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FLS-DB resources for services

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

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Report
08/01/26
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FLS-DB annual report 2026

This is the ninth annual report for the Fracture Liaison Service Database (FLS-DB).‘Steps to fracture liaison service effectiveness: importance of treatment recommendations’ provides national benchmark performance for the care of people with fragility fractures in 2024.
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.
Report
03/05/23
Doctor And Patient Holding Hands

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).
Guidance
03/05/23
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.
Resource
14/10/22
Patient Involvement Letter

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.
13/07/22
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Vertebral Fracture Sprint Audit

The Fracture Liaison Service Database (FLS-DB) ran a vertebral fracture sprint audit (VFSA) in 2021 to further investigate vertebral fracture identification.

Resource
18/07/19
Different ages

FLS-DB improvement repository

All key performance indicators (KPIs) measure performance against technology assessments, guidance on osteoporosis and clinical standards for FLSs from NICE, the ROS and the NOGG.

Resource
14/08/17
Webtool User Guide (2)

FLS-DB audit webtool guidance

The Fracture Liaison Service Database (FLS-DB) collects data on a secure web tool, hosted by Crown Informatics. This page contains video guides on how to use the web tool.
Audit
09/11/15
LTMD Feasibility Study Summary Report 0

FLS-DB feasibility study

People with low bone density and a tendency to fall are at risk of a fragility fracture and those who sustain one such fracture are at high risk of another. There are approved treatments for low bone density and interventions to reduce falls risk, but they are not offered to most patients who should be on treatment.
Project information
07/01/15
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FLS-DB archive

The FLS-DB archive contains pages from projects that are no longer active.