National Toolkits


FLS Toolkit

Fracture Liaison Service Resource Pack. Mitchell PJ and Jordan J. Novartis. 2012.

Government initiatives

Three Australian states have published documents that specifically relate to post-fracture care and FLS:

Professional guidelines

In 2013, an Australian and New Zealand Hip Fracture Registry is also in development.


Government initiatives

The Ontario Osteoporosis Strategy: implementation of a population-based osteoporosis action plan in Canada. Jaglal SB, Hawker G, Cameron C, Canavan J, Beaton D, Bogoch E, Jain R, Papaioannou A; Osteoporosis Research, Monitoring and Evaluation Working Group. Osteoporos Int. 2010 Jun;21(6):903-908. PubMed ID 20309525

Professional guidelines

2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. Papaioannou A, Morin S, Cheung AM, Atkinson S, Brown JP, Feldman S, Hanley DA, Hodsman A, Jamal SA, Kaiser SM, Kvern B, Siminoski K, Leslie WD; Scientific Advisory Council of Osteoporosis Canada. CMAJ. 2010 Nov 23;182(17):1864-1873. PubMed ID 20940232

Osteoporosis Canada

Osteoporosis Canada is leading a nationwide initiative to improve post-fracture care which includes:


The French association "Groupe de Recherche et d'Information sur les Ostéoporoses" (GRIO) has launched a workshop on Fracture Liaison Services (FLS) to promote their implementation in France. This meeting was organized for centers which already have an FLS or those who want to develop one. Its purpose was to share one another’s experiences in this area by discussing what works well and what has been problematic. The long term goal is to try to have a common resource for France where a maximum amount of information is gathered. The document summarizes the discussions and programme held during that day.

Low Osteoporosis Treatment Initiation Rate in Women after Distal Forearm or Proximal Humerus Fracture: A Healthcare Database Nested Cohort Study. Viprey M, Caillet P, Canat G, Jaglal S, Haesebaert J, Chapurlat R, Schott AM. PLoS One. 2015 Dec 2;10(12):e0143842. PubMed ID 26630534

National Societies in France:

New Zealand 

FLS Toolkit

Osteoporosis New Zealand

In 2013, an Australian and New Zealand Hip Fracture Registry is also in development.

United Kingdom

FLS Toolkit

Fracture Liaison Service Resource Pack. Mitchell PJ and Adekunle F. Novartis. 2010.

Government initiatives

The Department of Health in England developed policy describing a systematic approach to falls and fracture prevention which included:

Professional guidelines

The care of patients with fragility fracture. British Orthopaedic Association and British Geriatrics Society. 2007.

National Osteoporosis Society

The National Osteoporosis Society (NOS) has led a national campaign for universal access to Fracture Liaison Services since 2009. Resources include:

In 2012, a multidisciplinary Falls and Fractures Alliance was established in England with the objective of reducing the rate of hospital admissions for (a) hip fractures and (b) falls and falls-related injuries in people over the age of 65 between 2012 and 2017.


National Bone Heath Alliance (NBHA)

Fracture Prevention CENTRAL: Promoting the Widespread U.S. Implementation of Post-Fracture Prevention and Care Coordination Programs

NBHA launched Fracture Prevention CENTRAL in March 2013, an online resource to help interested sites across the U.S. implement and maintain a post-fracture prevention program. Fracture Prevention CENTRAL includes materials collected from a number of successful programs, some of which have been in operation for over 15 years. With the guidance and resources provided, NBHA hopes to inspire others to implement a post-fracture prevention program to address the nearly 80% post-fracture care gap in the U.S. Fracture Prevention CENTRAL will begin a monthly webinar series in May 2013 to provide an opportunity for interested sites to learn more about this successful model of care.