Fracture Liaison Services

Our specialist Service Delivery Team support the development and improvement of FLS across the UK.

Fracture liaison services (FLS) systematically identify people aged 50 and older who have had a ‘fragility fracture’, with the aim of reducing their risk of further fractures. 

Our work includes:

  • bespoke and expert support from inception to launch of an FLS, including support and templates for the development of the business case and service specification
  • support to understand key stakeholders, including commissioners, service planners, and NHS management to generate commitment to FLS and ensure that services are sustained
  • assistance with induction and training of the fracture liaison nurse/practitioner
  • support for quality improvement to enable the development of an FLS to meet the UK FLS Clinical Standards, including support with gap analysis and networking with peers
  • advice regarding relevant protocols and care pathways for the service
  • advice regarding data collection and methods of analysis, reporting, evaluation and inputting to national audits, such as the FLS-DB
  • guidance on providing good support and education for patients

This is underpinned by a range of freely available evidence-based online resources and training.

These services and resources are provided free of charge.

Further reading: Clinical Publications


A map showing FLS Identification Rates from the FLS-DB

This map has used the 2023 figures from the Fracture Liaison Service Database (FLS-DB) as of May 2023 for the KPI 2: Identification of Cases. A higher identification rate is more desirable as it means less patients are being missed, not receiving a diagnosis. The points on the map that are grey, marked not submitting, are where Fracture Liaison Services (FLS) would be expected. Scotland has 100% FLS coverage, however, does not submit to the FLS-DB so no data is available, these FLS’s have been coloured purple. The variation across the UK helps to highlight the postcode lottery on the treatment that people receive.

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Contact us to see how we might be able to support your service development:

Clinical standards for fracture liaison services

Clinical standards for fracture liaison services August 2019

Help our specialist nurses continue to support those in need