Question to the Department of Health and Social Care:

To ask His Majesty's Government whether NHS England has set key performance indicators for integrated care boards or NHS Trusts to improve detection of osteoporotic fractures; and, in considering whether or not to set such key performance indicators, whether NHS England takes account of the risk that bone fractures can cause of premature death and disability.

As part of the National Clinical Audit and Patient Outcomes Programme, the Healthcare Quality Improvement Partnership commission and manage a range of audits, including the Falls and Fragility Fracture Audit Programme. These collect and analyse data supplied by local clinicians to provide a national picture regarding care. The results can then be used by systems and trusts to focus quality improvement.

This programme audits against a range of key performance indicators informed by National Institute for Health and Care Excellence (NICE) technology assessments and guidance from the Royal Osteoporotic Society Clinical Standards. This includes those related to detection of osteoporotic fractures. There are also indicators related to osteoporosis and the prevention of fragility fractures within the Quality and Outcomes Framework.