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 EREWASH CCG	373	97431	0.4%	95
NHS NOTTINGHAM WEST CCG	253	93751	0.3%	85
NHS SHROPSHIRE CCG	752	303273	0.2%	80
NHS MANSFIELD AND ASHFIELD …	417	192081	0.2%	74
NHS RUSHCLIFFE CCG	263	125400	0.2%	73
NHS NEWARK AND SHERWOOD …	249	133442	0.2%	62
NHS SOUTH EAST STAFFORDSHIRE …	406	225141	0.2%	61
NHS SOUTHERN DERBYSHIRE CCG	977	549271	0.2%	60
UK	111563	63662305	0.2%
NHS NORTH STAFFORDSHIRE CCG	376	217584	0.2%	58
NHS CANNOCK CHASE CCG	228	132230	0.2%	58
NHS England	98423	58475204	0.2%
NHS NORTH DERBYSHIRE CCG	490	291941	0.2%	54
NHS ENGLAND MIDLANDS (NORTH …	3897	2330980	0.2%	50
MIDLANDS AND EAST OF …	28754	17366891	0.2%	75
NHS STOKE ON TRENT …	473	285762	0.2%	53
NHS EAST STAFFORDSHIRE CCG	220	140252	0.2%	51
NHS HARDWICK CCG	149	103631	0.1%	47
NHS NOTTINGHAM NORTH AND …	207	151113	0.1%	43
NHS STAFFORD AND SURROUNDS …	184	148000	0.1%	37
NHS NOTTINGHAM CITY CCG	394	367157	0.1%	26
NHS TELFORD AND WREKIN …	164	183863	0.1%	17

QOF database

NHS ENGLAND MIDLANDS (NORTH MIDLANDS)

Data for OST004