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 DRAYTON SURGERY	165	18589	0.9%	97
NORTH HARBOUR MEDICAL GROUP	51	9242	0.6%	90
KIRKLANDS SURGERY	46	8532	0.5%	90
Dr Tutte, Minay & …	31	7803	0.4%	84
CRANESWATER GROUP PRACTICE	37	11129	0.3%	80
HAMPSHIRE AND THE ISLE …	6115	1870332	0.3%	81
NHS ENGLAND SOUTH EAST …	11952	3940641	0.3%	76
PORTSDOWN GROUP PRACTICE	132	43909	0.3%	77
SOUTH EAST COMMISSIONING REGION	23888	8658161	0.3%	80
NHS PORTSMOUTH CCG	612	230543	0.3%	70
ISLAND CITY PRACTICE	39	15381	0.3%	73
EAST SHORE PARTNERSHIP	32	13879	0.2%	71
UK	144769	63585318	0.2%
NHS England	130694	58383266	0.2%
THE DEVONSHIRE PRACTICE	9	5774	0.2%	58
TRAFALGAR MEDICAL GROUP PRACTICE	25	18031	0.1%	55
THE HANWAY GROUP PRACTICE	16	14094	0.1%	47
DERBY ROAD GROUP PRACTICE	13	12700	0.1%	44
THE EASTNEY PRACTICE	4	5302	0.1%	32
SUNNYSIDE MEDICAL CENTRE	7	13847	0.1%	19
JOHN POUNDS SURGERY	2	4300	0.0%	17
PHL SAS SERVICE	2	7800	0.0%	6
THE UNICITY MEDICAL CENTRE	1	20231	0.0%	2

QOF database

NHS PORTSMOUTH CCG

Data for OST004