Vertebral Fracture Sprint Audit

The Fracture Liaison Service Database (FLS-DB) will be running a sprint audit in 2020 to further investigate vertebral fracture identification. This will provide critical information enabling FLSs to understand their resource needs if they were to extend their scope to identify and assess all the patients with a fragility fracture in their locality.

What we are doing

Identifying all patients aged over 50 years with a fragility fracture is a core function of a fracture liaison service (FLS). The systematic identification of vertebral fractures has been shown as particularly challenging for FLSs as it often requires different methods and generates a lot of additional work that needs to be covered.

The vertebral fracture sprint audit (VFSA) will be launched in the summer/autumn 2020 (dates to be confirmed). It will collect data on the caseload and identification of patients over 50 years old with vertebral fractures by reviewing local radiological reports. 

The audit will ask FLSs to search radiology reports to identify vertebral fragility fractures. It is really important to understand the local picture so FLSs can confidently use their own local data to ensure their service has enough support needed to include patients with vertebral fractures.

How to participate

To be eligible to participate in the audit you need to be registered on the Fracture Liaison Service Database (FLS-DB). This requires having 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. This does not have to be a formally commissioned service and many FLSs have used their results from the FLSDB to successfully appeal for commissioning.


The pilot for the audit will be open in January 2020 for a month with a plan to launch the main audit in summer/autumn of 2020.

Further information on the audit will be provided.