NOS_Osteoporosis and Bone Conference 2012 welcome session ppt
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Transcript of NOS_Osteoporosis and Bone Conference 2012 welcome session ppt
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Claire SevergniniChief ExecutiveProfessor Terry O’NeillChair of the Clinical and Scientific Committee
National Osteoporosis Society Update 2012
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• The only UK-wide charity dedicated to improving the prevention, diagnosis and treatment of osteoporosis and fragility fractures.
• Our vision is a future without fragility fractures.
• Dependent on financial support from individual donations, legacies, and membership. We do not receive statutory funding.
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Board of Trustees
Finance, General Purposes and Audit
Committee
Appointments and Governance Committee
Members and Volunteers Committee
Clinical and Scientific
Committee
Research Grants Committee
Clinical and Scientific Advisory Community
Conference Committee
Nutrition and Lifestyle Forum
Osteoporosis Review Editorial
Board
Bone Densitometry Training Advisory
Panel
Working groups incl: ORPC, Vit D, FLS
Standards
Senior Management Team
Governance Structure
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What We Do
Influence Policy
Support Health Professionals
Support Individuals
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Government guidance on and support for fracture prevention across the UK
NHS health reforms: indicators for fracture prevention are included
Seven year campaign: osteoporosis incentives for primary care (Quality and Outcomes Framework - QOF)
NICE management and treatment guidelines
Influencing Policy
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Quality and Outcomes Framework
Delivering our messages to 10 Downing Street. Lord Black, Claire Severgnini, members Anthea Franks, Val Napier, patron Lynn Faulds Wood and member David Brookfield
"Osteoporosis affects three generations in my family – more should be done to prevent this devastating disease and to help future generations to build stronger bones."
My GP doesn’t understand the effects of fractures caused by osteoporosis. I have lost five
inches in height, my body has changed and it has knocked
my confidence." "Osteoporosis deserves the same attention as other long-term conditions. More and more people are living with fragile bones and the government needs to take action."
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Clear, concise information on all aspects of osteoporosis management
How to implement QOF, and much more
Keep updated by joining our email list
Supported by
Osteoporosis Resources for Primary Carewww.osteoporosis-resources.org.uk
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• Support implementation of national public policy
• Demonstrate cost-effectiveness and clinical effectiveness.
• A series of regional education meetings• On-line resources: www.nos.org.uk/FLS• Developing FLS Standards
Supporting Service DevelopmentFracture Liaison Services
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• Osteoporosis Review- Online clinical and scientific journal
• e:Bulletin
• Practical Guides and Position Statements
• NEW Osteoporosis Resources for Primary Care
• NEW Allied Health Professional Network
• Clinical and Scientific Advisory Structure
• Clinical Training– Bone densitometry– IRMER– Study days
• Osteoporosis and Bone Conference 2012
Reviewing areas of activity to ensure we are providing what you need.
Supporting You
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• In 2012 joined with the BRS and the Paget’s Association to deliver an Osteoporosis and Bone Conference to diversify the programme to respond to the evolution of osteoporosis and bone health, maximise delegate attendance and commercial sponsorship
• Climate in which we have marketed, funded and delivered the conference in 2012 has been tough
• Reviewing the objectives of the conference• We want your views – survey monkey
The future of the Osteoporosis Conference
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•Osteoporosis Review•Research •Influence•Guidelines / Position statements•Advice
Update – Future plans
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Osteoporosis Review
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• To date £2.9m awarded to over 100 projects
• In 2011 Grants were awarded to: - Develop method for quantification of mechanical
loading in pre-menopausal women
- Effects of Obesity on Bone Structure and Strength
- Bone turnover and Vitamin D status in South Asian and Caucasian women
- Impact of nutrition on bone health
Research
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• 2012 Round - £250,000• 2013 Round
• Young Scientist Prize • Bursary Scheme 10 recipients
• Research Grants Committee – New Members
Research
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Research
Research Priorities • Current treatment and
patient care• Diagnosis and risk
assessment• Mechanisms of disease /
prevention
Research Strategy
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Influence
• Quality Outcomes Framework
• Clinical Guideline 124 - Management Hip Fracture
• NICE Quality Standard Hip fracture
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Management of Hip Fracture in AdultsClinical Guideline 124
• Surgery Timing /Analgesia • Multidisciplinary care Orthogeriatrics• Hip fracture program• Rehabilitation
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• Describe what a high-quality service looks like so organisations can improve quality and achieve excellence. • Not mandatory • Hip Fracture Standard
- Patients assessed to identify falls risk
- Offered a bone health assessment to identify future fracture risk
NICE Quality StandardHip Fracture
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• ‘To produce a clinical guideline on therisk assessment of fragility fractures in people with or at risk of osteoporosis’.
• Consultation / Expected Launch August 8th
Assessing the Risk of Fragility Fracture : Short Clinical Guideline
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TA 160 / 161
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i) Rate of emergency admissions
for fractured neck of femur
in persons > 65 years
ii) Rate of emergency
admissions for falls or falls
Injuries in persons
aged 65 and over.
Outcomes Framework – 2012/13
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Guidelines
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Position Statements
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Densitometry - In Progress
• Guidelines for the provision of a clinical bone densitometry service• Bone densitometry : A structure for UK clinicians reporting DXA scans at the hip and spine
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• How do we assess for vitamin D status?• How do we treat & how do we monitor
response?
• Vitamin D & Bone Health : A Practical Clinical Guideline for Patient Management
• Consultation / End 2012
Vitamin D and Bone Health
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Fracture Liaison Standards
• One in three non-hip fractures
receive treatment
• Working group standards for
fracture liaison services
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Advice
• Long term adverse effects of Bisphosphonates
Osteonecrosis of the Jaw
Atypical femoral fractures
• Duration of Drug therapy
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• Evidence based• Clear• Balanced• Consistent
Advice
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• Clinical Scientific Committee
• Broader network
Advisory Structure
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Influence Policy
Support Health Professionals
Support Individuals