2019 clinical audit data barnadised
Source: data.gov.uk (2021-05-24)

The Fracture Liaison Service Database (FLS-DB) Jan to December 2019. The data documents FLS level compliance with defined clinical standards for secondary fracture prevention. Details of these standards can be found in the FLS-DB audit report. The audit was initiated to measure primarily against NICE technology assessments and guidance on osteoporosis, and the National Osteoporosis Society clinical standards for FLSs.

Data was extracted from the FLS database in September 2020, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2019.

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- FLS-DB transparency data
Report

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Active

03/05/23

03 May 2023

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).

The FLS-DB patient audit has collected information on fragility fractures diagnosed from 1 January 2016.

Making clinical audit data transparent

In his transparency and open data letter (http://www.number10.gov.uk/news/letter-to-cabinet-ministers-on-transparency-and-open-data/) to cabinet ministers on 7 July 2011, then Prime Minister David Cameron, made a commitment to make clinical audit data available from the national audits within the National Clinical Audit and Patient Outcomes Programme (NCAPOP). This data will be released in an open and standardised format and provided annually from then onwards.

Covering Fracture Liaison Services (FLSs) in England and Wales, FLS-DB audit data includes information about data completeness, case-mix and care.

What information is being made available?

FLS level data on care processes. The data does not include details of individual patients or any patient identifiable data.

Using and interpreting the data

Data from the FLS-DB requires careful interpretation, and the information should not be looked at in isolation when assessing standards of care. Data is provided by every participating FLS in England and Wales.

Accessing the data

The data is being made available on the data.gov.uk (http://data.gov.uk/)website and on this page. Each year one file of data from the FLS-DB will be made available in CSV format. FLSs are identified by name.

What does the data cover?

The data documents FLS level compliance with defined clinical standards for secondary fracture prevention. Details of these standards can be found in the FLS-DB audit report. The audit was initiated to measure primarily against NICE technology assessments and guidance on osteoporosis, and the National Osteoporosis Society clinical standards for FLSs

What period does the data cover?

Round 1 - January 2016 to June 2016

For round one of the FLS-DB audit data was extracted from the FLS database in October 2016, and covers patients diagnosed with a fragility fracture within the NHS between January and June 2016.
- FLS-DB Annual Report Transparency Data (/media/beodjhn4/fls-db-annual-report-transparency-data-csv_0-1-1.csv)
- FLS-DB Data Definitions (/media/02rfzwii/fls-db-data-definitions-csv_0-1-1.csv)
Round 2 - January 2016 to December 2016

For round two of the FLS-DB audit data was extracted from the FLS database in June 2017, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2016.
- FLS-DB Annual Report Transparency Data (/media/s3oaqzvf/copy-of-copy-of-fls-db-data-definitions-2017-cg_1.xlsx)
- FLS-DB Data Definitions (/media/uwml5cy0/transparancy-data_1.xlsx)
Round 3 - January 2017 to December 2017
- FLS-DB Annual Report Transparency Data (/media/fdqfscpm/2017-clinical-audit-data-barnadised.xlsx)
- FLS-DB Data Definitions (/media/h1enobtf/2017-clinical-audit-data-definitions-files.xlsx)
- FLS-DB Annual Report Transparency Data - Organisational audit (/media/piso1bhq/2017-organisational_data.csv)
- FLS-DB Data Definitions - Organisational audit (/media/x1vcqbc4/2017-organisational-data-definitions.csv)
Round 4 – January 2018 to December 2018

For round four of the FLS-DB audit, data was extracted from the FLS database in June 2019, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2018.
- 2018 Organisational data (/media/vitonkga/2018-organisational_data.csv)
- 2018 Organisational data definitions (/media/ko1dquqh/2018-organisational-data-definitions.csv)
- 2018 clinical audit data barnadised (/media/jijh110e/2018-clinical-audit-data-barnadised.xlsx)
Round 5 – January 2019 to December 2019

For round five of the FLS-DB audit, data was extracted from the FLS database in September 2020, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2019.
- FLS-DB 2019 Organisational data (/media/otenz2lt/2019-organisational-data.csv)
- FLS-DB 2019 Organisational data definitions (/media/m3ohhrag/2019-organisational-data-definitions.csv)
- 2019 clinical audit data barnadised.csv (/media/g0jpgr3i/2019-clinical-audit-data-barnadised.csv)
- 2019 clinical audit data definitions files.xlsx (/media/nukm0k14/2019-clinical-audit-data-definitions-files_1.xlsx)
Round 6 – January 2020 to December 2020

For round six of the FLS-DB audit, data was extracted from the FLS database in April 2021, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2020.
- FLS-DB 2020 organisational data (/media/q2hlykrs/fls-db-2020-organisational-data_0.xlsx)
- FLS-DB 2020 organisational data definitions (/media/u5sdj11d/fls-db-2020-organisational-data-definitions_0.xlsx)
- FLS-DB 2020 clinical data - barnadised (/media/5vdnix2w/fls-db-2020-clinical-data-barnadised_0.xlsx)
- FLS-DB 2020 clinical data definitions (/media/41modxou/fls-db-2020-clinical-data-definitions_0.xlsx)
Round 7 – January 2021 to December 2021

For round seven of the FLS-DB audit, data was extracted from the FLS database in May 2022, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2021.
- FLS-DB 2021 organisational data (/media/avxhfbls/fls-db-2021-clinical-data-barnadised.xlsx)
- FLS-DB 2021 organisational data definitions (/media/klsbw0zb/fls-db-2021-organisational-data-definitions.xlsx)
- FLS-DB 2021 clinical data - barnadised (/media/fzrl1mvm/fls-db-2021-organisational-data.csv)
- FLS-DB 2021 clinical data definitions (/media/gdolovls/fls-db-2021-clinical-data-definitions.xlsx)
Round 8 – January 2022 to December 2022

For round eight of the FLS-DB audit, data was extracted from the FLS database in June 2023, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2022.
- FLS-DB 2022 clinical data barnadised.csv (/media/ag5ffcdy/fls-db-clinical-data-barnadised-2022.csv)
- FLS-DB 2022 clinical data definitions.xlsx (/media/sv3k1b0a/fls-db-clinical-data-definitions-2022.csv)
- FLS-DB 2022 organisational data definitions.xlsx (/media/ma4b0tk2/fls-db-2022-organisational-data-definitions_0.xlsx)
- FLS-DB 2022 organisational data.csv (/media/r1bfhpbj/fls-db-2022-organisational-data.csv)
Round 9 – January 2023 to December 2023

For round nine of the FLS-DB audit, data was extracted from the FLS database in June 2024, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2023.
- FLS-DB 2023 clinical data barnadised.csv (/media/30zjj4bx/fls-db-clinical-data-barnadised-2023.csv)
- FLS-DB 2023 clinical data definitions.xlsx (/media/xf0n1jyh/fls-db-clinical-data-definitions-2023.csv)
Round 10 - January 2024 to December 2024

For round ten of the FLS-DB audit, data was extracted from the FLS database in June 2025, and covers patients diagnosed with a fragility fracture within the NHS between January and December 2024.
- FLS-DB 2024 clinical data barnadised.csv (/media/r40a2o43/fls-db-clinical-data-barnadised.csv)
- FLS-DB 2024 clinical data definitions.xls (/media/1iqp5olg/fls-db-clinical-data-definitions-2024.xlsx)
- FLS-DB 2024 organisational data.csv (/media/s0sf0dpu/fls-db-organisational-data.csv)
- FLS-DB 2024 organisations data definitions.xls (/media/ybfdy2qh/fls-db-organisational-data-definitions-2024.xlsx)
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