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*
1. National averagesNational 7692722210435.929.66740.165.956.48.131.330.8Not available yet
2. England 6637019034436.926.967.342.279.1568.131.532.9Not available yet
3. Wales 89152201035.162.36915.554.561.49.129.119.9Not available yet
4. Northern Ireland 1608975018.58.442.462.498.345.31.135.542.3Not available yet
East of England 96592542042.81973.838.380.969.223.331.632.3Not available yet
London 75022367531.333.364.937.477.152.721.644.931.5Not available yet
Midlands 66153847918.412.264.442.576.9671.811.215.6Not available yet
North East and Yorkshire 132522987547.432.151.930.566.444.12.99.524.4Not available yet
North West 37021216031.52658.938.78446.71.912.211.3Not available yet
South East 13349374803730.172.356.187.657.266050.5Not available yet
South West 122912325555.641.87949.380.656.21.429.139.5Not available yet
*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 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: i) B 2 Spine fractures – where green shows >20%, amber 11-19% and red <10% and ii) 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.