Follow Up

Audit and Quality Standards

Suggested annual audit parameters:

• Number of new fragility fractures
• Number of ‘at-risk’ patients
• Number of new osteoporosis diagnoses (not review)
• Number of patients referred for DEXA scan
• Number of patients with relevant DEXA result
• On osteoporosis register and on medication
• On osteoporosis register with reason for no medications (allergy, contraindication etc.)
• Bisphosphonate Prophylaxis suspended – treatment holiday
• On second line and special treatment (e.g. Denosumab & Teriparatide)
• On osteoporosis register and referred to secondary care or advice service
• Record of annual bone health review

Comprehensive quality standard guidance available:

• https://theros.org.uk/media/0dillsrh/ros-op-standards-november-2017.pdf
• https://www.nice.org.uk/guidance/qs149/chapter/quality-statements