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 NORTH TYNESIDE CCG	922	218237	0.4%	98
NHS DARLINGTON CCG	454	107776	0.4%	97
NHS NORTH CUMBRIA CCG	830	323146	0.3%	81
NHS NORTHUMBERLAND CCG	715	323439	0.2%	75
NHS DURHAM DALES, EASINGTON …	615	290781	0.2%	73
NHS ENGLAND NORTH EAST …	5071	2751523	0.2%	75
UK	111563	63662305	0.2%
NHS NORTH DURHAM CCG	437	256382	0.2%	57
NHS England	98423	58475204	0.2%
NORTH OF ENGLAND COMMISSIONING …	27481	16731605	0.2%	50
NHS NEWCASTLE GATESHEAD CCG	718	520882	0.1%	63
NHS NEWCASTLE GATESHEAD CCG	718	520882	0.1%	63
NHS HARTLEPOOL AND STOCKTON-ON-TEES …	389	294179	0.1%	40
NHS SOUTH TYNESIDE CCG	204	156405	0.1%	38
NHS SUNDERLAND CCG	335	284122	0.1%	33
NHS SOUTH TEES CCG	342	294376	0.1%	31

QOF database

NHS ENGLAND NORTH EAST AND YORKSHIRE (CUMBRIA AND NORTH EAST)

Data for OST004