The 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).

The FLS-DB is a continuous audit and was initiated to measure primarily against NICE technology assessments and guidance on osteoporosis, and the ROS clinical standards for FLSs. The FLS-DB patient audit is collecting information on fragility fracture diagnosed from 1 January 2016.

Taking 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.

FLS-DB methodology

What we have produced

Read the latest reports and resources from the FLS-DB.

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FLS-DB resource repository

A repository of all resources produced by the Fracture Liaison Service Database (FLS-DB) for healthcare professionals, patients and carers.

FLSDB Annual Report Cover 2024 1

FLS-DB annual report 2024

The seventh annual report for the Fracture Liaison Service Database (FLS-DB), 'Rebuilding FLSs to meet local patient need', provides national benchmark performance for the care of people with fragility fractures in 2022.

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Participating in the FLS-DB

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.

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FLS-DB transparency data

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).

Staying On Treatment Image Version

Strong bones after 50 - staying on treatment

If you are over 50 and have broken a bone after falling from standing height or less (known as a fragility fracture), this document is for you, your family and carers. It explains why people with fragility fractures are recommended treatment, why it is important to stay on treatment and where you can find further information.

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Six golden rules video resource

The six golden rules resource is a short video intended to encourage patients to have follow up conversations with their GP after being recommended to take medication by mouth for osteoporosis.

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FLS-DB annual report 2023

The sixth annual report for the Fracture Liaison Service Database (FLS-DB), 'Rebuilding FLSs to meet local patient need', provides national benchmark performance for the care of people with fragility fractures in 2021.

FLS DB National Data Opt Out

National Data Opt-out: FLS-DB

The FLS-DB was not granted exemption from the national data opt-out.

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Bone health card and FLS letters

These resources aim to improve the patient experience when returning home following a fragility fracture and discussing with primary care.