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FLS-DB 2024 organisational data

The Fracture Liaison Service Database (FLS-DB) January to December 2024

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FLS code	Name of FLS	FLS site or service	Where is the FLS delivered from?	Where is the FLS delivered from? Other responses	Which NHFD hospitals do you provide the FLS to?	Which ICS are you part of?	What month and year did you start the current form of FLS	Which of the following best describes the current contract?	Which of the following best describes the current contract : Other response	How many Consultant PAs (per week) are allocated to the FLS?	For each type of staff, please enter how much time is spent working within the FLS as the whole time equivalent	For each type of staff, please enter how much time is spent working within the FLS as the whole time equivalent. Other responses.	Did you have any staff vacancies that lasted longer than 6 months in 2024?	If yes, please describe the type of staff member and the duration of the vacancy	If yes are there any current vacancies?	Estimated population size	Which patient groups does your FLS cover?	What restrictions are there on the patients seen by your service?	What restrictions are there on the patients seen by your service? Other response	If fracture site is a restriction selected, please specify which fracture sites excluded	How does your site identify hip fracture patients? (Select all that apply)	How does your site identify hip fracture patients? (Select all that apply) Other responses.	How does your site identify hip fracture patients? (Select all that apply) Other responses.	How does your site identify other non-hip non-vertebral fracture inpatients?	How does your site identify fracture outpatients?	How does your site identify fracture outpatients? Other responses	How does your site identify patients with vertebral fracture(s)?	How does your site identify patients with vertebral fracture(s)? Other response	How does your site identify patients with vertebral fracture(s)? Other response	How does your site identify patients with vertebral fracture(s)?	How does your site identify patients with vertebral fracture(s)? Other response	If applicable, what barriers have you experienced in finding patients with vertebral fractures?	If applicable, what barriers have you experienced in finding patients with vertebral fractures? (select all that apply) other responses	Does your site have a process for identifying potentially eligible fragility fracture patients who should have but did not receive assessment for secondary fracture prevention?	Does your site have a process for identifying potentially eligible fragility fracture patients who should have but did not receive assessment for secondary fracture prevention? Other responses	What tests do you routinely use for identifying underlying secondary causes of osteoporosis?	Do you have access to DXA scan or do you use an alternative provider or tool? (select all that apply)	Who counsels the patient for bone strengthening medicine?	Who assesses the need for treatment? Other	What interventions can be recommended or initiated by the FLS?	How do patients obtain their first prescription of anti-resorptive bone sparing treatment, if it is recommended?	Do you routinely provide a falls assessment as part of your FLS?	Which of the following are covered by the falls risk assessment in the FLS?	Which of the following are covered by the falls risk assessment in the FLS? Other responses	If Assessment of gait, balance and mobility is selected in 6.2 which assessments are used?	If Assessment of gait, balance and mobility is selected in 6.2 which assessments are used? Other responses	Once FLS assessment is complete, who is informed of the outcome?	What information is included in the report?	Who is responsible for monitoring patients seen in the FLS?	What does the re-evaluation include?	How is adherence at 16 and 52 weeks evaluated?	How often is there a formal survey seeking patient/carer experience or satisfaction on the FLS?	How often is there a formal survey seeking patient reported outcomes (PROMs)?	How many completed responses did you get from your FLS patient survey in 2024?	Did you use the Royal Osteoporosis Society patient experience survey?	Which patient resources do you use?	Do you use the FLS-DB patient resources? (if no selected, please specify barriers to using them if any)	Which patient resources do you use? Other responses	How often does your FLS have a minuted governance meeting?	Please list the reporting structures for the governance minutes	How are patients involved in the governance of the FLS?	How are patients involved in the governance of the FLS? Other response
GWY	Betsi Cadwaladr UHB	GWY. Ysbyty Gwynedd Hospital	A community care based service		GWY. Ysbyty Gwynedd Hospital,CLW. Glan Clwyd Hospital	Betsi Cadwaladr University Health Board	Apr-15	Part of hospital general contract with no separate documentation for FLS		0.5	Nurse~band 5~0.4;Nurse~band 6~0.4;Nurse~band 8a~0.2		No			700000	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	Age range			FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions lists;Seen by Orthogeriatric service not FLS;Fracture clinic lists;IT systems;Trauma lists	symphony;WPAS		FLS visits the orthopaedic/trauma ward;Ward/emergency room admissions/discharge lists;Radiology;Seen by Orthogeriatric service;Other IT systems;Fracture clinic attended	WPAS		Using clinic lists;Other IT systems;Emergency Department lists;Referral from Emergency Department;Referral from primary/community services;Radiology report	Symphony, WPAS		Fracture clinic lists;Referral from primary/community services		Still developing pathway;Lack of standardised practise/language for radiology reporting		Yes	All fragility fractures >50 yrs screened as per the above systems	Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Renal function tests;Coeliac disease screen;Serum Electrophoresis;Urine electrophoresis (for Bence Jones protein);Testosterone/ Sex hormone binding globulin	DXA available within organisation	FLS specialist nurse practitioner;FLS nurse prescriber;Consultant linked to FLS		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 primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes	No - we refer patients on for a falls assessment					Primary care physician;Falls service;Service that referred to FLS	Date and type of fracture;DXA BMD;Primary osteoporosis risk factors;Secondary causes of osteoporosis (if applicable);Fall risk factors;Current drug treatment recommendations (if applicable);Follow-up plan;Lifestyle/health risk-factor assessment	Delegated to Primary Care physician	N/A monitoring is not carried out by the FLS	N/A monitoring is not carried out by the FLS	Longer than every 3 years	Never	Do not know	No	ROS resources			0	Do not have a meeting	Patients are not involved in governance
AHX	Ashford and St. Peter's Hospitals NHS Foundation Trust	AHX. Ashford Hospital	An acute hospital		SPH. St Peter's Hospital	NHS Surrey Heartlands	Nov-12	Block payment		0	Nurse~band 7~1		No			410000	Orthopaedic/trauma fracture outpatient clinics (e.g. wrist fractures)	Age range;Fracture site		Scaphoid;Face/skull;Rib;Avulsion	Seen by Orthogeriatric service not FLS			Not applicable			FLS visits the orthopaedic/trauma clinic			Visits spine clinic/reviews letters;Fracture clinic lists		Still developing pathway		No		Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;Liver function;Thyroid function;Liver function tests;Renal function tests;Serum Electrophoresis;Serum free light chains	DXA available within organisation	FLS specialist nurse practitioner		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 primary care physician	Yes	Number of falls in the last 12 months;Assessment for fear of falling				Patient;Primary care physician	Date and type of fracture;Fracture risk score;DXA BMD;Current drug treatment recommendations (if applicable);Medication compliance review	Delegated to Primary Care physician	N/A monitoring is not carried out by the FLS	N/A monitoring is not carried out by the FLS	Longer than every 3 years	Never	Do not know	No	ROS resources			0	No government minutes	Patients are not involved in governance