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 EASTBOURNE, HAILSHAM AND …	1321	198558	0.7%	97
NHS EAST SURREY CCG	992	185970	0.5%	92
NHS CANTERBURY AND COASTAL …	1121	228140	0.5%	88
NHS COASTAL WEST SUSSEX …	2333	518845	0.4%	83
NHS NORTH WEST SURREY …	1440	375267	0.4%	78
NHS SURREY DOWNS CCG	1136	310135	0.4%	76
SOUTH EAST COMMISSIONING REGION	33518	9340043	0.4%	85
NHS GUILDFORD AND WAVERLEY …	807	226806	0.4%	75
NHS SOUTH KENT COAST …	711	208007	0.3%	72
NHS ENGLAND SOUTH EAST …	15668	4762330	0.3%	53
NHS WEST KENT CCG	1623	498638	0.3%	67
NHS THANET CCG	466	146674	0.3%	65
NHS ASHFORD CCG	414	134890	0.3%	61
NHS HORSHAM AND MID …	716	243603	0.3%	59
UK	187358	65767658	0.3%
NHS England	168884	59442513	0.3%
NHS HASTINGS AND ROTHER …	519	189373	0.3%	54
NHS CRAWLEY CCG	284	134163	0.2%	39
NHS MEDWAY CCG	580	295369	0.2%	35
NHS SWALE CCG	200	114935	0.2%	28
NHS DARTFORD, GRAVESHAM AND …	466	273425	0.2%	26
NHS HIGH WEALD LEWES …	249	170844	0.1%	19
NHS BRIGHTON AND HOVE …	290	308688	0.1%	6

QOF database

NHS ENGLAND SOUTH EAST (KENT, SURREY AND SUSSEX)

Data for OST004