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Osteoporosis in the new contract

Osteoporotic fracture will affect one in three women and one in 12 men after the age of 50. The cost to the NHS is £1.7 billion a year and rising fast because age is the greatest predictor of fracture.

There is excess morbidity and mortality associated with all osteoporotic fractures. One in three 65-year-olds will fall in the next 12 months. Apart from 75 per cent of vertebral fractures, nearly all minimal trauma fractures are related to falls.

We have just had a national service framework on this. Will someone tell me why this is not in the quality framework and hypothyroidism is?

Will someone tell me why effectively the NHS Confederation and the GPC between them are going to set the intervention agenda for years to come?

To imply the framework is not going to channel energy and enthusiasm is plainly naive.

Dr Jonathan Bayly

Clinical lead

Gloucestershire primary care clinical audit group

Stroud

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