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 SHROPSHIRE CCG	1402	312618	0.4%	82
NHS NOTTINGHAM WEST CCG	388	106094	0.4%	76
NHS MANSFIELD AND ASHFIELD …	670	195706	0.3%	72
NHS NEWARK AND SHERWOOD …	419	136229	0.3%	62
NHS SOUTH EAST STAFFORDSHIRE …	647	218829	0.3%	60
MIDLANDS COMMISSIONING REGION	32686	11099516	0.3%	71
UK	187358	65767658	0.3%
NHS England	168884	59442513	0.3%
NHS NORTH STAFFORDSHIRE CCG	600	218104	0.3%	54
NHS DERBY AND DERBYSHIRE …	2779	1048741	0.3%	50
NHS ENGLAND MIDLANDS (NORTH …	9724	3779621	0.3%	38
NHS RUSHCLIFFE CCG	321	128524	0.2%	47
NHS STOKE ON TRENT …	645	301731	0.2%	40
NHS CANNOCK CHASE CCG	280	133862	0.2%	39
NHS STAFFORD AND SURROUNDS …	311	148963	0.2%	38
NHS EAST STAFFORDSHIRE CCG	247	143835	0.2%	27
NHS NOTTINGHAM CITY CCG	609	372657	0.2%	24
NHS NOTTINGHAM NORTH AND …	187	123828	0.2%	20
NHS TELFORD AND WREKIN …	219	189900	0.1%	12

QOF database

NHS ENGLAND MIDLANDS (NORTH MIDLANDS)

Data for OST004