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
ASHINGDON MEDICAL CENTRE	34	4530	0.8%	91
THE HOLLIES	64	12426	0.5%	83
GHAURI PRACTICE	20	5850	0.3%	72
UK	192389	61600389	0.3%
NHS England	192389	61600389	0.3%
P A PATEL SURGERY	11	3609	0.3%	68
DR KHAN & PARTNERS	35	12604	0.3%	65
BENFLEET PCN	125	47597	0.3%	53
CONNER & PARTNERS	18	7105	0.3%	62
EAST OF ENGLAND COMMISSIONING …	17794	7079159	0.3%	28
THE ISLAND SURGERY	17	6911	0.2%	61
AUDLEY MILLS SURGERY	47	20781	0.2%	58
MID AND SOUTH ESSEX …	2465	1252481	0.2%	21
THE GREENSWARD SURGERY	12	6209	0.2%	53
NHS CASTLE POINT AND …	342	186227	0.2%	20
CANVEY PCN	73	41833	0.2%	34
OAKLANDS SURGERY	17	10808	0.2%	46
RAYLEIGH AND DISTRICT PCN	85	56034	0.1%	29
WAKERING MEDICAL CTR.	15	10460	0.1%	43
ROCHFORD PCN	59	40763	0.1%	27
THE COMMUNITY PRACTICE	9	6447	0.1%	42
BENFLEET SURGERY	4	2932	0.1%	41
HIGH ROAD FAMILY DOCTORS	4	3947	0.1%	32
RAHMAN PRACTICE	4	4267	0.1%	30
ST GEORGES MEDICAL PRACTICE	6	6667	0.1%	29
THE PRACTICE LEECON WAY	4	4961	0.1%	26
THIRD AVENUE HEALTH CENTRE	6	7550	0.1%	25
CHURCH VIEW SURGERY	6	13820	0.0%	12
DR PUZEY,DR KOTHARI AND …	6	20812	0.0%	7
DOWNHALL PARK SURGERY	1	3801	0.0%	6
WILLIAM HARVEY SURGERY	1	4318	0.0%	5
ESSEX WAY SURGERY	1	5412	0.0%	4

QOF database

NHS CASTLE POINT AND ROCHFORD CCG

Data for OST004