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 SOUTH WORCESTERSHIRE CCG	716	303036	0.2%	97
NHS SOUTH WARWICKSHIRE CCG	492	278185	0.2%	91
NHS REDDITCH AND BROMSGROVE …	301	174921	0.2%	90
NHS WYRE FOREST CCG	191	114574	0.2%	87
NHS HEREFORDSHIRE CCG	286	184716	0.2%	84
NHS WARWICKSHIRE NORTH CCG	279	187281	0.1%	80
NHS DUDLEY CCG	448	315825	0.1%	76
NHS WALSALL CCG	352	277612	0.1%	69
UK	82806	66776248	0.1%
NHS ENGLAND MIDLANDS (WEST …	5453	4429779	0.1%	63
NHS England	64426	57552144	0.1%
MIDLANDS AND EAST OF …	18743	17417266	0.1%	50
NHS WOLVERHAMPTON CCG	287	270172	0.1%	52
NHS COVENTRY AND RUGBY …	523	493962	0.1%	51
NHS BIRMINGHAM SOUTH AND …	322	305721	0.1%	50
NHS SOLIHULL CCG	254	243996	0.1%	49
NHS BIRMINGHAM CROSSCITY CCG	629	712294	0.1%	35
NHS SANDWELL AND WEST …	373	567484	0.1%	17

QOF database

NHS ENGLAND MIDLANDS (WEST MIDLANDS)

Data for OST004