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 WEST SUFFOLK CCG	1460	253030	0.6%	93
NHS IPSWICH AND EAST …	1385	411033	0.3%	71
UK	187358	65767658	0.3%
NHS England	168884	59442513	0.3%
NHS HERTS VALLEYS CCG	1846	652574	0.3%	56
NHS CAMBRIDGESHIRE AND PETERBOROUGH …	2657	983597	0.3%	52
NHS NORTH NORFOLK CCG	435	174372	0.2%	46
NHS NORTH EAST ESSEX …	834	343849	0.2%	45
NHS SOUTHEND CCG	457	189414	0.2%	44
NHS ENGLAND EAST OF …	15907	6870532	0.2%	7
EAST OF ENGLAND COMMISSIONING …	15907	6870532	0.2%	28
NHS THURROCK CCG	394	172955	0.2%	43
NHS BEDFORDSHIRE CCG	1103	486842	0.2%	42
NHS MID ESSEX CCG	767	394215	0.2%	34
NHS NORWICH CCG	458	237949	0.2%	33
NHS WEST ESSEX CCG	602	317653	0.2%	32
NHS EAST AND NORTH …	1136	602852	0.2%	32
NHS GREAT YARMOUTH AND …	429	240262	0.2%	30
NHS WEST NORFOLK CCG	310	176504	0.2%	29
NHS BASILDON AND BRENTWOOD …	492	281597	0.2%	29
NHS SOUTH NORFOLK CCG	331	230929	0.1%	17
NHS CASTLE POINT AND …	258	185709	0.1%	17
NHS LUTON CCG	247	236851	0.1%	8
NHS MILTON KEYNES CCG	306	298345	0.1%	7

QOF database

NHS ENGLAND EAST OF ENGLAND (EAST)

Data for OST004