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. All sites that treat fractures are eligible to participate. 

The FLS-DB patient audit is now live, it is an audit of secondary fracture prevention based on a continuous data collection of a minimum common dataset. 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 more information. 

What we have produced

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.

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.

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 is housed in an interactive web-based forum that allows members to share best practice in FLS and secondary fracture prevention.