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
NHS HARROGATE AND RURAL …	358	161282	0.2%	96
NHS VALE OF YORK …	650	350723	0.2%	92
NHS HAMBLETON, RICHMONDSHIRE AND …	235	143400	0.2%	87
NHS AIREDALE, WHARFEDALE AND …	225	158139	0.1%	77
UK	82806	66776248	0.1%
NHS NORTH KIRKLEES CCG	235	190456	0.1%	67
NHS NORTH EAST LINCOLNSHIRE …	205	168796	0.1%	65
NHS GREATER HUDDERSFIELD CCG	286	244728	0.1%	62
NHS SHEFFIELD CCG	680	590428	0.1%	62
NHS SCARBOROUGH AND RYEDALE …	135	118797	0.1%	61
NORTH OF ENGLAND COMMISSIONING …	18137	16055159	0.1%	75
NHS England	64426	57552144	0.1%
NHS BRADFORD DISTRICTS CCG	373	335846	0.1%	58
NHS BASSETLAW CCG	116	110758	0.1%	50
NHS DONCASTER CCG	327	314837	0.1%	48
NHS ENGLAND NORTH EAST …	5919	5735439	0.1%	36
NHS CALDERDALE CCG	217	218499	0.1%	45
NHS ROTHERHAM CCG	241	259458	0.1%	40
NHS LEEDS NORTH CCG	195	212390	0.1%	38
NHS LEEDS SOUTH AND …	223	272572	0.1%	29
NHS EAST RIDING OF …	244	301381	0.1%	28
NHS HULL CCG	222	295920	0.1%	23
NHS WAKEFIELD CCG	251	364553	0.1%	19
NHS LEEDS WEST CCG	227	370758	0.1%	12
NHS BARNSLEY CCG	151	256398	0.1%	11
NHS NORTH LINCOLNSHIRE CCG	73	171905	0.0%	1
NHS BRADFORD CITY CCG	50	123415	0.0%	1

QOF database

NHS ENGLAND NORTH EAST AND YORKSHIRE (YORKSHIRE AND HUMBER)

Data for OST004