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 Denominator adjusted for over 50s only

Organisation	Numerator	Denominator	Ratio	Centile
NHS NORTH AND WEST …	361	39381	0.9%	95
NHS OXFORDSHIRE CCG	2056	254190	0.8%	92
NHS SWINDON CCG	557	79393	0.7%	87
NHS WOKINGHAM CCG	382	60048	0.6%	83
NHS BATH AND NORTH …	462	76602	0.6%	80
SOUTH OF ENGLAND COMMISSIONING …	34023	5768217	0.6%	100
NHS CHILTERN CCG	760	128887	0.6%	79
NHS GLOUCESTERSHIRE CCG	1529	262198	0.6%	79
NHS AYLESBURY VALE CCG	445	80197	0.6%	73
NHS NEWBURY AND DISTRICT …	223	43917	0.5%	66
NHS ENGLAND SOUTH (SOUTH …	4560	904662	0.5%	75
UK	103500	21570190	0.5%
NHS WILTSHIRE CCG	990	208522	0.5%	59
NHS England	98423	20903770	0.5%
NHS SLOUGH CCG	125	37412	0.3%	31
NHS SOUTH READING CCG	103	32902	0.3%	27
NHS WINDSOR, ASCOT AND …	159	53568	0.3%	23
NHS BRACKNELL AND ASCOT …	142	49296	0.3%	20

QOF database

NHS ENGLAND SOUTH (SOUTH CENTRAL)

Data for OST004 adj