OrgCode,FLS Name,FLS delivered from,FLS delivered from Other,What month & year did you start the current form of FLS,Which of the following best describes the current contract,How many Consultant PAs (per week) are allocated to the FLS,Staffing,Estimated population size,Which patient groups does your FLS cover? Hip fracture (including inpatient fractures),How do you identify hip fractures,How do you identify other non-hip non-vertebral fracture,How do you identify outpatients,How do you identify vertebral fracture,Identifying underlying secondary causes,Interventions,Obtain perscription,Falls assessment,Exercise programme,Who monitors patients,Formal survey,How many completed responses,Did you use the ROS,How often minuted gov meeting
BED,Bedford Hospital,An acute hospital,,Apr-18,Fixed term then need to renew,1,Nurse~band 7~0.75;Administrator~band 3~0.75,270000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Trauma lists,Ward/emergency room admissions/discharge lists;Radiology;Other IT systems;Fracture clinic attended,Using clinic lists;Other IT systems;Other,Other,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Thyroid function;Liver function tests;Renal function tests;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician,No - we refer patients on for a falls assessment,No,FLS coordinator;Rheumatologist;Delegated to Primary Care physician,Never,Do not know,No,2
RBE,West Berkshire FLS,An acute hospital,,Jan-20,Block payment,0.5,Nurse~band 6~2;Administrator~band 4~1,500000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Fracture clinic lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Radiology,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other IT systems,"Visits spine clinic/reviews letters,Fracture clinic lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Other,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Trauma prescribes;Metabolic bone disease / osteoporosis specialist prescribes;Other,Yes,Yes,FLS coordinator;Specialist nurse,at least every 3 years,Do not know,No,1
WMU,West Middlesex hospital,An acute hospital,,Sep-19,Block payment,2,Nurse~band 6~1;Nurse~band 7~1;Administrator~band 4~1;Radiographer~band 8a~1,500000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),IT systems;Other,Other,Other,Other,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;Erythrocyte sedimentation rate;Thyroid function;C-reactive protein;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Trauma prescribes;Metabolic bone disease / osteoporosis specialist prescribes;Other,No - we refer patients on for a falls assessment,Yes,FLS coordinator;Rheumatologist,Never,0,No,3
SAN,Sandwell and West Birmingham Hospitals NHS Trust,A community care based service,,Nov-10,Part of hospital general contract with no separate documentation for FLS,0,Nurse~band 6~1.5;Administrator~band 2~0.5,350000,Hip fracture (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS;IT systems;Other,Not applicable,Other IT systems;Other,"Screening general radiology reports,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,Yes,FLS coordinator;Specialist nurse,Never,Do not know,No,0
BLA,East Lancashire Hospitals NHS Trust,An acute hospital,,Apr-13,Part of hospital general contract with no separate documentation for FLS,0,Nurse~band 6~2;Administrator~band 3~1,350000,Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),Seen by Orthogeriatric service not FLS,Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists,Not applicable,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,Yes,Specialist nurse;Orthogeriatrician;Delegated to Primary Care physician,at least once a year,72,No,6
ADD,Cambridge University Hospitals NHS Foundation Trust FLS,An acute hospital,,Apr-17,Block payment,6,Nurse~band 6~1.75;Nurse~band 7~1;Physiotherapist~band 6~0.25,580000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,IT systems;Trauma lists,Ward/emergency room admissions/discharge lists;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended,Using clinic lists;Other IT systems;Emergency Department lists,"DXA imaging (VFA),Screening general radiology reports,Emergency Department lists",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Intravenous bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,Yes,Rheumatologist;Specialist nurse;Orthogeriatrician,at least every 3 years,Do not know,No,4
MOR,"Morriston Hospital, ABMHU",An acute hospital,,Jan-16,Part of hospital general contract with no separate documentation for FLS,0,Nurse~band 7~1;Administrator~band 2~0.25,300000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service not FLS;Fracture clinic lists;IT systems;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Other IT systems;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other IT systems,Not applicable,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Renal function tests;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein),Calcium and vitamin D supplementation advice;Oral bisphosphonates;Intravenous bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes,No,No,Delegated to Primary Care physician,Never,0.5,No,0
SGH,University Hospitals Southampton NHS Foundation Trust,Another geographical area,an integrated service with community services,Jan-19,Block payment,1,Nurse~band 6~1;Physiotherapist~band 7~1;Administrator~band 2~0.5,200000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Ward/emergency room admissions lists;IT systems;Trauma lists;Other,Ward/emergency room admissions/discharge lists,Other IT systems;Emergency Department lists,Emergency Department lists,Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Other,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes,Yes,Yes,FLS coordinator;Delegated to Primary Care physician;Delegated to other healthcare provider,Never,Do not know,No,2
LEW,University Hospital Lewisham,An acute hospital,,Oct-14,Block payment,0.5,Nurse~band 8a~0.5,330000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists,Ward/emergency room admissions/discharge lists;Seen by Orthogeriatric service;Other,Using clinic lists;Emergency Department lists,"Emergency Department lists,Other",Serum Calcium;Serum phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Renal function tests;Testosterone/ Sex hormone binding globulin,Calcium and vitamin D supplementation advice;Oral bisphosphonates;Intravenous bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,Yes,FLS coordinator,Never,Do not know,No,1
BFH,Broomfield Hospital,An acute hospital,,Mar-09,Part of hospital general contract with no separate documentation for FLS,0,Nurse~band 7~0.5;Nurse~band 6~0.5;Administrator~band 3~0.5,373,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Opportunistic radiological vertebral fractures,NHFD lists;FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service not FLS;Fracture clinic lists;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other IT systems,Other,Serum 25OH vitamin D;Full blood count,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,No,No,Specialist nurse,at least every 3 years,Do not know,No,0
WGH,Weston General Hospital,An acute hospital,,Jan-16,Other,1,Nurse~band 2~0.25;Administrator~band 3~0.5;Administrator~band 4~0.25,170000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,NHFD lists;Seen by Orthogeriatric service not FLS,Ward/emergency room admissions/discharge lists;Other IT systems;Fracture clinic attended,Other IT systems;Emergency Department lists;Other,"DXA imaging (VFA),Screening general radiology reports,Emergency Department lists",Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein),Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes,Yes,No,FLS coordinator;Rheumatologist;Specialist nurse;Delegated to Primary Care physician,at least every 3 years,Do not know,No,4
DAR,University Hospital North Durham & Darlington Memorial Hospital,A community care based service,,Jan-20,Block payment,0,Nurse~band 7~1;Nurse~band 4~1;Physiotherapist~band 6~1;Administrator~band 2~1,635658,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists;Trauma lists,Ward/emergency room admissions/discharge lists;Seen by Orthogeriatric service;Fracture clinic attended;Other,Using clinic lists;Emergency Department lists;Referral from Emergency Department,"Fracture clinic lists,Emergency Department lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin;Spot urinary calcium;24 hour urinary calcium;Other,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,No,FLS coordinator;Specialist nurse,longer than every 3 years,Do not know,No,0
WWL,"Wrightington, Wigan and Leigh NHS Foundation Trust",A community care based service,,Apr-15,Other,0,Nurse~band 6~0.75;Physiotherapist~band 3~1;Administrator~band 2~0.5;Other~band 8b~0.25,320000,Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Trauma lists,Fracture clinic attended,Using clinic lists,"DXA imaging (VFA),Fracture clinic lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin;Spot urinary calcium,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician;Other,Yes,Yes,FLS coordinator;Other clinician,Continuous (every patient),Do not know,No,1
GGH,Diana Princess of Wales Hospital,An acute hospital,,Nov-16,Block payment,1,Nurse~band 6~1,200000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service not FLS,FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service,FLS visits the orthopaedic/trauma clinic;Using clinic lists,"DXA imaging (VFA),Fracture clinic lists,Other",Serum Calcium;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes,Yes,No,Specialist nurse;Orthogeriatrician;Delegated to Primary Care physician,Never,0,No,1
BRH,Bromley Healthcare Falls and Fracture Prevention Service,A community care based service,,Aug-14,Fixed term then need to renew,0,Nurse~band 6~1,300000,Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),Fracture clinic lists,Fracture clinic attended,Using clinic lists,Fracture clinic lists,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;Liver function tests;Renal function tests;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,Yes,FLS coordinator,longer than every 3 years,Do not know,No,0
BEM,Enfield Bone Health and Fracture Liaison,A primary care based service,,Jun-13,Block payment,0,Nurse~band 7~3,333869,Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),Seen by Orthogeriatric service not FLS,Radiology;Fracture clinic attended,Other IT systems,Not applicable,Serum 25OH vitamin D;Full blood count;ESR Liver function;Thyroid function;C-reactive protein;Renal function tests;Coeliac disease screen;Other,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,Yes,Specialist nurse,Continuous (every patient),Do not know,No,2
YEO,Yeovil Hospital,An acute hospital,,Aug-19,Block payment,0,Nurse~band 7~0.25;Administrator~band 3~1.25,188000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;IT systems;Trauma lists;Other,Ward/emergency room admissions/discharge lists;Other IT systems;Other,Using clinic lists;Other IT systems;Emergency Department lists;Other,"Fracture clinic lists,Emergency Department lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes;Trauma prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,No,FLS coordinator,Never,Do not know,No,0
STM,Imperial College Healthcare NHS Trust,An acute hospital,,,Fixed term then need to renew,1,Nurse~band 7~2;Administrator~band 2~0.5,2000000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Fracture clinic lists;IT systems;Trauma lists,Other IT systems,Other IT systems,"Fracture clinic lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,No - we refer patients on for a falls assessment,Yes,FLS coordinator,at least once a year,Do not know,Yes,2
ESU,East Surrey Hospital,An acute hospital,,Aug-18,Per patient tariff,1,Nurse~band 7~0.25;Administrator~band 4~0.5;Other~band 7~0.25,525000,Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,Not applicable,Not applicable,Using clinic lists;Other IT systems,"DXA imaging (VFA),Screening general radiology reports",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;Erythrocyte sedimentation rate;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Serum Electrophoresis;Serum free light chains,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,No,FLS coordinator,Never,0,No,6
WMH,Walsall Healthcare,An acute hospital,,Jul-20,Block payment,0,Nurse~band 6~1;Nurse~band 7~1;Other~band 3~1,290230,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,IT systems,Other IT systems,Other IT systems,Other,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Testosterone/ Sex hormone binding globulin;Other,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,Yes,FLS coordinator;Specialist nurse,longer than every 3 years,Do not know,No,3
MPH,Musgrove Park Hospital,An acute hospital,,Jan-16,Block payment,2,Radiographer~band 7~1;Administrator~band 3~1,500000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,NHFD lists;Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists;IT systems;Trauma lists,Ward/emergency room admissions/discharge lists;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended,Using clinic lists;Other IT systems;Emergency Department lists,"Visits spine clinic/reviews letters,DXA imaging (VFA),Screening general radiology reports,Fracture clinic lists,Emergency Department lists",Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin;Other,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,Yes,FLS coordinator;Specialist nurse;Orthogeriatrician,at least every 3 years,478,No,4
MKH,Milton Keynes University Hospital Foundation Trust,An acute hospital,,Aug-15,Part of hospital general contract with no separate documentation for FLS,0.5,Nurse~band 7~1;Nurse~band 6~1;Nurse~band 2~0.75,250,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,NHFD lists;FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Radiology;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Other IT systems,"Visits spine clinic/reviews letters,Screening general radiology reports,Fracture clinic lists",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes,No - we refer patients on for a falls assessment,No,FLS coordinator;Specialist nurse,Never,Do not know,No,0
CRY,Croydon University Hospital,An acute hospital,,Jul-19,Block payment,0,Nurse~band 7~1;Physiotherapist~band 7~0.25;Nurse~band 8a~0.25,580,Hip fracture (including inpatient fractures);Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),NHFD lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists,Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists,Fracture clinic lists,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,Yes,Specialist nurse;Delegated to Primary Care physician,Never,Do not know,No,0
PGH,Poole Hospital NHS Foundation Trust,An acute hospital,,Apr-13,Block payment,0,Nurse~band 7~1;Nurse~band 6~0.5;Administrator~band 3~0.75,468717,Hip fracture (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;IT systems;Trauma lists,Ward/emergency room admissions/discharge lists;Seen by Orthogeriatric service;Other IT systems;Other,Other IT systems;Emergency Department lists;Other,Emergency Department lists,Serum Calcium;Serum phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Testosterone/ Sex hormone binding globulin;Other,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,Yes,FLS coordinator,Never,0,No,0
RCF,Airedale NHS Foundation Trust,An acute hospital,,Oct-19,Part of hospital general contract with no separate documentation for FLS,0.1,Nurse~band 6~1.5;Administrator~band 2~0.25;Radiographer~band 6~0.25,200000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists,Not applicable,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes,Yes,Yes,FLS coordinator;Specialist nurse,Never,Do not know,No,0
WDH,Dorset County Hospital,An acute hospital,,Jan-16,Block payment,0,Radiographer~band 6~1;Administrator~band 3~0.5;Administrator~band 2~0.25,250000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,NHFD lists;FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists;IT systems;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Radiology;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other IT systems;Emergency Department lists;Referral from Emergency Department,"Visits spine clinic/reviews letters,DXA imaging (VFA),Screening general radiology reports,Re-reading radiology images,Fracture clinic lists,Emergency Department lists",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Thyroid function;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,Yes,FLS coordinator;Rheumatologist;Delegated to Primary Care physician,at least once a year,96,No,2
GWH,Queen Elizabeth Hospital Lewisham,An acute hospital,,Jan-07,Part of hospital general contract with no separate documentation for FLS,0,,836.98,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS,Ward/emergency room admissions/discharge lists,Using clinic lists,"DXA imaging (VFA),Screening general radiology reports,Fracture clinic lists,Emergency Department lists",Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Renal function tests,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates,FLS recommends therapy to orthogeriatrician and/or primary care physician,No,No,Specialist nurse,Never,,,0
SRH,Salford Royal NHS Foundation Trust,A community care based service,,Jan-16,Fixed term then need to renew,0,Nurse~band 6~0.75;Administrator~band 3~1,230000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,IT systems,Other IT systems;Other,Other IT systems,"Visits spine clinic/reviews letters,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Serum Electrophoresis,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Metabolic bone disease / osteoporosis specialist prescribes,Yes,No,Specialist nurse;Delegated to Primary Care physician,Never,,No,0
NTG,North Tees and Hartlepool NHS Foundation Trust,An acute hospital,,Mar-11,Part of hospital general contract with no separate documentation for FLS,0.5,Nurse~band 6~0.75;Administrator~band 3~0.25;Radiographer~band 6~0.5,365000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,FLS visits the orthopaedic/trauma ward;Trauma lists,FLS visits the orthopaedic/trauma ward;Other IT systems;Fracture clinic attended,Using clinic lists,Fracture clinic lists,Serum Calcium;Serum 25OH vitamin D;Thyroid function;C-reactive protein;Renal function tests;Coeliac disease screen,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,No,Delegated to Primary Care physician,at least every 3 years,0.3,No,2
WES,Chelsea and Westminster Hospital NHS Foundation Trust,An acute hospital,,Aug-19,Block payment,0.5,Nurse~band 7~1,500000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Ward/emergency room admissions lists;Fracture clinic lists;IT systems;Trauma lists,Radiology;Other IT systems;Fracture clinic attended,Other IT systems;Referral from Emergency Department,"Fracture clinic lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;Thyroid function;Liver function tests;Renal function tests;Serum Electrophoresis,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Trauma prescribes,No - we refer patients on for a falls assessment,No,FLS coordinator;Rheumatologist,Never,Do not know,No,3
SCM,James Cook University Hospital,A community care based service,,Jun-10,Block payment,0,Nurse~band 7~1;Other~band 3~1,273000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS;IT systems;Other,Other IT systems;Other,Other IT systems;Other,Other,Serum Calcium;Serum 25OH vitamin D;Serum Parathyroid hormone;Renal function tests,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,Yes,FLS coordinator;Specialist nurse,longer than every 3 years,Do not know,No,1
BAT,Royal United Hospital,An acute hospital,,Aug-16,Block payment,0.3,Administrator~band 3~1.5;Nurse~band 7~0.25;Other~band 8b~0.25;Other~band 7~0.25,500000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS;Fracture clinic lists;IT systems,Ward/emergency room admissions/discharge lists;Radiology;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended,Using clinic lists;Other IT systems;Emergency Department lists;Other,"DXA imaging (VFA),Screening general radiology reports,Fracture clinic lists,Emergency Department lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;ESR Liver function;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,No,FLS coordinator;Specialist nurse;Orthogeriatrician,at least every 3 years,1,Yes,1
SEH,,An acute hospital,,Mar-12,Part of hospital general contract with no separate documentation for FLS,0.5,Nurse~band 6~0.75;Nurse~band 7~0.5,339000,Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service not FLS,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Fracture clinic attended,Other,"Screening general radiology reports,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein),Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes,Yes,No,Rheumatologist;Specialist nurse;Delegated to Primary Care physician,Never,Do not know,No,0
QEB,University Hospitals Birmingham NHS Foundation Trust,An acute hospital,,Jul-14,Fixed term then need to renew,0.25,Nurse~band 6~1.5;Other~band 3~0.5,7879,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),Seen by Orthogeriatric service not FLS;Fracture clinic lists;Trauma lists;Other,Ward/emergency room admissions/discharge lists;Seen by Orthogeriatric service;Fracture clinic attended,Using clinic lists,Not applicable,Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes,Yes,Yes,Non-clinical specialist practitioner;Specialist nurse,at least once a year,76,No,3
OIC,Pennine Musculoskeletal Partnership Ltd,A community care based service,,Jun-18,Other,0.1,Nurse~band 6~0.25;Nurse~band 5~0.25;Nurse~band 4~0.25;Administrator~band 4~0.25;Nurse~band 8b~0.25,230000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,NHFD lists;Seen by Orthogeriatric service not FLS;IT systems,Radiology;Seen by Orthogeriatric service;Other IT systems,Other IT systems;Other,"Screening general radiology reports,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,No,Specialist nurse;Other clinician,Never,0.47,No,2
SUN,Sunderland Royal Hospital,An acute hospital,,Jan-14,Block payment,0,Nurse~band 7~0.25;Nurse~band 6~2;Administrator~band 2~1,430000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Seen by Orthogeriatric service;Fracture clinic attended;Other,FLS visits the orthopaedic/trauma clinic;Using clinic lists,"Visits spine clinic/reviews letters,Fracture clinic lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;Thyroid function;C-reactive protein;Liver function tests;Renal function tests,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,Yes,FLS coordinator,at least every 3 years,Do not know,No,1
KCC,East Kent Hospitals University NHS Foundation Trust,An acute hospital,,,Block payment,0,Nurse~band 7~0.75;Nurse~band 6~1.5;Administrator~band 4~0.25;Administrator~band 3~0.75,,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS,Ward/emergency room admissions/discharge lists,Emergency Department lists,Emergency Department lists,Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Testosterone/ Sex hormone binding globulin,Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes,Yes,Yes,FLS coordinator;Specialist nurse;Delegated to Primary Care physician,Never,,No,0
HIL,The Hillingdon Hospitals NHS Foundation Trust,An acute hospital,,Feb-16,Part of hospital general contract with no separate documentation for FLS,0.5,Nurse~band 7~1,350000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),Seen by Orthogeriatric service not FLS,Seen by Orthogeriatric service;Other,FLS visits the orthopaedic/trauma clinic,Other,Serum Calcium;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Other,Yes,Yes,FLS coordinator,Never,Do not know,No,1
IPS,The Ipswich Hospital NHS Trust,An acute hospital,,Sep-05,Block payment,0.5,Nurse~band 7~1;Nurse~band 6~1.75,239600,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists;IT systems;Trauma lists,FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended,Using clinic lists;Emergency Department lists,Screening general radiology reports,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,No,Non-clinical specialist practitioner,at least every 3 years,Do not know,No,1
RSU,Royal Surrey County Hospital,An acute hospital,,Dec-14,Part of hospital general contract with no separate documentation for FLS,1.2,Nurse~band 7~1,320000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists;Trauma lists,FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service;Fracture clinic attended;Other,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other,"Fracture clinic lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes,Yes,No,FLS coordinator;Orthogeriatrician;Delegated to Primary Care physician,Never,Do not know,No,1
BNT,Barnet Hospital,An acute hospital,,Mar-15,Part of hospital general contract with no separate documentation for FLS,1,Nurse~band 7~1,375,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Fracture clinic lists;IT systems,Other IT systems;Fracture clinic attended;Other,Using clinic lists;Other IT systems;Other,"Fracture clinic lists,Other",Serum Calcium;Serum phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;Liver function tests;Renal function tests;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Testosterone/ Sex hormone binding globulin;24 hour urinary calcium,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,No,FLS coordinator,Continuous (every patient),18,No,0
BRI,University Hospitals Bristol NHS Foundation Trust,An acute hospital,,May-20,Block payment,0.5,Nurse~band 7~0.75;Nurse~band 6~1;Administrator~band 4~1,500000,Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging,Seen by Orthogeriatric service not FLS;IT systems,FLS visits the orthopaedic/trauma ward;Other IT systems;Fracture clinic attended,Using clinic lists;Other IT systems;Other,"DXA imaging (VFA),Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;Erythrocyte sedimentation rate;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein),Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Trauma prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No,No,FLS coordinator;Specialist nurse,at least once a year,50,No,3
FRY,North Bristol NHS Trust,An acute hospital,,Apr-12,Part of hospital general contract with no separate documentation for FLS,1,Nurse~band 7~1;Administrator~band 4~1,500000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS;IT systems;Trauma lists,Other IT systems;Fracture clinic attended;Other,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other IT systems;Emergency Department lists,"Visits spine clinic/reviews letters,DXA imaging (VFA),Fracture clinic lists",Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein),Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,No,FLS coordinator;Specialist nurse;Delegated to Primary Care physician,longer than every 3 years,Do not know,No,0
DER,Royal Derby Hospital,An acute hospital,,Oct-16,Block payment,0.25,Nurse~band 6~1.5,600000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),FLS visits the orthopaedic/trauma ward;Trauma lists,Other IT systems;Fracture clinic attended,Using clinic lists,Not applicable,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;ESR Liver function;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,No,Specialist nurse;Delegated to Primary Care physician,at least once a year,Do not know,Yes,2
HAY,"The Haywood Hospital, Burslem, Stoke on Trent",A community care based service,,Feb-16,Block payment,0.5,Nurse~band 3~0.75;Nurse~band 5~0.5;Nurse~band 6~0.75;Nurse~band 7~1.5;Administrator~band 3~1.5;Radiographer~band 5~0.5;Radiographer~band 6~0.5,500000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS;IT systems;Trauma lists,Other IT systems,FLS visits the orthopaedic/trauma clinic,"DXA imaging (VFA),Screening general radiology reports",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;Liver function tests;Renal function tests;Serum Electrophoresis,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,No,FLS coordinator,Never,0,No,3
HCH,Wye Valley NHS Trust,An acute hospital,,Jan-10,Block payment,0,Nurse~band 7~0.75;Nurse~band 6~0.5;Nurse~band 5~0.25;Administrator~band 4~1;Administrator~band 2~0.25;Radiographer~band 4~1,230000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,NHFD lists;FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service not FLS;IT systems;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Radiology;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other IT systems,"Visits spine clinic/reviews letters,Fracture clinic lists",Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;Erythrocyte sedimentation rate;Thyroid function;Liver function tests;Renal function tests;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,No,Specialist nurse,Never,Do not know,No,0
KCH,King's College Hospital - Denmark Hill Site,An acute hospital,,Mar-20,Part of hospital general contract with no separate documentation for FLS,0,Nurse~band 7~1,700000,Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),Seen by Orthogeriatric service not FLS;Fracture clinic lists,Fracture clinic attended,Using clinic lists;Other,Fracture clinic lists,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum free light chains;Other,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Trauma prescribes;Metabolic bone disease / osteoporosis specialist prescribes;Other,Yes,No,FLS coordinator;Specialist nurse;Orthogeriatrician;Other clinician,Never,Do not know,No,0
GWY,,An acute hospital,,Apr-06,Other,0.25,,666000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,NHFD lists;FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Fracture clinic lists;IT systems,FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other IT systems,Fracture clinic lists,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Thyroid function;Renal function tests;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,No,Delegated to Primary Care physician,Never,0,No,0
BOL,Royal Bolton Hospital,An acute hospital,,Jun-18,Fixed term then need to completely re-bid,2,Nurse~band 7~1;Nurse~band 6~0.75;Nurse~band 3~0.75,320000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Radiology;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended;Other,Using clinic lists;Other IT systems;Referral from Emergency Department;Other,Other,Serum Calcium;Serum 25OH vitamin D,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes,Yes,Yes,Specialist nurse;Orthogeriatrician,at least every 3 years,Do not know,Yes,1
SMV,Buckinghamshire Healthcare NHS Trust,An acute hospital,,Jun-10,Part of hospital general contract with no separate documentation for FLS,13.5,Nurse~band 7~1,500000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures),FLS visits the orthopaedic/trauma ward;Trauma lists,FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service,Not applicable,Not applicable,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;C-reactive protein;Liver function tests;Renal function tests,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS prescribes;Orthogeriatrician prescribes;Trauma prescribes,Yes,Yes,Specialist nurse,longer than every 3 years,Do not know,No,0
ROT,The Rotherham NHS Foundation Trust,An acute hospital,,Aug-17,Block payment,0,Nurse~band 7~1;Administrator~band 3~0.25;Radiographer~band 5~0.75,257000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS;Other,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Radiology;Other IT systems;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Other IT systems;Emergency Department lists,"Screening general radiology reports,Fracture clinic lists,Emergency Department lists,Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Urine electrophoresis (for Bence Jones protein);Serum free light chains;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Intravenous bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,Yes,FLS coordinator;Specialist nurse;Delegated to Primary Care physician,Never,0,No,1
GEO,St George's Hospital,An acute hospital,,Dec-14,Block payment,0,Nurse~band 7~0.5,400000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists;IT systems;Trauma lists,FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Radiology;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended,Using clinic lists;Other IT systems;Emergency Department lists;Referral from Emergency Department,"Visits spine clinic/reviews letters,DXA imaging (VFA),Screening general radiology reports,Re-reading radiology images,Fracture clinic lists,Emergency Department lists",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;Renal function tests;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes,Yes,Yes,Non-clinical specialist practitioner;Rheumatologist,at least once a year,Do not know,No,1
ESH,East Sussex Healthcare,An acute hospital,,Sep-17,Block payment,0.5,Administrator~band 4~0.75;Administrator~band 2~0.5;Nurse~band 7~2,385000,Hip fracture (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures),Seen by Orthogeriatric service not FLS;Fracture clinic lists;Trauma lists,Fracture clinic attended,Using clinic lists,Fracture clinic lists,Serum Calcium;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Trauma prescribes,Yes,Yes,Specialist nurse;Delegated to Primary Care physician;Delegated to other healthcare provider,Continuous (every patient),159,No,2
WSH,West Suffolk NHS Foundation Trust,A community care based service,,May-13,Block payment,0,Nurse~band 7~1.25,300000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging,IT systems,Other IT systems,Other IT systems,"DXA imaging (VFA),Other",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Renal function tests;Coeliac disease screen,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,Yes,FLS coordinator;Specialist nurse,Continuous (every patient),Do not know,No,0
CHN,Nottingham FLS,Another geographical area,"Acute hospital, and community team",Aug-18,Part of hospital general contract with no separate documentation for FLS,6,Nurse~band 7~1;Nurse~band 6~1.5,800000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Trauma lists,FLS visits the orthopaedic/trauma ward;Fracture clinic attended;Other,Using clinic lists,Visits spine clinic/reviews letters,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;Liver function tests;Renal function tests;Spot urinary calcium,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes,Yes,No,Specialist nurse;Orthogeriatrician;Delegated to Primary Care physician,Never,Do not know,No,1
AHX,Ashford and St. Peter's Hospitals NHS Foundation Trust,An acute hospital,,Nov-12,Block payment,0,Nurse~band 7~1,410000,Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Seen by Orthogeriatric service not FLS,Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists,"Visits spine clinic/reviews letters,Fracture clinic lists",Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Serum free light chains,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,No,FLS coordinator,Never,Do not know,No,0
NPH,Northwick Park Hospital,An acute hospital,,May-19,Other,0,Nurse~band 7~1;Administrator~band 3~0.25,1200000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Trauma lists,Other,Other,Other,Serum Calcium;Serum 25OH vitamin D;Renal function tests,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,No,Rheumatologist;Specialist nurse;Orthogeriatrician;Delegated to Primary Care physician,Never,Do not know,No,0
EAL,Ealing Hospital,An acute hospital,,May-19,Other,0,Nurse~band 7~1;Administrator~band 3~0.25,850000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture,Trauma lists,Other,Other,Other,Serum Calcium;Serum 25OH vitamin D;Renal function tests,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;FLS prescribes;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,Yes,No,Rheumatologist;Specialist nurse;Orthogeriatrician,Never,Do not know,No,0
BRD,Bradford Teaching Hospitals Foundation Trust,An acute hospital,,Dec-16,Part of hospital general contract with no separate documentation for FLS,1,Nurse~band 7~0.75;Nurse~band 6~0.25;Administrator~band 2~1,530000,Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS,FLS visits the orthopaedic/trauma ward;Fracture clinic attended;Other,FLS visits the orthopaedic/trauma clinic;Other IT systems;Other,Other,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Erythrocyte sedimentation rate;ESR Liver function;Thyroid function;Liver function tests;Renal function tests,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates,FLS recommends therapy to orthogeriatrician and/or primary care physician;Other,No - we refer patients on for a falls assessment,Yes,FLS coordinator;Delegated to Primary Care physician,Never,Do not know,No,0
NMH,North Middlesex University Hospitals NHS Trust,Another geographical area,CCG/ Acute Trust,Aug-19,Part of hospital general contract with no separate documentation for FLS,1,Nurse~band 6~2,250000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS,Seen by Orthogeriatric service,Not applicable,Other,Serum Calcium;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;ESR Liver function;C-reactive protein;Renal function tests,Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes,No - we refer patients on for a falls assessment,No,FLS coordinator;Orthogeriatrician,Never,Do not know,No,0
SHC,Epsom & St Helier University Hospitals NHS Trust,An acute hospital,,Aug-20,Fixed term then need to renew,0.5,Nurse~band 4~1;Physiotherapist~band 5~3.5;Physiotherapist~band 6~0.5,620,Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures),NHFD lists,FLS visits the orthopaedic/trauma ward;Seen by Orthogeriatric service;Fracture clinic attended,Using clinic lists;Emergency Department lists,Emergency Department lists,Serum Calcium;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Thyroid function;Liver function tests;Renal function tests;Testosterone/ Sex hormone binding globulin,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes,Yes,Yes,Specialist nurse;Orthogeriatrician,Never,Do not know,No,0
LLD,Univerity of Llandough,An acute hospital,,Jan-10,Fixed term then need to renew,1,Nurse~band 6~0.75;Nurse~band 3~0.5,474187,Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures,Seen by Orthogeriatric service not FLS,Other IT systems,Other IT systems;Emergency Department lists;Other,Dedicated DXA imaging (VFA);Screening general radiology reports;Emergency Department lists,Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;ESR Liver function;Thyroid function;Liver function tests;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Serum free light chains,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests,FLS recommends therapy to orthogeriatrician and/or primary care physician;Metabolic bone disease / osteoporosis specialist prescribes,Yes,Yes,Specialist nurse,at least every 3 years,70,No,1
Z10,Belfast Health & Social Care Trust,An acute hospital,,Jun-03,Other,0.25,Nurse~band 5~1;Nurse~band 7~1;Administrator~band~2~0.5,340000,Hip fracture (including inpatient fractures);Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures);Presenting with a clinical vertebral fracture; Opportunistic radiological vertebral fractures,Ward/emergency room admissions lists;IT systems;Trauma lists,Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic attended,FLS visits the orthopaedic/trauma clinic;Using clinic lists;Referral from Emergency Department,Fracture clinic lists;Emergency Department lists;Other,,Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Further education programmes/resources,FLS recommends therapy to orthogeriatrician and/or primary care physician,Yes,No,Delegated to Primary Care physician,longer than every 3 years,Do not know,No,3