The majority of individuals who sustain fragility fractures do not receive secondary preventive care. Innovators in many countries have responded to this care gap with the development of Fracture Liaison Services (FLS). FLS are designed in the context of the particular health system to ensure that all fragility fracture patients:

• Undergo assessment for osteoporosis and receive treatment, where warranted.
• Are evaluated for falls risk.
• Receive advice on lifestyle factors and nutrition.
• Collaboratively develop an individualised long-term care plan.

This presentation will summarise the characteristics of high-performing FLS. Examples of clinical or quality standards for FLS will be described. Multisector initiatives and alliances at the national level have resulted in policy and related financial incentives being deployed to support quality improvement efforts. Several examples will be reviewed.

The role of fragility fracture registries will also be considered.