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 VALE ROYAL CCG	339	105250	0.3%	92
NHS SOUTH CHESHIRE CCG	570	183207	0.3%	91
NHS WEST CHESHIRE CCG	696	261380	0.3%	84
NHS WIRRAL CCG	866	335180	0.3%	82
NHS EASTERN CHESHIRE CCG	468	207389	0.2%	77
NHS LIVERPOOL CCG	1076	522899	0.2%	71
NHS ENGLAND NORTH WEST …	3422	1863069	0.2%	66
UK	111563	63662305	0.2%
NHS England	98423	58475204	0.2%
NHS KNOWSLEY CCG	272	163441	0.2%	53
NORTH OF ENGLAND COMMISSIONING …	27481	16731605	0.2%	50
NHS WARRINGTON CCG	280	203123	0.1%	45
NHS HALTON CCG	179	130440	0.1%	44
NHS SOUTHPORT AND FORMBY …	114	124155	0.1%	18
NHS ST HELENS CCG	175	196435	0.1%	16
NHS SOUTH SEFTON CCG	103	151680	0.1%	5

QOF database

NHS ENGLAND NORTH WEST (CHESHIRE AND MERSEYSIDE)

Data for OST004