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 WEST SUFFOLK CCG	1460	109611	1.3%	93
NHS HERTS VALLEYS CCG	1846	229064	0.8%	62
NHS IPSWICH AND EAST …	1385	173247	0.8%	61
NHS CAMBRIDGESHIRE AND PETERBOROUGH …	2657	334067	0.8%	61
UK	178838	22578438	0.8%
NHS England	168884	21492883	0.8%
NHS THURROCK CCG	394	54767	0.7%	52
NHS SOUTHEND CCG	457	72045	0.6%	42
EAST OF ENGLAND COMMISSIONING …	15907	2594429	0.6%	28
NHS ENGLAND EAST OF …	15907	2594429	0.6%	7
NHS BEDFORDSHIRE CCG	1103	179980	0.6%	41
NHS NORTH EAST ESSEX …	834	139431	0.6%	39
NHS NORWICH CCG	458	79579	0.6%	35
NHS EAST AND NORTH …	1136	219614	0.5%	30
NHS WEST ESSEX CCG	602	119021	0.5%	29
NHS MID ESSEX CCG	767	158189	0.5%	27
NHS NORTH NORFOLK CCG	435	91049	0.5%	25
NHS BASILDON AND BRENTWOOD …	492	103879	0.5%	24
NHS GREAT YARMOUTH AND …	429	108274	0.4%	16
NHS LUTON CCG	247	64133	0.4%	14
NHS WEST NORFOLK CCG	310	82464	0.4%	14
NHS MILTON KEYNES CCG	306	91676	0.3%	10
NHS SOUTH NORFOLK CCG	331	102251	0.3%	8
NHS CASTLE POINT AND …	258	82088	0.3%	6

QOF database

NHS ENGLAND EAST OF ENGLAND (EAST)

Data for OST004 adj