Fracture Liaison Service Database
Falls and Fragility Fracture Audit Programme (FFFAP)
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Regions - 2025

Region Total FLS submitted records Rx5 Value* KPI 2 Non-Spine Case identification KPI 3 Spine fractures KPI 4 Assessment within 90 days KPI 5 DXA within 12 Weeks KPI 6 Falls risk assessment KPI 7 Bone treatment KPI 8 Strength & Balance by 16 weeks KPI 9 16 week follow up KPI 10 Treatment by 1st followup KPI 11 1 year drug adherence* Missed opps
1. National averagersNational 9372436211744.133.665.640.963.557.88.130.932.825.4 92602.6
2. England 8075932893344.930.565.943.166.158.28.231.534.726.4 81329.2
3. Wales 106042153543.970.470.716.343.657.38.326.321.816.8 5437
4. Northern Ireland 23351164927.511.93248.363.645.41.432.542.529.7 2440.4
East of England 108874210047.122.67340.375.470.924.333.637.534 9748.2
London 90653083537.537.260.13664.55220.845.434.925.2 8276.2
Midlands 115906073335.116.567.64255.370.33.616.919.717.5 16445.2
North East and Yorkshire 157045227556.336.250.829.946.945.22.21026.541.2 13197
North West 4823475253825.463.745.466.253.32.724.224.610.3 13146
South East 1588553130443368.455.879.158.56.652.548.229.5 13150
South West 128054194056.746.178.752.376.558.21.533.443.129.5 9876.2
Please note
The Rule of 5 (Rx5) is based on NHFD data. As the data cut for hip fractures in one year using NHFD is March of the next year, the current benchmark rule of 5 uses the NHFD data for the previous year until the NHFD data is updated.
For example, the 2025 benchmark tables for rule of 5 will use 2024 data until March 2026 when the NHFD data is updated and the rule of 5 is recalculated using the 2025 NHFD hip fracture data.
The current year will not include any missed opportunities data due to this data not being available until the completion of that year.
The data for KPI 11 is given for fracture dates in this year, for KPI 11 monitoring this year, please look at the previous year data.
Average metrics for the period for each FLS with additional colour coding of green as 80% or more achievement, amber as 50–79% achievement and red as <50% achievement; except for: B 6 where green shows >50% and red <50% achievement. Figures given in per cent (%), except where noted.
More information for each metric can be viewed under ‘Benchmark about’ at the bottom of the page.