1. Svedbom et al, Epidemiology and Economic Burden of Osteoporosis in UK, Archives of Osteoporosis, 2013 8:137, P212. Incidence is calculated for age bands selected and applied to the input population.  Parameters for 'Other site' in Calculator is calculated from 'forearm' and 'other' in source paper above.

2. Sample data based on 6 UK sites where FLS is established comparing the predicted incidence of fragility fractures using data from Svedbom (above) with actual numbers seen in the service.  Data available on request, filename: Benefits Calculator data validation Jul 15 compiled V2.0. Calculation assumes all patients admitted with hip fracture will be seen in the FLS and not treated via a different pathway. 

3. 2014-15 National Tariff Payment System: Annex 6A Market Forces Factor payment values. These are applied to NHS Acute care costs only.

4. http://www.ons.gov.uk/ons/rel/snpp/sub-national-population-projections/2012-based-projections/index.html

5.National Hip Fracture Database National Report 2013;Table 23

B1. National Institute for health and Clinical Excellence/ScHARR, Bisphosphonates for preventing osteoporotic fragility fractures (including a partial update of NICE technology appraisal guidance 160 and 161): Assessment report , March 2015; Table 31, P328

B2. National Institute for health and Clinical Excellence/ScHARR, Bisphosphonates for preventing osteoporotic fragility fractures (including a partial update of NICE technology appraisal guidance 160 and 161): Assessment report , March 2015; Table 12, P276

B3. National Institute for health and Clinical Excellence/ScHARR, Bisphosphonates for preventing osteoporotic fragility fractures (including a partial update of NICE technology appraisal guidance 160 and 161): Assessment report , March 2015; P327 and Table 31, P328

B4. Department of Health, Fracture prevention services: An economic evaluation, 2009. Table 4, P13.  NHS Community service savings divided by number of fractures prevented (18).  Not uplifted.  

B5. Lifetime cost of residential and nursing home care weighted for individual fracture.  Calculated from sources below.  Calculations available on request, file name: NOS Benefits Calculator Source data 03 V1.0. Johanssen A et al, Outcome following hip fracture: post-discharge residence and long term mortality, Age and Ageing,  28 June 2010. Social care costs for proximal femoral fractures (PROFFS) patients admitted to JR in 2008 (draft)

B6. NHS England, 2014/15 National Tariff Payments System: Annex 5A; Sheet  '02. OP attendances, Endocrinology first appointment

B7. NHS England, 2014/15 National Tariff Payments System: Annex 5A; Sheet  '03. A&E, VB03Z

B8. National Institute for health and Clinical Excellence/ScHARR, Osteo model 31 preped for consultation; sheet 'Cost of fractures'

B9. NHS England, 2014/15 National Tariff Payments System: Annex 5A; Sheet  '02. OP attendances, Trauma & Orthopaedics follow up appointment