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‘Time to focus on the blue dots’: an RCP workshop discussion on the NHS shift from hospital to community

In April 2025, the RCP hosted a workshop that explored how the NHS can respond to the government’s promised ‘hospital to community’ shift in care – the so-called ‘left shift’. With over 40 participants, including clinicians, patient representatives, national charities, royal colleges and policymakers, the event has resulted in a new toolkit – Time to focus on the blue dots – which calls for a fundamental shift in how the NHS delivers care.

Healthcare worker with patient

FFFAP data processing statements

Data processing statements for the three workstreams within the RCP's Falls and Fragility Fracture Audit Programme (FFFAP).

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Prescription for outpatients: reimagining planned specialist care

A new report from the Royal College of Physicians (RCP) and the Patients Association sets out a vision to reform planned specialist care over the next 10 years.

Elderly patient with healthcare worker

FFFAP Strategy: Improving quality in Falls and Fragility Fracture Audit Programme (FFFAP) services

The Falls and Fragility Fracture Audit Programme (FFFAP) is a national clinical audit run by the Royal College of Physicians (RCP). It is committed to improving patient outcomes and the efficiency of care that patients with fragility fractures and inpatient falls receive in acute and primary care settings, and to facilitating QI initiatives.

Patient Involvement Letter

Fracture Liaison Service Patient Engagement Letter

All Fracture Liaison Services should aim to have patients involved in the development and improvement of their FLS. With their lived experience, patients and caregivers can provide guidance to FLSs to improve outcomes and better care to patients.

Osteoporosis Management Course

Diagnosis and management of osteoporosis

The Diagnosis and management of osteoporosis e-learning module was developed for GPs, but are relevant for all healthcare professionals interested in of the diagnosis and management of osteoporosis.

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Procedure for measuring lying and standing blood pressure (BP)

The objective of this work was to create standardised, pragmatic advice on how to measure lying and standing BP in hospital wards. The purpose is to improve the adherence to this component of the NICE guidelines for fall prevention for hospital inpatients. Measuring lying and standing BP is part of the multi-factorial assessment to optimise safe activity (MASA).

Work With FFFAP (4)

Applying to work with Falls and Fragility Fracture Audit Programme data

The Falls and Fragility Fracture Audit Programme (FFFAP) has data available for healthcare professionals and academic institutions to access for research and analysis purposes.

FLS DB 2025 Annual Report (1)

FLS-DB annual report 2025

This is the eighth annual report for the Fracture Liaison Service Database (FLS-DB). You’ve had a fracture; how can we prevent another? provides national benchmark performance for the care of people with fragility fractures in 2023.