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 BARNET CCG	691	122394	0.6%	75
NHS SUTTON CCG	315	63357	0.5%	63
UK	103500	21570190	0.5%
NHS England	98423	20903770	0.5%
NHS HAVERING CCG	466	100641	0.5%	57
NHS RICHMOND CCG	311	68962	0.5%	55
NHS HARROW CCG	361	81688	0.4%	52
NHS CAMDEN CCG	235	58258	0.4%	45
NHS KINGSTON CCG	233	58694	0.4%	44
NHS HARINGEY CCG	305	77297	0.4%	44
NHS ENFIELD CCG	366	99507	0.4%	39
NHS BEXLEY CCG	294	83819	0.4%	36
NHS BARKING AND DAGENHAM …	169	50412	0.3%	31
NHS ENGLAND LONDON	8165	2537979	0.3%	17
LONDON COMMISSIONING REGION	8165	2537979	0.3%	25
NHS HAMMERSMITH AND FULHAM …	160	50673	0.3%	29
NHS SOUTHWARK CCG	230	73996	0.3%	27
NHS ISLINGTON CCG	170	56023	0.3%	25
NHS EALING CCG	334	112085	0.3%	24
NHS GREENWICH CCG	218	73166	0.3%	24
NHS BRENT CCG	281	96794	0.3%	21
NHS HILLINGDON CCG	264	91818	0.3%	20
NHS MERTON CCG	180	62743	0.3%	19
NHS CITY AND HACKNEY …	181	64020	0.3%	18
NHS CENTRAL LONDON (WESTMINSTER) …	149	53774	0.3%	17
NHS WANDSWORTH CCG	235	84969	0.3%	16
NHS BROMLEY CCG	342	125272	0.3%	15
NHS WALTHAM FOREST CCG	200	76740	0.3%	12
NHS LEWISHAM CCG	210	81439	0.3%	11
NHS CROYDON CCG	314	123940	0.3%	10
NHS TOWER HAMLETS CCG	120	48107	0.2%	9
NHS LAMBETH CCG	217	87485	0.2%	8
NHS HOUNSLOW CCG	189	80929	0.2%	6
NHS REDBRIDGE CCG	189	83837	0.2%	5
NHS WEST LONDON CCG	125	70559	0.2%	1
NHS NEWHAM CCG	111	74581	0.1%	0

QOF database

NHS ENGLAND LONDON

Data for OST004 adj