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
THE WEAVERHAM SURGERY	74	7470	1.0%	98
WATLING STREET SURGERY	67	7658	0.9%	97
WITTON STREET SURGERY	54	7610	0.7%	94
MIDDLEWICH ROAD SURGERY	40	6939	0.6%	91
NHS VALE ROYAL CCG	379	106940	0.4%	83
FIRDALE MEDICAL CENTRE	27	8857	0.3%	77
WILLOW WOOD SURGERY	18	6140	0.3%	77
NHS ENGLAND NORTH WEST …	7194	2620326	0.3%	69
CHESHIRE AND MERSEYSIDE STP	7194	2620326	0.3%	65
THE WEAVER VALE SURGERY	20	8021	0.2%	72
UK	144769	63585318	0.2%
NORTH OF ENGLAND COMMISSIONING …	36913	16386337	0.2%	60
NHS England	130694	58383266	0.2%
HIGH STREET PRACTICE WINSFORD	11	5909	0.2%	64
DANEBRIDGE MEDICAL CENTRE	43	24461	0.2%	62
OAKWOOD MEDICAL CENTRE	12	8805	0.1%	54
SWANLOW MEDICAL CENTRE	9	10182	0.1%	38
LAUNCESTON CLOSE SURGERY	4	4888	0.1%	35

QOF database

NHS VALE ROYAL CCG

Data for OST004