A repository of all resources produced by the Fracture Liaison Service Database (FLS-DB) for healthcare professionals, patients and carers.
Patient and carer resources
What should happen if you or someone you know experiences a fragility fracture?
Did you know that at least 90,000 patients in England and Wales who should have anti-osteoporosis therapy are not receiving it?
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.
These resources aim to improve the patient experience when returning home following a fragility fracture and discussing with primary care.
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.
Strong bones after 50: Fracture liaison services explained
A video resource that explains what you should expect from your fracture liaison service after you have fallen and broken a bone.
How a Fracture Liaison Service (FLS) can help men who have broken a bone
A leaflet explains how a Fracture Liaison Service can help men who experience fragility fractures by providing early diagnosis and treatment to improve bone health, reduce the risk of future fractures, and maintain mobility.
This information leaflet provides a simplified introduction to the FLS-DB, explaining the audit process and how it helps improve services. It also outlines how both services and the general public can use the audit to evaluate the performance of local services and contribute to improvements in care.
Clinical resources
From 31 July 2022, you must check your patient’s national data opt-out status before uploading them to the FLS-DB. We have created extensive resources to support you in how to do this.
To support FLSs to improve the patient experience when returning home following a fragility fracture and discussing with primary care, we have produced best practice examples of GP and patient letters.
The Royal Osteoporosis Society (ROS) has developed a toolkit that is open to all healthcare professionals and commissioners with an interest in setting up a FLS in any healthcare setting.
The FLS-DB team have developed a starter pack that provides a comprehensive overview of the audit. This document is aimed at newly registered services, new users of the audit or patients who wish to learn more about the audit.
Video resources
FLS exchange: service improvements
How to use live data in the form of run charts and benchmark tables to identify areas for service improvement.
Top tips for an improvement project
How to use the FLS-DB data to make service improvements in seven steps.
How to check for national data opt-out patient records
How to use the VLOOKUP function in Microsoft Excel to check for patients who have opted-out in the National data Opt-out (NDOO) before importing them to the FLS-DB.
National data opt-out support session
Live support session for ‘understanding the national data opt-out’ where they addressed queries from healthcare professionals about entering patient records into the FLS-DB that had been checked for their national data opt-out status.
Data entry queries with the FLS-DB clinical lead as well as colleagues from other sites.
How the new ‘Lite’ dataset being introduced in January 2024 will support data entry and completeness.
Guide to the FLS-DB lite dataset
A website demonstration on how to use the FLS-DB lite dataset.
A website demonstration explaining the way Integrated Care System data is displayed on the website.
How to use FLS-DB data in governance meetings
A video with a registered FLS-DB service on how to use your data in governance meetings for service improvements.
How to use the FFFAP Improvement workbook for an away day
A video with a registered FLS-DB service on how they used the FFFAP improvement workbook for an away day.
How to deliver an FLS on an Orthopaedic setting
A video on practical tips for how orthopaedic teams can support, deliver and lead an FLS in the NHS.
Data-Driven Governance: Using FLS-DB in leadership meetings
A video with a registered FLS-DB service, demonstrating how to utilise FLS-DB data in meetings to enhance service performance.
Introduction to quality improvement for patients
A presentation to provide an overview on how FLS-DB can enhance quality improvement for patients.
Top tips for maximising adherence in the FLS setting
A video on practical tips for how FLSs can ensure patients recommended treatments are started and stay on them.
A session included how the Fracture Liaison Service Database (FLS-DB) will be presenting data for non-participating services, and how trusts and health boards can use this data to prioritise funding and access to achieving 100% fracture liaison services coverage. Plus, our plans to implement an outlier policy in 2025 for non-participating sites.