What services are available for patients with osteoporosis in GGC?
GG&C Health Board provides a comprehensive range of osteoporosis services that aim to reduce the incidence of osteoporotic fractures (see table below). These services encourage prioritisation of patients who are at highest risk of fractures – for assessment and treatment for fracture prevention; patients with new fractures are identified via the Fracture Liaison Service (FLS) and FLS Radiology. General Practitioners (GP) in primary care can refer patients with previous fractures, or high risk of fractures via Direct Access DXA Service (DADS) & other hospital specialities can refer through the hospital systems if required.
|Service (click on required service to access more detail)||Aim|
|Fracture LiaisonService (FLS)||
Routine assessment of re-fracture risk & for the need for treatment for prevention of secondary fractures, for all women & men ≥50yr who present with a new fracture to orthopaedics or to A&E, or have a newly reported fracture, vertebral and non-vertebral fractures, identified from radiology reports.
|Direct Access DXA Service (DADS)||Assessment for osteoporosis and fracture risk in patients referred by GPs or AHPs on the basis that they have ≥1 agreed specific referral criterion. Criteria incl. past history of fracture & steroid treatment.|
|Bone / Mineral Metabolism Clinics||Assessment of patients at risk of osteoporosis & other metabolic bone disease referred by GPs & secondary care clinicians – where these patients are not suitable for the services described above. Patients with particularly severe or complex osteoporosis identified via FLS / DADS / SCDS are referred automatically to the Bone / Mineral Metabolism Clinics.|
|Patient Education Meetings||All patients processed by FLS & DADS whose fracture risk necessitates treatment are invited to attend a 2-3hour education programme. The aim is to empower patients and to encourage adherence to treatment & exercise regimens.|
|Physio||Patients referred from the range of sources above will receive specific physiotherapy assessments, and are given individualised treatment and advice on Osteoporosis generally and exercise specifically. Treatment options include referral to 12-week Physio-led introductory exercise classes, or to local leisure centre-based classes run by Culture & Sport Glasgow.|
What is the aim of the Osteoporosis Services?
The aim is to assess whether patients are at sufficient risk of fracture to require treatment. Fracture risk is primarily determined by assessment of bone mineral density (BMD) using dual-energy X-ray absorptiometry (DXA scanning), in the context of age and gender and also any risk factors that may increase the risk of a fracture, for example a past history of fracture (over age of 50yr).
Who manages the GG&C Osteoporosis Services?
The GG&C Osteoporosis Strategy Group is responsible for the oversight of Osteoporosis and Densitometry services across GG&C.