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
MAGDALEN MEDICAL PRACTICE	83	5242	1.6%	90
CASTLE PARTNERSHIP	88	6451	1.4%	87
PROSPECT MEDICAL PRACTICE	19	1880	1.0%	78
ST STEPHENS GATE MEDICAL …	71	7655	0.9%	75
UK	211022	27645714	0.8%
NHS England	169076	22282143	0.8%
TAVERHAM SURGERY	24	3625	0.7%	63
ROUNDWELL MEDICAL CENTRE	28	4575	0.6%	60
EAST OF ENGLAND COMMISSIONING …	15965	2672994	0.6%	28
NORWICH PRACTICES HEALTH CENTRE	11	1930	0.6%	57
THE LIONWOOD MEDICAL PRACTICE	20	3606	0.6%	57
BACON ROAD MEDICAL CENTRE	9	1681	0.5%	55
NORWICH PCN	434	81332	0.5%	42
OLD CATTON MEDICAL PRACTICE	15	2836	0.5%	55
NORFOLK AND WAVENEY HEALTH …	2372	476969	0.5%	14
NHS NORFOLK AND WAVENEY …	2372	476969	0.5%	23
LAWSON ROAD SURGERY	10	2971	0.3%	39
BEECHCROFT AND OLD PALACE	8	2690	0.3%	35
WEST POTTERGATE MED PRAC	4	1539	0.3%	31
TRINITY & BOWTHORPE MEDICAL …	8	3573	0.2%	25
WOODCOCK RD SURGERY	5	2317	0.2%	24
LAKENHAM SURGERY	7	3378	0.2%	23
UEA MEDICAL CENTRE	1	605	0.2%	16
HELLESDON MEDICAL PRACTICE	6	5007	0.1%	10
WENSUM VALLEY MEDICAL PRACTICE	4	3511	0.1%	9
THORPEWOOD MEDICAL GROUP	6	5727	0.1%	8
EAST NORWICH MEDICAL PARTNERSHIP	5	7433	0.1%	4
OAK STREET MEDICAL PRACT.	2	3100	0.1%	3

QOF database

NORWICH PCN

Data for OST004 adj