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 BRADFORD CITY CCG	489	19571	2.5%	100
NHS HULL CCG	2067	98958	2.1%	95
NHS NORTH KIRKLEES CCG	1282	61933	2.1%	93
NHS LEEDS SOUTH AND …	1633	87313	1.9%	83
NHS ROTHERHAM CCG	1837	98568	1.9%	82
NHS SCARBOROUGH AND RYEDALE …	996	53853	1.8%	79
NHS DONCASTER CCG	2217	120574	1.8%	78
NHS LEEDS NORTH CCG	1275	69992	1.8%	73
NHS NORTH EAST LINCOLNSHIRE …	1160	66231	1.8%	63
NHS WAKEFIELD CCG	2396	136870	1.8%	62
NORTH OF ENGLAND COMMISSIONING …	102579	5916363	1.7%	75
NHS ENGLAND NORTH EAST …	35910	2084215	1.7%	72
NHS BRADFORD DISTRICTS CCG	1909	111031	1.7%	57
NHS LEEDS WEST CCG	1837	107580	1.7%	55
UK	348660	20643075	1.7%
NHS England	345039	20473471	1.7%
NHS EAST RIDING OF …	2335	138724	1.7%	51
NHS BARNSLEY CCG	1636	97563	1.7%	50
NHS SHEFFIELD CCG	3163	193475	1.6%	39
NHS HAMBLETON, RICHMONDSHIRE AND …	1111	68191	1.6%	37
NHS GREATER HUDDERSFIELD CCG	1403	86800	1.6%	35
NHS HARROGATE AND RURAL …	1117	69289	1.6%	33
NHS NORTH LINCOLNSHIRE CCG	1110	70484	1.6%	30
NHS BASSETLAW CCG	729	46855	1.6%	27
NHS VALE OF YORK …	2047	134657	1.5%	21
NHS CALDERDALE CCG	1212	80377	1.5%	19
NHS AIREDALE, WHARFEDALE AND …	949	65326	1.5%	12

QOF database

NHS ENGLAND NORTH EAST AND YORKSHIRE (YORKSHIRE AND HUMBER)

Data for OST004 adj