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 HARROGATE AND RURAL …	712	162034	0.4%	98
NHS HAMBLETON, RICHMONDSHIRE AND …	467	143606	0.3%	92
NHS VALE OF YORK …	846	363643	0.2%	78
NHS GREATER HUDDERSFIELD CCG	474	246583	0.2%	65
NHS NORTH KIRKLEES CCG	342	192289	0.2%	60
NHS BRADFORD DISTRICTS CCG	580	330657	0.2%	59
NHS AIREDALE, WHARFEDALE AND …	278	158587	0.2%	59
UK	111563	63662305	0.2%
NHS SHEFFIELD CCG	1024	594014	0.2%	57
NHS England	98423	58475204	0.2%
NHS NORTH EAST LINCOLNSHIRE …	284	168999	0.2%	55
NORTH OF ENGLAND COMMISSIONING …	27481	16731605	0.2%	50
NHS ENGLAND NORTH EAST …	5948	3983853	0.1%	25
NHS BASSETLAW CCG	162	116044	0.1%	45
NHS SCARBOROUGH AND RYEDALE …	161	119473	0.1%	41
NHS EAST RIDING OF …	412	305783	0.1%	40
NHS LEEDS WEST CCG	482	376321	0.1%	37
NHS DONCASTER CCG	386	317514	0.1%	35
NHS CALDERDALE CCG	263	219695	0.1%	34
NHS LEEDS NORTH CCG	248	215057	0.1%	30
NHS WAKEFIELD CCG	376	369362	0.1%	23
NHS ROTHERHAM CCG	245	261299	0.1%	19
NHS HULL CCG	264	295978	0.1%	16
NHS LEEDS SOUTH AND …	229	276316	0.1%	14
NHS NORTH LINCOLNSHIRE CCG	129	172933	0.1%	9
NHS BARNSLEY CCG	189	261094	0.1%	8
NHS BRADFORD CITY CCG	63	136012	0.0%	1

QOF database

NHS ENGLAND NORTH EAST AND YORKSHIRE (YORKSHIRE AND HUMBER)

Data for OST004