Fracture Liaison Service Database (FLS-DB)

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).

What we are doing

The FLS-DB is a continuous audit and was initiated to measure primarily against NICE technology assessments and guidance on osteoporosis, and the NOS 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 Fracture Liaison Service Database: Commissioner's report 2019 provides clinical commissioning groups (CCGs) with a summary of the audit’s key findings, recommendations and results.

The FLS Database Annual report 2018 provides the second 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 service delivery.

Strong bones after 50 is a guide that provides jargon-free information to patients and carers for supporting older people who have broken a bone following a fall.

The 'Fracture Liaison Service Database: Commissioner's Report 2018' contains a summary of the audit’s national key findings and recommendations and results for FLSs by region.
'Leading FLS improvement: Secondary fracture prevention in the NHS' examines how the FLSs in the NHS have engaged with the audit and improved the quality of data collection and case finding.
The FLS-DB audit aims to evaluate patterns of assessment and treatment for osteoporosis and falls for patients who have sustained a fragility fracture.

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.

Video guides for users of the FLS-DB's web tool for collecting data.
The RCP's Fracture Liaison Service Database clinical audit provides the first ever benchmark for the performance of fracture liaison services at patient level.
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.
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) 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).