Kenny Franks
Project Manager, Fracture Liaison Service Database

Fracture Liaison Service Database

The FLSDB is a patient-centred FLS audit. This audit collects anonymised data about bone health investigations, treatment initiation, falls risk assessment and outcome monitoring for patients presenting with a fragility fracture. This audit is in line with the UK FLSDB, and the Irish Hip Fracture Database and is a real-time prospective audit with data being fed in from individual sites around the country to a centralised system, allowing benchmarking and real-time performance feedback

The FLSDB is under the governance of the Trauma and Orthopaedic Clinical Programme at RCSI. The National Fracture Liaison Service Steering committee was established in 2018.  The purpose of the committee is to develop and implement a national programme to improve patient outcomes after a fragility fracture through compliance with national and international standards. The Steering committee is tasked with implementing Recommendation 15 of A Trauma System for Ireland: Report of the Trauma Steering Group (2018).

The HSE should develop a comprehensive Fracture Liaison Service to provide high quality, evidence-based care to those who suffer a fragility fracture with a focus on achieving the best outcomes for recovery, rehabilitation and secondary prevention of further fracture.

Phase 1 of this project includes the hospitals with a well-established FLS who are adding data to the FLS Database.  This includes Tallaght University Hospital, University Hospital Galway, Waterford University Hospital, St. Vincent’s University Hospital, St James’s Hospital, Our Lady of Lourdes Hospital Drogheda and Beaumont Hospital.

In March 2021, an FLS National Webinar took place “FLS Services – A Roadmap for Ireland” This can be viewed here: