBURY HEALTH CENTRE	43	2809	1.5%	87
TONE VALLEY PCN	217	14377	1.5%	90
FROME MEDICAL CENTRE	176	11781	1.5%	87
FROME PCN	176	11781	1.5%	90
LYNGFORD PARK	34	2284	1.5%	87
IRNHAM LODGE SURGERY	51	3507	1.5%	86
COLLEGE WAY SURGERY	86	6220	1.4%	85
SOUTH SOMERSET EAST - …	208	15969	1.3%	86
BUTTERCROSS HEALTH CENTRE	45	3564	1.3%	83
PENN HILL SURGERY, YEOVIL	54	4323	1.2%	82
NORTH CURRY	24	2026	1.2%	81
CHARD, ILMINSTER & LANGPORT …	269	23646	1.1%	81
SOUTH WEST COMMISSIONING REGION	25802	2279135	1.1%	100
QUEEN CAMEL MEDICAL CENTRE	36	3268	1.1%	79
GLASTONBURY SURGERY	64	5871	1.1%	79
NHS ENGLAND SOUTH WEST …	13989	1294285	1.1%	92
FRENCH WEIR HEALTH CENTRE	68	6421	1.1%	78
NHS SOMERSET CCG	2672	261094	1.0%	82
ARIEL HEALTHCARE	39	4065	1.0%	75
WELLS HEALTH CENTRE	56	5848	1.0%	75
TAUNTON DEANE WEST PCN	127	13506	0.9%	72
WEST MENDIP PCN	220	24109	0.9%	70
MILLBROOK SURGERY, CASTLE CARY	24	2639	0.9%	73
EAST QUAY MEDICAL CENTRE	52	5811	0.9%	73
BRIDGWATER PCN	270	32258	0.8%	66
THE MEADOWS SURGERY	14	1686	0.8%	71
NORTH PETHERTON SURGERY	23	2781	0.8%	71
UK	178838	22578438	0.8%
VINE SURGERY PARTNERSHIP	45	5696	0.8%	69
NHS England	168884	21492883	0.8%
QUANTOCK MEDICAL CENTRE	15	1913	0.8%	69
VICTORIA PARK MEDICAL CENTRE	11	1464	0.8%	68
OAKLANDS SURGERY	18	2407	0.7%	68
CHEDDAR MEDICAL CENTRE	27	3916	0.7%	66
SOUTH SOMERSET WEST PCN	115	18758	0.6%	50
WEST SOMERSET HEALTHCARE	35	5747	0.6%	61
WEST COKER SURGERY	11	1859	0.6%	60
BRENT AREA MEDICAL CENTRE	9	1532	0.6%	60
SUMMERVALE SURGERY	22	3748	0.6%	60
MENDIP PCN	92	16034	0.6%	45
TAWSTOCK MEDICAL CENTRE, CHARD	16	2869	0.6%	58
OAKHILL SURGERY	6	1108	0.5%	57
TAUNTON ROAD MEDICAL CENTRE	28	5462	0.5%	55
CRANLEIGH GARDENS MEDICAL CENTRE	18	3845	0.5%	52
CANNINGTON HEALTH CENTRE	11	2599	0.4%	49
WEST SOMERSET PCN	59	15487	0.4%	25
SOMERSET BRIDGE MEDICAL CENTRE	4	1292	0.3%	37
WELLS CITY PRACTICE	12	3885	0.3%	37
MENDIP COUNTRY PRACTICE	7	2501	0.3%	33
DUNSTER & PORLOCK SURGERIES	10	3836	0.3%	31
NORTH SEDGEMOOR PCN	63	24613	0.3%	11
MINEHEAD MEDICAL CENTRE	9	3544	0.3%	29
CHURCH STREET SURGERY, MARTOCK	14	5835	0.2%	27
SPRINGMEAD SURGERY, CHARD	7	2959	0.2%	27
WARWICK HOUSE MEDICAL PRACTICE	8	3518	0.2%	25
REDGATE MEDICAL CENTRE	5	2278	0.2%	24
HIGHBRIDGE MEDICAL CENTRE	13	5955	0.2%	24
EXMOOR MEDICAL CENTRE	5	2360	0.2%	23
CREWKERNE HEALTH CENTRE, CREWKERNE	13	6668	0.2%	20
BECKINGTON FAMILY PRACTICE	9	4932	0.2%	18
LISTER HOUSE PARTNERSHIP	5	3584	0.1%	11
LUSON	4	3039	0.1%	9
BURNHAM MEDICAL CENTRE	11	8883	0.1%	8
AXBRIDGE SURGERY	3	4327	0.1%	3
WINCANTON HEALTH CENTRE	2	3904	0.1%	2
PARK MEDICAL PRACTICE	2	4672	0.0%	2

QOF database

NHS SOMERSET CCG

Data for OST004 adj