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The Fracture Liaison Service Database (FLS-DB) Jan to December 2022FLS-DB 2022 organisational data
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Download this file| Fracture Liaison Service or site | Complete | FLS Name | Which NHFD hospitals do you provide the FLS to | Which ICS are you part of | What month & 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 | How many Consultant PAs (per week) are allocated to the FLS | 1.7 staff | Staff other | 1.8 Vacancies | 1.8a what vacancies | 1.8.1 Current vacancies | 2.1 Population size | 2.2 patient groups does your FLS cover | 2.3 restrictions are there on patients | 2.3 OtherRestrictions | 2.3.1 fracture sites are excluded | 3.1 identify hip fractures | 3.1 other | 3.2 dentify other non-hip non-vertebral fracture | 3.2 Other | 3.3 Identify outpatients | 3.3 Other | 3.4 identify vertebral fracture | 3.4 Other | 3.5 barriers have you experienced | 3.5 Other | 3.6 identifying potentially eligible | 3.6 Other | 4.1 identifying underlying secondary causes | 4.2 Access to DXA scan | 5.1 Assess need | 5.1 Other | 5.2 Interventions | 5.3 Obtain perscription | 6.1 Falls assessment | 6.2 Risk assessment | 6.2.1 gait balance and mobility assessment | 6.2.1 Other | 7.1 Who receives the report | 7.2 Included in the report | 8.1 Who monitors patients | 8.2 Re-evaluation include | 8.3 Adherence assessed | 9.1 Formal survey | 9.2 How many completed responses | 9.3 Did you use the ROS | 9.4 Use of FLSDB resources | 9.4 other | 10.1 How often minuted gov meeting | 10.2 Reporting structures | 10.3 patients involved in governance | 10.3 Other | ||
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| NCA. Northern Care Alliance - Bury Community Services | yes | Northern Care Alliance - Bury Community Services | Not set | Not set | NMG. North Manchester General Hospital,OHM. Royal Oldham Hospital | NCA bury | Jul-19 | Block payment | Not set | 0 | Not set | 1 | No | Not set | Not set | 194148 | Non-hip inpatient fragility fracture on orthopaedic/trauma wards;Non-hip inpatient fractures on non-orthopaedic/trauma ward (including inpatient fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures | Fracture site | Not set | Metacarpal;Metatarsal;Face/skull | Not applicable | Not set | Radiology | Not set | Not applicable | Not set | Screening general radiology reports | Not set | Lack of engagement with radiology department | Not set | No | Not set | Serum Calcium;Serum alkaline phosphate;Serum 25OH vitamin D;Full blood count;ESR;Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests | Refer to another DXA provider | FLS specialist practitioner;Delegated to Primary Care physician | Not set | Written material;Calcium and vitamin D supplementation advice;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests | FLS recommends therapy to orthogeriatrician and/or primary care physician;Metabolic bone disease / osteoporosis specialist prescribes | No - we refer patients on for a falls assessment | Not set | Not set | Not set | Patient;Primary care physician;Falls service | Date and type of fracture;Fracture risk score;Current drug treatment recommendations (if applicable);Medication compliance review;Follow-up plan | FLS coordinator;Specialist nurse | Medication adherence;Medication persistence;Medication adverse effects;Residential status;Post fracture mobility;Started a programme of strength and balance exercise;Recurrent fractures;Recurrent falls | Telephone interview;Postal questionnaire;Other | Continuous (every patient) | Do not know | No | What should happen if you or someone you know experiences a fragility fracture?;Strong bones after 50 - staying on treatment;Strong bones after 50: Fracture liaison services explained;ROS resources | Not set | 3 | KPI monitoring;Pathway monitoring | Patients are not involved in governance | Not set |
| BEM. Barnet Enfield And Haringey Mental Health NHS Trust | yes | Enfield Bone Health and Fracture Liaison | Not set | Not set | NMH. North Middlesex Hospital,RFH. Royal Free Hospital | North Central London Integrated Care Board | Jun-22 | Block payment | Not set | 0 | Nurse~band 7~2 | Not set | No | Not set | Not set | 329600 | Hip fracture (including inpatient fractures);Presenting with a clinical vertebral fracture;Opportunistic radiological vertebral fractures | Age range;Fracture site | Not set | Ankle;Scaphoid;Metatarsal;Face/skull;Patella;Avulsion | Fracture clinic lists;IT systems | Not set | Radiology;Fracture clinic attended | Not set | Other IT systems | Not set | Fracture clinic lists | Not set | Not funded;Unable to access radiology images;Still developing pathway;Lack of standardised practise/language for radiology reporting;Lack of engagement with radiology department;Lack of training in identifying vertebral fractures | Not set | No | Not set | Serum phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;ESR;Thyroid function;C-reactive protein;Renal function tests;Other | Refer to another DXA provider | FLS specialist practitioner | Not set | Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Romosozumab;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests | FLS recommends therapy to orthogeriatrician and/or primary care physician | Yes | Assessment of continence and toileting;Assessment of a history of falls;Number of falls in the last 12 months;Assessment for fear of falling;Assessment of a history of blackouts or syncope;Review of all medications and combinations of medications that increase falls risk;Assessment of gait and balance and mobility;A requirement to check lying and standing BP;Pulse check for rhythm and rate;An evaluation of vision;Assessment of home hazards | Ask about gait problems;Berg balance | Not set | Primary care physician | Date and type of fracture;Fracture risk score;DXA BMD;Primary osteoporosis risk factors;Secondary causes of osteoporosis (if applicable);Fall risk factors;Current drug treatment recommendations (if applicable);Medication compliance review;Follow-up plan;Lifestyle/health risk-factor assessment | Specialist nurse | Medication adherence;Medication persistence;Medication adverse effects;Residential status;Post fracture mobility;Started a programme of strength and balance exercise;Recurrent fractures;Recurrent falls | Telephone interview | Continuous (every patient) | Do not know | No | ROS resources | Not set | 2 | Trust Audit | Patients are not involved in governance | Not set |
| ACE. Anglian Community Enterprise FLS | Not set | Anglian Community Enterprise FLS | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set |
| KCH. King's College Hospital | yes | King's College Hospital - Denmark Hill Site | Not set | Not set | KCH. King's College Hospital | Southwark & Lambeth | May-20 | Part of hospital general contract with no separate documentation for FLS | Not set | 0 | Nurse~band 7~1 | Not set | No | Not set | Not set | 1000000 | 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;Vertebral Fracture Assessment using DXA spine imaging;Opportunistic radiological vertebral fractures | None | Not set | Not set | Ward/emergency room admissions lists;Fracture clinic lists | Not set | Ward/emergency room admissions/discharge lists;Fracture clinic attended | Not set | Using clinic lists | Not set | Fracture clinic lists | Not set | Lack of standardised practise/language for radiology reporting;Lack of engagement with radiology department;Other | Lack of manpower to identify all fractures | No | Not set | Serum Calcium;Serum phosphate;Serum alkaline phosphate;Serum 25OH vitamin D;Serum Parathyroid hormone;Full blood count;ESR;Liver function;Thyroid function;C-reactive protein;Liver function tests;Renal function tests;Coeliac disease screen;Serum free light chains;Testosterone/ Sex hormone binding globulin | DXA available on site | FLS specialist practitioner | Not set | Written material;Calcium and vitamin D supplementation advice;Oral bisphosphonates;Denosumab;Intravenous bisphosphonates;Teriparatide;Romosozumab;Further education programmes/resources;Clinic follow-up by appropriate specialist if abnormalities are identified on blood tests | FLS recommends therapy to orthogeriatrician and/or primary care physician;Orthogeriatrician prescribes;Metabolic bone disease / osteoporosis specialist prescribes | Yes | Assessment of continence and toileting;Assessment of a history of falls;Number of falls in the last 12 months;Assessment for fear of falling;Assessment of a history of blackouts or syncope;Review of all medications and combinations of medications that increase falls risk;Assessment of gait and balance and mobility;A requirement to check lying and standing BP;Pulse check for rhythm and rate | Ask about gait problems | Not set | Patient;Primary care physician | Date and type of fracture;Fracture risk score;DXA BMD;Primary osteoporosis risk factors;Secondary causes of osteoporosis (if applicable);Fall risk factors;Current drug treatment recommendations (if applicable);Medication compliance review;Follow-up plan;Lifestyle/health risk-factor assessment | Specialist nurse | Medication adherence;Medication persistence;Medication adverse effects;Residential status;Post fracture mobility;Started a programme of strength and balance exercise;Recurrent fractures;Recurrent falls | Telephone interview;DXA | Continuous (every patient) | 50 | Yes | ROS resources | Not set | 0 | n/a | Other | No governance meetings take place. |