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National Osteoporosis Society

Osteoporosis helpline

0845 450 0230

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Fracture Liaison Services

Fracture Liaison Services (FLS) successfully, and cost-effectively, case-find osteoporosis in patients who have had a fragility fracture. This has lead to this service model gaining the support of the National Osteoporosis Society, all relevant professional organisations and the Department of Health.

Find out more about FLS and use these resources to support the development of your service.

Our FLS Events

In October 2010, the National Osteoporosis Society held a series of learning events across England and Wales. The interactive events explained the clinical and cost effectiveness case for Fracture Liaison Services (FLS), explored the key components of a successful service and examined the process of business planning.

The slides from the days can be downloaded using the links below. If you wish to use them with colleagues or at meetings, please acknowledge that they were developed for the National Osteoporosis Society FLS Education Programme and ensure that they are appropriately referenced.

Putting FLS into Context: Patients, Professionals and Policymakers

Fracture Liaison Service provision in the South West (Bristol meeting)
Fracture Liaison Service provision in the North East (Newcastle meeting)
Fracture Liaison Service provision in Wales (Cardiff meeting)
Fracture Liaison Service provision in the North West (Manchester meeting)
Fracture Liaison Service provision in the Midlands (Birmingham meeting)

Commissioning an FLS

From zero to FLS: implementation and beyond

Department of Health support for falls and fractures services

In 2009, the Department of Health (DH) launched its Prevention Package for Older People, which includes documents to support the development of services to prevent falls and fractures. This includes guidance for commissioners and an economic evaluation of Fracture Liaison Services showing that they are cost saving.

Falls and fractures: effective interventions in health and social care

Fracture prevention services: an economic evaluation

Falls and fractures: developing a local joint strategic needs assessment

Fracture Liaison Model

A flexible modeling tool has been developed by Harvey Walsh Limited via a service to medicine grant from Procter and Gamble (PG) Pharmaceuticals, in conjunction with NHS clinicians. The tool is hosted by the Department of Health.

The tool has been designed for use by individual communities to develop a business case for a fracture liaison service, allowing them to include both local activity data and local costs to forecast the impact of such a service.

Download the tool at: http://fracture-liaison-model.co.uk/

Fracture Liaison Services Resource Pack

Provided as a service to medicine by Novartis Pharmaceuticals, the fully referenced FLS Resource Pack outlines relevant national policy, the rationale for secondary fracture prevention and information about Fracture Liaison Services. It also contains a generic business plan template for a Fracture Liaison Service which can be downloaded as a Word document using the link below.  Simply make the changes indicated in red to create a business case for your area.

Fracture Liaison Services Resource Pack

Fracture Liaison Services Business Case template

The Care of Patients with Fragility Fracture

Jointly produced by the British Orthopaedic Association and British Geriatric Society, the ‘Blue Book’ gives a professional consensus on standards of care for hip fracture and secondary fracture prevention.

The Blue Book

QIPP: Quality, Innovation, Productivity, Prevention

Fracture Liaison Services deliver innovative, preventative care that will improve quality and reduce costs through a reduction in unscheduled emergency admissions.

FLS addresses all elements of the QIPP agenda and the overarching objective of the NHS Outcomes Framework. FLS are included as a quality and productivity example on the NHS Evidence website at:

Fragility Fractures – Prevention


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