Fracture Liaison Service Database (FLS-DB)

The Fracture Liaison Service Database (FLS-DB) is a new national audit commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the Falls and Fragility Fracture Audit Programme (FFFAP). The FLS-DB is included in the HQIP 2015/16 listing for national audits that must be reported both in the trust’s Quality Account and also form part of the National Clinical Audit Patient Outcomes Programme (NCAPOP).

What we are doing

The FLS-DB will comprise of two national audit components – a Facilities Audit and a Patient Audit. The Facilities Audit aims to profile the structures and policies of services which identifies patients at risk of osteoporosis and falls (whether or not they badge themselves as an FLS) in order to create a detailed national picture of how secondary prevention is being delivered.

This will be followed in 2016 with a national roll out of a clinical audit of secondary prevention based on a continuous data collection of a minimum common dataset. The participants of the 2016 Patient Audit will be drawn from, but not open only exclusively to, participants of the Facilities Audit. To be eligible to participate in the Patient Audit you need to have a service that systematically identifies all 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.

Contact to express interest in taking part in the audit.

Launch events – register for your place now!

To assist you in preparation for joining the FLS-DB, we are holding three launch events in 2015.

  • London – 18 November
  • Leeds – 30 November
  • Birmingham – 14 December

To register, please email

What we have produced

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 Champions Network was initially set up as part of the FLS-DB and led by the RCP and is now managed by the National Osteoporosis Society (NOS).