ROYAL COLLEGE OF PHYSICIANS OF LONDON: The Fracture Liaison Service Database (FLS-DB) is a clinically led, web-based quality improvement initiative commissioned by the Healthcare Quality Improvement Partnership (HQIP) a

Data-sharing agreement from NHS Digital registers of approved data releases, 2014–2019. Evidence status: source reported.

Organisation: Royal College of Physicians of London
Source reference: DARS-NIC-128537-M2P7G-v0.7
Jurisdiction: England
Licence: Open Government Licence v3.0, subject to NHS England terms and exclusions

Register reference: DARS-NIC-128537-M2P7G-v0.7
Agreement period: not published to no end date published
For commercial purposes (as marked in the register): Not stated
Release files listed by NHS England: 1

Data approved

MRIS - List Cleaning Report

Objective, as published

The Fracture Liaison Service Database (FLS-DB) is a clinically led, web-based quality improvement initiative commissioned by the Healthcare Quality Improvement Partnership (HQIP) and managed by the Royal College of Physicians (RCP). This is an ongoing initiative being delivered as part of a national clinical audit programme - currently commissioned until 31/03/2021. There are an estimated half a million fragility fractures in the UK each year – more than three times the annual number of strokes. Fragility fractures are a major clinical event for patients, their families and carers. The direct health cost of these fractures are estimated at £4.3 billion every year. With an ageing population, absolute numbers of hip fractures are projected to increase by 65% in the next 20 years. National Institute for Health and Care Excellence (NICE)-approved medications significantly reduce the risk of the next fracture by 20–70% (depending upon fracture site). This is a substantial reduction in risk. The overall aims of the FLS-DB are to improve the quality of care for patients who present to Fracture Liaison Services with a fragility fracture by measuring adherence to evidence based standards of care in the area of falls and fracture prevention. Fracture Liaison Services (FLSs) aim to reduce the risk of subsequent fractures by systematically identifying, treating and referring to appropriate services all eligible patients aged 50 and over who have suffered a fragility fracture. The FLS is…

Expected benefits, as published

The overall aims of the FLS-DB is to improve the quality of care for patients who present at fracture liaison services with a fragility fracture by measuring adherence to evidence based standards of care in the area of falls and fracture prevention. The estimated number of avoidable fractures every year is in the thousands. Any fragility fracture approximately doubles the risk of another fracture (ie a secondary fracture). If more patients were treated after a fragility fracture, many of these fractures could be avoided. All eligible patients receiving effective secondary fracture prevention would provide a real benefit to people in the UK, with almost 54,000 fractures prevented in the first 5 years. Preventing fragility fractures is an important quality target area for reducing local var…

Source: https://webarchive.nationalarchives.gov.uk/ukgwa/2019/https://digital.nhs.uk/binaries/content/assets/website-assets/service/dars/release-registers/releaseregister20180301_20180524.xlsx. Captured 2026-10-30.

Limitations: Agreement as recorded in an NHS Digital register of approved data releases (2014–2019), retrieved from the UK Government Web Archive. That register lists releases made in its period and the agreement's purpose statement as it then stood; it gives no agreement dates, and the agreement may have changed since. Imported only where a paper quotes a reference no current register holds.