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Fracture Liaison Service Database: Commissioner's Report 2018

The Fracture Liaison Service Database: Commissioner's Report 2018 contains a summary of the audit’s national key findings and recommendations and results for fracture liaison services (FLSs) by region. It also explains what an FLS is and how FLSs could help clinical commissioning groups (CCGs) to reduce the number and cost of unplanned admissions and to make a significant reduction in morbidity and mortality for older people.

Key recommendations
We recommend that all CCGs find out what secondary fracture prevention services are available in your area.

If you do commission an FLS you should:

  • align the key performance indicators (KPIs) for your FLS(s) with the KPIs that are detailed in this report, to reduce duplication and improve transparency
  • review the FLS’s performance and identify areas for improvement
  • identify your local priorities and how secondary fracture prevention fits within this.
  • If you do not commission an FLS you should identify and engage with your local clinical champions, and the National Osteoporosis Society (fls@nos.org.uk), to co-develop a business case for commissioning a sustainable and effective FLS to prevent further avoidable fractures for their local patients.


There are an estimated half a million fragility fractures in the UK each year – more than three times the annual number of strokes. NICE-approved medications significantly reduce the risk of the next fracture by 20–70% (depending upon fracture site). This is a substantial reduction in risk.

The estimated number of avoidable fractures every year is in the thousands. If more patients were treated after a fragility fracture, many of these fractures could be avoided. All eligible patients receiving effective secondary fracture prevention would provide a real benefit to people in the UK, with almost 54,000 fractures prevented in the first 5 years.

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Source: Fracture Liaison Service Database 2018

Also of Interest

Hip Fracture Summit 2018
Monday 17 September 
De Vere West One Conference Centre, London

Falls Prevention & Management in Older People
Monday 17 September 
De Vere West One Conference Centre, London

Root Cause Analysis to Investigate Falls Incidents Masterclass
Monday 12 November 
De Vere W1 Conference Centre, London


25 July 2018

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