Fracture Liaison Service Database (FLS-DB)

The Fracture Liaison Service Database (FLS-DB) is a new 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 patient audit is now live and collecting information on fragility fracture diagnosed from 1 January 2016.

What we are doing

The first FLS-DB audit report on patient data was published in spring 2017. The deadline for data entry for inclusion in the second FLS-DB report was 30 June 2017 this is due to be published in October 2017.

To be eligible to participate in the patient audit component you need to have a fracture liaison service: 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.

Please see our participation page for information on how to get involved. 

Introduction to FLS-DB

During the FLS-DB user workshop, Professor Finbarr Martin gave a background introduction of the FLS-DB, its aims and an overview of data collected in the first 6 months.

What we have produced

FLS-DB user workshops are a series of presentations provided by clinical leads and crown informatics to provide users with guidance on using the FLS webtool. 

The RCP's Fracture Liaison Service Database clinical audit provides the first ever benchmark for the performance of fracture liaison services at patient level.

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 FLS Champions' Network is housed in an interactive web-based forum that allows members to share best practice in FLS and secondary fracture prevention.
The Fracture Liaison Service Database (FLS-DB) facilities audit: FLS breakpoint: opportunities for improving patient care following a fragility fracture audit report provides the first detailed mapping of current service provision for secondary fracture prevention within the NHS in England and Wales.
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.

Transparency data from the first Fracture Liaison Service Database (FLS-DB) report.