Hundreds of thousands of post-menopausal women are facing the risk of life-altering bone fractures due to delays in implementing NHS osteoporosis checks, experts caution. The Royal Osteoporosis Society highlights a government failure to fulfill a promise, resulting in stagnant diagnoses and approximately 200,000 missed cases annually. Osteoporosis affects half of women over 50 and one in five men, ranking as the UK’s fourth leading cause of disability and premature death.
According to the society, the absence of a Fracture Liaison Service (FLS) in all NHS trusts is contributing to the problem, with only half currently offering these services. FLS aims to screen hospitalized patients for osteoporosis risk, providing bone-strengthening medication and physiotherapy sessions. Former health secretary Wes Streeting pledged to prioritize this initiative upon Labour’s assumption of power in 2024.
Recent data from the national Fracture Liaison Service audit reveals an underwhelming increase in identified patients in England, falling short of the expected numbers. The Royal Osteoporosis Society emphasizes the urgency for a comprehensive rollout of FLS clinics nationwide to address the concerning trend of stagnant osteoporosis diagnosis rates.
Osteoporosis, a condition characterized by bone thinning, often emerges during menopause when estrogen levels decline, impacting bone density and strength. It is estimated that 3.5 million individuals in the UK have this condition, which progresses slowly and is frequently diagnosed only after a fracture occurs, commonly in the hip, wrist, or spinal bones.
Craig Jones, CEO of the Royal Osteoporosis Society, expresses disappointment in the sluggish progress, warning that the current trajectory suggests the promise may not be fulfilled until 2064. Urging Health Secretary James Murray to take decisive action, Jones emphasizes the need for an implementation plan to ensure timely access to life-saving care for individuals in England.
Responding to criticisms, a Department of Health and Social Care spokesperson reaffirms the government’s commitment to expanding fracture liaison services by 2030, aligning with the 10-Year Health Plan and Women’s Health Strategy. Additionally, investments in advanced DEXA scanners aim to enhance early diagnosis of fragile bones, particularly benefiting older individuals and women disproportionately affected by osteoporosis.