ANZ Fragilty Fracture Registry 3rd Annual Report published

The below message is sent from our colleagues at the Australian and New Zealand Fragility Fracture Foundation. We commend them for another great year of success and excellent public reporting of the Registry project!

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Kia Ora Koutou,

Our third Annual Report is here, and we could not be prouder of what it reflects.

On behalf of the Australian and New Zealand Fragility Fracture Registry (ANZFFR), thank you for your ongoing support, expertise, and dedication to this work. This programme exists because of the people willing to contribute their time, knowledge, and networks to something larger than any single service or organisation.

New Zealand's 22 Fracture Liaison Service (FLS) teams deliver world-class secondary fracture prevention for people aged 50 and older, covering 98.9% of the country. Fragility fractures account for 190,000 hospital bed days annually, and behind every statistic is a person and their whānau facing pain, loss of independence, and fear of further injury. With the population ageing rapidly, this work has never been more urgent.

Australia continues building momentum, with the Clinical Standards for Secondary Fracture Prevention Services launched in November 2025, three participating FLS services, and growing clinical leadership supporting expanded coverage.

The ANZFFR supports FLS teams in day-to-day patient management, benchmarking, and quality improvement, tracking whether patients go on to have further fractures. Fifteen evidence-based Key Performance Indicators (KPIs) give teams a clear, consistent picture of care quality. Our 2026 Annual Report is our third, and for the first time, three years of data allow us to ask what matters most: are we making a difference

Of the 16,012 New Zealanders identified with a fragility fracture between 1 July 2024 and 30 June 2025:

• 80% had a bone health and falls risk assessment within 12 weeks

• 49% received a treatment recommendation, with 55% actively taking osteoporosis-specific treatment by 16 weeks, matching or exceeding international comparators

• 63% had a long-term care plan shared with their primary healthcare provider

The evidence says yes, we are making a difference.

None of this is possible without the people behind it.

The ANZFFR sincerely thanks:

• The patients and whānau who trusted us with their care and shared their stories

• Every team member across 22 New Zealand and three Australian FLS teams

• ACC’s Injury Prevention team

• Health New Zealand | Te Whatu Ora

• Osteoporosis New Zealand

• Everyone who has contributed to this work in ways both seen and unseen. You know who you are, and so do we

Together, we are making the first fragility fracture the last, and making that promise available to all.

Dr Frazer Anderson National Clinical Lead (NZ) Australian & New Zealand Fragility Fracture Registry, Consultant Geriatrician, Northland | Health NZ

Amanda Welch RN MN National Fragility Fracture Registry Manager, Osteoporosis New Zealand