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 EASTERN CHESHIRE CCG	1092	209779	0.5%	91
NHS WEST CHESHIRE CCG	1351	266291	0.5%	90
NHS WIRRAL CCG	1595	337220	0.5%	87
NHS SOUTH CHESHIRE CCG	850	188821	0.5%	84
NHS VALE ROYAL CCG	418	108424	0.4%	79
NHS ENGLAND NORTH WEST …	9174	2645602	0.3%	69
NHS LIVERPOOL CCG	1767	541501	0.3%	68
NHS SOUTHPORT AND FORMBY …	383	121191	0.3%	64
NHS KNOWSLEY CCG	522	166455	0.3%	64
NORTH WEST COMMISSIONING REGION	21622	7553484	0.3%	42
UK	187358	65767658	0.3%
NHS England	168884	59442513	0.3%
NHS WARRINGTON CCG	538	219463	0.2%	45
NHS HALTON CCG	263	132554	0.2%	36
NHS SOUTH SEFTON CCG	176	155890	0.1%	11
NHS ST HELENS CCG	219	198013	0.1%	10

QOF database

NHS ENGLAND NORTH WEST (CHESHIRE AND MERSEYSIDE)

Data for OST004