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 Royal Osteoporosis Society (ROS) clinical standards for FLSs. The FLS-DB patient audit has been collecting information on fragility fracture diagnosed from 1 January 2016. The information and resources on this website have been developed by healthcare professionals and are grounded in evidence-based research.

FLS-DB methodology

Discover resources for your needs

FLS-DB resources for patients

These resources provide support on managing fragility fractures, emphasising follow-up care, osteoporosis treatment, and understanding fracture liaison services.

FLS-DB resources for services

These resources offer guidance on implementing and improving Fracture Liaison Services (FLS) as well as practical tips for healthcare professionals on using the FLS-DB platform.

FLS-DB resources for service improvement

Resources for services to implement quality improvement including initiatives and ways to optimise their service delivery.

FLS-DB resources for primary care

These resources provide practical guidance on follow-up care and osteoporosis treatment for primary care professionals.

Find all our resources below

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

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Resource
21/02/25
Osteoporosis Management Course

Diagnosis and management of osteoporosis

The Diagnosis and management of osteoporosis e-learning module was developed for GPs, but are relevant for all healthcare professionals interested in of the diagnosis and management of osteoporosis.
Report
09/01/25
FLS DB 2025 Annual Report (1)

FLS-DB annual report 2025

This is the eighth annual report for the Fracture Liaison Service Database (FLS-DB). You’ve had a fracture; how can we prevent another? provides national benchmark performance for the care of people with fragility fractures in 2023.
Resource
05/11/24
Istock 1511144782

Stronger inside and out: mental wellbeing and broken bones from osteoporosis

This leaflet highlights the often-overlooked impact of osteoporosis on mental wellbeing. Developed by the Fracture Liaison Service Database, it offers support for those who may feel anxious, isolated, or uncertain following a diagnosis. The leaflet provides practical advice, reassurance, and signposts to trusted mental health services and organisations. It aims to help patients understand they are not alone, and that looking after emotional wellbeing is just as important as managing bone health.
Resource
20/10/24
FFAP Resource Map Thumbnail

FFFAP resource map: Information for people who have fallen and broken a bone

In collaboration with our stakeholder group, including the Patient and Carer Panel (PCP) and the Royal Osteoporosis Society (ROS), the Falls and Fragility Fracture Audit Programme (FFFAP) team has produced a resource map to provide support for people who have suffered a broken bone after a fall.
Resource
15/10/24
FLS DB Starter Pack Image (2)

FLS-DB starter pack

The FLS-DB team has developed two starter packs to provide an overview of the audit. One for newly registered services or those keen to learn more about FLS-DB and another condensed leaflet, which provides a shorter overview of the audit and more tailored for patients.
Resource
10/10/24
Graphic

Fracture Liaison Service Database (FLS-DB) Exchanges

FLS-DB hosts quarterly webinar known as ‘exchanges’, providing valuable information on fracture liaison services and strategies for service improvement.
Report
04/01/24
Elderly person with healthcare worker

FLS-DB resource repository

A repository of all resources produced by the Fracture Liaison Service Database (FLS-DB) for healthcare professionals, patients and carers.
Report
20/11/23
NAIF Improvement Workbook

The Falls and Fragility Fracture Audit Programme healthcare improvement workbook

The healthcare improvement workbook was developed to support local teams with quality improvement tools and enable service improvements with existing resources and limited budgets.
Resource
03/05/23
Six Golden Rules Image

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.