The Fracture Liaison Service Database (FLS-DB)

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).

The FLS-DB is a continuous audit and was initiated to measure primarily against NICE technology assessments and guidance on osteoporosis, and the Royal Osteoporosis Society (ROS) clinical standards for FLSs. The FLS-DB patient audit has been collecting information on fragility fracture diagnosed from 1 January 2016.

FLS-DB methodology

If your organisation (hospital, primary care practice, network and/or other community service) treats fractures you need to participate in the FLS-DB.

Registration is open for all UK nations. 

Find all our resources below

Read the latest reports and resources from the FLS-DB.

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How a Fracture Liaison Service (FLS) can help men who have broken a bone

The leaflet outlines the benefits of a Fracture Liaison Service (FLS) for men who have suffered a fragility fracture, emphasising the importance of early diagnosis and treatment to improve bone health and reduce the risk of future fractures. Men are often less likely to seek help after a fracture, despite having a higher mortality rate and potential underlying health issues following a fracture.

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FFFAP resource map: Information for people who have fallen and broken a bone

In collaboration with our stakeholder group, including the Patient and Carer Panel (PCP) and the Royal Osteoporosis Society (ROS), the Falls and Fragility Fracture Audit Programme (FFFAP) team has produced a resource map to provide support for people who have suffered a broken bone after a fall.

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FLS-DB Starter pack

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.

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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.

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FLS-DB resource repository

A repository of all resources produced by the Fracture Liaison Service Database (FLS-DB) for healthcare professionals, patients and carers.

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FLS-DB annual report 2024

The seventh annual report for the Fracture Liaison Service Database (FLS-DB), 'Rebuilding FLSs to meet local patient need', provides national benchmark performance for the care of people with fragility fractures in 2022.

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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.

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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).

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.