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Fracture Liaison Service Database (FLS-DB)

What we are doing

The Fracture Liaison Service Database (FLS-DB) is a clinically-led web-based national audit of secondary fracture prevention in England and Wales commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the Falls and Fragility Fracture Audit Programme (FFFAP).

The FLS-DB is a continuous audit and was initiated to measure primarily against NICE technology assessments and guidance on osteoporosis, and the ROS clinical standards for FLSs. The FLS-DB patient audit is collecting information on fragility fracture diagnosed from 1 January 2016.

How to take part

To be eligible to participate in the patient audit component you need to have a fracture liaison service (FLS): a service that systematically identifies eligible patients aged over 50 years who have suffered a fragility fracture and treats or refers them to appropriate services with the aim of reducing their risk of subsequent fractures.

Data from the FLS-DB

FLS level data on care processes have been made available as part of a commitment to make clinical audit data available from the national audits within the National Clinical Audit and Patient Outcomes Programme (NCAPOP). The data documents FLS level compliance with defined clinical standards for secondary fracture prevention.

What we have produced

The sixth annual report for the Fracture Liaison Service Database (FLS-DB), 'Rebuilding FLSs to meet local patient need', provides national benchmark performance for the care of people with fragility fractures in 2021.

A repository of all resources produced by the Fracture Liaison Service Database (FLS-DB) for healthcare professionals, patients and carers.

The FLS-DB was not granted exemption from the national data opt-out.

All key performance indicators (KPIs) measure performance against technology assessments, guidance on osteoporosis and clinical standards for FLSs from NICE, the ROS and the NOGG. 

As part of an ongoing quality improvement plan for the NHS the Fracture Liaison Service Database (FLS-DB) is now live and collecting information on fragility fractures diagnosed from 1 January 2016.

The Fracture Liaison Service Database (FLS-DB) is a clinically-led, web-based national audit of secondary fracture prevention in England and Wales commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the Falls and Fragility Fracture Audit Programme (FFFAP).

This is the fifth annual report for the Fracture Liaison Service Database (FLS-DB), providing national benchmark performance for the care of people with fragility fractures in 2020.

This is the fourth annual report for the Fracture Liaison Service Database (FLS-DB), providing national benchmarks performance across the care of people with fragility fractures. There are audience specific recommendations including for services, commissioners, and executive teams.

The Fracture Liaison Service Database (FLS-DB) Annual report 2020 provides the third national benchmark for the performance of FLSs at the patient level and shows that there has been an improvement in most key performance indicators (KPIs) but further work is needed for effective and efficient se

The Fracture Liaison Service Database (FLS-DB) audit aims to evaluate patterns of assessment and treatment for osteoporosis and falls for patients who have sustained a fragility fracture.
Video guides for users of the FLS-DB's web tool for collecting data.
People with low bone density and a tendency to fall are at risk of a fragility fracture and those who sustain one such fracture are at high risk of another.

The FLS-DB archive contains pages from projects that are no longer active.