Royal Melbourne Hospital

We have had a nurse led fracture liaison service in operation since 2010 and have published the cost effectiveness of the service. Patients who are over the age of 50y that present with fragility fractures to the Royal Melbourne Hospital are identified by a fracture liaison nurse who provides a request for DXA scan, a blood test to screen for secondary causes of bone fragility and an appointment with an osteoporosis physician in a weekly fracture liaison service clinic. The clinician determines the therapy and follow up with the patient and monitors for treatment side effects.