Fracture liaison services (FLS) provide secondary prevention for fragility fractures. These services identify patients in secondary and/or primary care who have suffered a fragility fracture and assess the patient\u2019s risk of future fragility fracture in a timely fashion. A FLS then provides advice and/or therapy to reduce that risk.<\/p>
<\/p>
The National Institute for Health and Care Excellence (NICE) evidence based guideline Osteoporosis: assessing the risk of fragility fracture<\/em>, updated in February 2017, sets out best practice on management of fracture risk in patients with osteoporosis. A copy of the guideline is attached. The guidance recommends that clinicians consider assessment of fracture risk in all women aged 65 years and over and all men aged 75 years and over. Women aged less than 65 years and men aged less than 75 years should be considered for assessment in the presence of certain risk factors, such as a family history of hip fracture or low body mass index.<\/p> <\/p> Regarding bone density scanning, NICE recommends it be considered after patients have first been assessed using a validated risk assessment tool, such as FRAX, which clinicians can use to evaluate the 10-year probability of bone fracture risk in patient. The guidance also recommends other circumstances where bone density scanning should be considered, including for patients who are to undergo treatment which may affect bone density, such as certain treatments for breast or prostate cancer.<\/p> <\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4545", "label" : {"_value" : "Biography information for Lord O'Shaughnessy"}
}
, "answeringMemberPrinted" : {"_value" : "Lord O'Shaughnessy"}
, "attachment" : {"_about" : "http://data.parliament.uk/resources/800466/answer/attachment/1", "fileName" : {"_value" : "osteoporosis-assessing-the-risk-of-fragility-fracture-pdf-35109574194373.pdf"}
, "title" : "Osteoporosis"}
, "dateOfAnswer" : {"_value" : "2017-12-14", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : {"_value" : "HL3852"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2017-12-14T15:01:14.797Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2017-12-04", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Osteoporosis"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty's Government whether they intend to ensure that women over 60 years old are routinely offered bone density scans to ascertain bone health.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/518", "label" : {"_value" : "Biography information for Baroness Quin"}
}
, "tablingMemberPrinted" : [{"_value" : "Baroness Quin"}
], "uin" : "HL3853"}
, {"_about" : "http://data.parliament.uk/resources/451119", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/451119/answer", "answerText" : {"_value" : " Data are not collected on the average waiting time for a result to be given for a dual energy X-ray absorptiometry (DEXA) scan. Data are collected on the average waiting time from referral to test, and these are shown in the following table for the four NHS England commissioning regions for most recent period, which is November 2015. Health is a devolved matter in Scotland and Wales.<\/p> <\/p> Table: average median waiting times in weeks for a DEXA scan from referral by NHS England commissioning region, November 2015<\/p> <\/p> Region<\/p><\/td> Number of weeks<\/p><\/td><\/tr> North of England<\/p><\/td> 2.1<\/p><\/td><\/tr> Midlands and East of England<\/p><\/td> 1.7<\/p><\/td><\/tr> London<\/p><\/td> 1.8<\/p><\/td><\/tr> South of England<\/p><\/td> 1.8<\/p><\/td><\/tr> England<\/p><\/td> 1.9<\/p><\/td><\/tr><\/tbody><\/table> <\/p> <\/strong><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/127", "label" : {"_value" : "Biography information for Lord Prior of Brampton"}
}
, "answeringMemberPrinted" : {"_value" : "Lord Prior of Brampton"}
, "dateOfAnswer" : {"_value" : "2016-02-11", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2016-02-11T13:18:56.853Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2016-02-08", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Osteoporosis"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government what is the average waiting time for a result to be given of a DEXA bone density scan in each NHS region in England; and what assessment they have made of the average waiting time for such results in (1) Scotland, and (2) Wales.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/518", "label" : {"_value" : "Biography information for Baroness Quin"}
}
, "tablingMemberPrinted" : [{"_value" : "Baroness Quin"}
], "uin" : "HL5985"}
, {"_about" : "http://data.parliament.uk/resources/229257", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/229257/answer", "answerText" : {"_value" : " The following table provides a count of finished admission episodes where there was a primary or secondary diagnosis of fractures attributable to osteoporosis amongst men, women and genders not specified for the age groups requested for the period 2013-14.<\/p> <\/p> <\/strong><\/p> <\/p> Women<\/p><\/td> Men<\/p><\/td> Unknown gender<\/p><\/td><\/tr> Aged under 50<\/p><\/td> Aged above 50<\/p><\/td> Unknown age<\/p><\/td> Aged under 50<\/p><\/td> Aged above 50<\/p><\/td> Unknown age<\/p><\/td> Aged under 50<\/p><\/td> Aged above 50<\/p><\/td> Unknown age<\/p><\/td><\/tr> 252<\/p><\/td> 11,142<\/p><\/td> 15<\/p><\/td> 237<\/p><\/td> 3,232<\/p><\/td> 8<\/p><\/td> -<\/p><\/td> 3<\/p><\/td> -<\/p><\/td><\/tr><\/tbody><\/table> <\/p> <\/p> <\/p> Notes:<\/em><\/p> <\/p> <\/p> <\/p> 1. A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.<\/p> <\/p> <\/p> <\/p> 2. The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.<\/p> <\/p> <\/strong><\/p> <\/p> Source:<\/em> Hospital Episodes Statistics (HES) Health and Social Care Information Centre.<\/p> <\/p> <\/strong><\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1439", "label" : {"_value" : "Biography information for Norman Lamb"}
}
, "answeringMemberConstituency" : {"_value" : "North Norfolk"}
, "answeringMemberPrinted" : {"_value" : "Norman Lamb"}
, "dateOfAnswer" : {"_value" : "2015-03-26", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2015-03-26T12:53:05.377Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2015-03-23", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Osteoporosis"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Health, how many finished hospital admission episodes with a primary or secondary diagnosis of fractures attributable to osteoporosis there were amongst (a) women under, (b) women over, (c) men under and (d) men over the age of 50 in 2013-14.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4026", "label" : {"_value" : "Biography information for Liz Kendall"}
}
, "tablingMemberConstituency" : {"_value" : "Leicester West"}
, "tablingMemberPrinted" : [{"_value" : "Liz Kendall"}
], "uin" : "228838"}
, {"_about" : "http://data.parliament.uk/resources/100721", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/100721/answer", "answerText" : {"_value" : " The following table shows estimated expenditure on research on asthma, motor neurone disease (MND) and osteoporosis by the Medical Research Council, other Research Councils and Innovate UK, and by the National Institute for Health (NIHR) through its research programmes, research centres and units, and research fellowships.<\/p> <\/p> <\/p> <\/p> £ million<\/em><\/p> <\/p>