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Days and hours of operation Monday-Friday 8:00am - 4:30pm
Clinics Tuesday-Thursday 8:00am - 4:30pm
Eligibility People aged 50-75years who have sustained a Minimal Trauma Fracture living within the Central Coast Local Health District.
Service provided Assessment
Consultation with specialist endocrinologist
Comprehensive bone health screening and falls risk assessment
Bone mineral density scan & pathology referral
Interventions
Detailed treatment management plan & recommendations provided to GP
Development of personalised bone health management plan
Bone health, Osteoporosis risk factors and falls prevention education
Referrals to other services as indicated: - including falls prevention programs, physiotherapy, occupational therapy &dietician
Follow-Up
Follow up reviews 3,6 &12 months
Outreach
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Far West Local Health District
Broken Hill Health Service and Western NSW Primary Health Network
Integrated Care for People with Chronic Conditions
Broken Hill Hospital - Community Health
Thomas St, Broken Hill. NSW 2880
Fracture Liaison Coordinator TBA
Contact
Telephone (08) 8080 1729
Mobile 0408 840 430
Fax (08) 8088 5930
Email
Days and hours of operation Monday – Friday: 8:00am – 4:30pm
Clinics
Eligibility 50 years and over (40 years and over Aboriginal people); Minimal Trauma Fracture; no history of metastatic bone disease. Referrals are accepted from ED, Fracture Clinic Teams, in patient wards and GPs.
Service provided Assessment
Individual bone health assessments
Referral for DEXA scans
Interventions
Education and support for self-management
Referral to Dietician
Referral to Physiotherapy and exercise programs
Liaison with patient’s GP
Follow-Up
Regular phone call follow-up offered
Outreach Nil current but once hub established in Broken Hill will establish outreach by spoke effect to other centres within FWLHD
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Hunter New England Local Health District
John Hunter Hospital
Osteoporosis Refracture Prevention Service
John Hunter Hospital / Royal Newcastle Centre
Lookout Road, New Lambton Heights, NSW 2305
Fracture Liaison Coordinator Margot Paterson and Shelley Dunlap
Days and hours of operation Monday - Thursday; 8:00am – 4:30pm
Clinics Wednesday afternoons
2nd Monday Afternoon
Eligibility Minimal Trauma Fractures (over 50 years of age), established osteoporosis, or risk factors of osteoporosis or bone fragility. Referral required addressed to Gabor Major. Referral from GP or specialist is preferable
Service provided Team
Patients seen in a multidisciplinary clinic with a rheumatologist and FLC’s
Assessment
Clinics encompass osteoporosis screening (Bone Mineral Density scan and associated pathology) and fracture prevention education.
Interventions
Follow up and referral to support services and other allied health professionals as required.
Other services provided include education to healthcare providers and community groups, GP liaison and access and provision of treatment as required. Organisation of infusions or injections as required.
Outreach
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Eligibility Patients 50 years and greater with Minimal Trauma Fracture, or 40 years and greater and identify as Aboriginal or Torres Strait Islander descent
Service provided Assessment
Referrals for bone density testing (DEXA) performed on site
Interventions
Development of personalised management plan
Education Osteoporosis risk factors and falls
Referrals to other services as required e.g. falls prevention groups, physiotherapy, dietetics, social work
Liaison with GP and other specialists.
Outreach Coledale District Hospital, Bulli district Hospital, Wollongong Hospital and Shellharbour hospital
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Days and hours of operation Monday -Friday; 8:30am to 5:00pm
Clinics Mondays 9:00am – 12:30pm
Eligibility Minimal Trauma Fracture (or abnormal bone density results), 50 years and over presenting to Coffs Harbour Health Campus. Residents of Coffs Harbour, Bellingen and Nambucca LGAs.
Service provided Team
Patients are seen in the Fracture Prevention Clinic with a Specialist Physician - Geriatrician and Fracture Liaison Coordinator
Assessment
Referrals for bone density, blood testing
Interventions
Development of treatment plans
Liaison with GPs and specialists
Osteoporosis and falls prevention education
Referrals to other services as required e.g. falls prevention groups such as Stepping On, Tai Chi for falls prevention, physiotherapy
Outreach
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Days and hours of operation Monday - Friday 8:00am - 4:30pm
Clinics Monday 9:00am – 1:00pm
Exercise class Wed and Friday 3-4pm
FLC sees inpatients on wards throughout the week
Soon to start a second follow up clinic
Eligibility History of symptomatic or asymptomatic osteoporotic fragility fracture or Minimal Trauma Fracture. 50 years and over.
Exclusion Criteria: Metastatic bone disease or Myeloma, residing in RACF
Service provided Team
Patients seen by multidisciplinary team including Geriatrician, Physiotherapist, and Dietitian.
Interventions
Bone health and falls prevention education provided. Referral to appropriate services within Nepean & Blue Mountains area; for example Falls Prevention Class, Wii balance class and Bone health exercise class etc
Correspondence sent to GP’s and patient.
Inpatient education provided to patients identified with a MTF at Nepean Hospital by the FLC
Liaison with Orthogeriatrics team
Outreach
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Days and hours of operation Monday – Friday; 8:00am – 4:30pm
Clinics Alternate Tuesdays in Renal Outpatient Clinics of Lismore Base Hospital; 9:00am to 12:30pm
Eligibility People over 50 presenting to the ED of Lismore Base Hospital and those attending the Fracture Clinic Team after a Minimal Trauma Fracture
Service provided Team
Patients can be referred on to the ORPC where they are seen by the Fracture Liaison Coordinator and Geriatrician.
Assessment
Referrals for Bone Mineral Density testing and pathology. Patients offered comprehensive review of bone mineral density results, blood tests, and relevant osteoporosis risk factors.
Interventions
Currently trialling a program of early identification and referral to GPs to encourage early assessment and management by the GP.
Osteoporosis medication regimen started at the clinic and self-management support for lifestyle modifications required discussed and planned with the patient.
Follow-Up
Follow up communications with GP and patients at 12/52, 12/12 and 24/12 to observe compliance with investigation and initiation of
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therapies as well as lifestyle modifications Handover of osteoporosis management is given
back to the GP with further review at the clinic only if specialist intervention is identified by the GP. Regular phone call follow-up offered to monitor medication and support of lifestyle modification as per the agreed care plan.
Outreach
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Northern NSW Local Health District
Tweed Heads Health Service
Osteoporosis Refracture Prevention Program
Tweed/Byron Health Services
PO Box 905, Powell Street, Tweed Heads 2485
Fracture Liaison Coordinator Vacant
Contact Luke Schultz - LBVC MSK Lead - 0418974467
Telephone (07) 5506 7376
Mobile
Fax (07) 5506 7578
Email
Days and hours of operation Monday-Friday; 8:00am – 4:30pm
Clinics Wednesday in the Tweed Hospital Outpatients Department; 1:00pm to 4:30pm
Eligibility Patients presenting to Tweed/Byron Health Service Group facilities with a minimal trauma fracture, 50 years and over. Referrals from GP’s and other medical specialists with a diagnosis of low bone mineral density for review and management through the ORPC
Service provided Team
Patients are seen by a multidisciplinary team including Endocrinologist and Fracture Liaison Coordinator.
Assessment
Prior to attending clinic patients have a BMD and pathology. An osteoporosis risk assessment screen is performed by the Fracture Liaison Coordinator.
A comprehensive review of test results is offered by Endocrinologist
Interventions
Appropriate treatment initiated by Endocrinologist. Education sessions and advice on lifestyle modifications are available from the Fracture Liaison Coordinator. Osteoporosis management is then handed back to the GP with review at clinic only if specialist intervention is indicated.
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Follow-Up
Regular phone call follow up is offered to monitor medication and support lifestyle modifications.
Outreach
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Northern NSW Local Health District
Grafton Base Hospital
Clarence Valley Osteoporosis Re-Fracture Prevention Service
Days and hours of operation Monday – 8:30am – 3:00pm;
Tuesday 8:30am – 5:00pm;
Thursday 8:30am - 3:00pm
Clinics Tuesday (x2 per month) 10:00am - 1:30pm
Eligibility Age 50 years and over (Age 40 years and over Aboriginal people);
Minimal Trauma Fracture;
no history of metastatic bone disease.
Referrals are accepted from ED, Fracture Clinic Teams, in patient wards and GPs.
Service provided Team
Patients are seen by the Fracture Liaison Co-ordinator and Staff Specialist Physician.
Assessment
Patients are offered a comprehensive review of osteoporosis risk factors, blood tests and bone mineral density scan.
Interventions
Osteoporosis medication regimen started (if indicated)
Self-management support for required lifestyle modifications discussed and planned with the patient.
Handover of osteoporosis management is then given back to the GP.
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Follow-Up
Further review at the clinic only if specialist intervention is identified by the GP.
Regular phone call follow-up offered by the Fracture Liaison Coordinator to monitor medication and support of lifestyle modification as per the agreed care plan.
Outreach
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Days and hours of operation Monday – Friday: 8:00am to 4:30pm
Clinics Tuesday and Wednesday mornings 8:30am -11:30am
Eligibility Age over 50 with a minimal trauma fracture
Service provided Assessment
Specialist Review followed by DXA and assessment with FLC then pathology.
Interventions
Comprehensive osteoporosis refracture prevention service with co-location of assessment, screening, DXA scanning, treatment, rehabilitation and falls prevention available in the one setting.
Follow-Up
Review as per Specialist and for infusions, otherwise as indicated.
Outreach
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Days and hours of operation Friday; 1:00pm – 5:00pm clinic hours
(RN Thursday 8:00am-4:30pm and Friday 8:30am -5:00pm)
Clinics Friday 1:00pm – 5:00pm
Eligibility Age over 50 with a minimal trauma fracture
Service provided Team
Rheumatology Specialist and Fracture Liaison Coordinator
Assessment
Assessment of osteoporosis and falls risk factors.
Pathology and DEXA Scanner also available on site.
Interventions
The clinic provides a report back to GP with plan; referrals to other services as indicated (such as Bone Mineral Density testing, falls clinic, physiotherapy, exercises classes); commencement of Osteoporosis medication if required; Osteoporosis and Fracture Prevention Education
Follow-Up
Follow- up in clinic with specialist as required.
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Days and hours of operation Monday - Friday: 8:30am – 4:30pm
Clinics Initial assessment appointments available all weekdays except Thursday.
Specialist clinic Mondays 8:30am-1:00pm
Eligibility People aged 50 years and over (or under 50 years and post-menopausal), living in the RNSH catchment, who have had a recent minimal trauma fracture
Service provided Assessment
Comprehensive osteoporosis screening including assessment of osteoporosis and falls risk factors: Bone Density Scanning and pathology available on site.
Interventions
Specialist consult with either Rheumatologist or Endocrinologist; report back to GP; referrals to other services as indicated (such as falls clinic, physiotherapy, dietician, exercise classes, etc.); Osteoporosis and Fracture Prevention Education and self-management
Follow-Up
Reviews at 6, 12, 24 month follow-up.
Outreach
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Northern Sydney Local Health District
Ryde Hospital
Osteoporosis Refracture Prevention Service
Graythwaite Rehabilitation Centre
Level 1, 37 Fourth Avenue, Eastwood NSW 2122
Fracture Liaison Coordinator Karen Thomas
Contact Santina Murgida
Telephone (02) 9858 7888 Pager 54711 Tuesday and Friday;
Days and hours of operation Tuesday and Friday 8:00am - 4:30pm
Clinics Tuesday and Friday 8:00am - 4:30pm
Eligibility Patients over 50 years of age presenting to Ryde Hospital with a MTF and living in the Ryde Hospital catchment
Service provided Assessment
The Service provides referral for osteoporosis screening (Bone Mineral Density scan and associated pathology) and a consultation with the ORP Service medical specialist.
Interventions
Patients will meet with the Fracture Liaison Coordinator for fracture and falls prevention education, and referral to health and community services as required, e.g. Falls Prevention programs.
Outreach
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South Eastern Sydney Local Health District
Prince of Wales Hospital & Royal Hospital for Women
Osteoporosis Refracture Prevention Service
Prince of Wales Hospital/ Royal Hospital for Women
Days and hours of operation Monday - Friday; 7:30am – 4:00pm
Clinics Friday morning
Eligibility We primarily screen for patients over 50 years of age who have sustained minimal trauma fracture. Including presentations to Emergency Department, inpatients, outpatient clinics e.g. Rheumatology and Aged Care. GP referrals accepted.
Service provided Team
Patients to be seen by a multidisciplinary team with a rheumatology staff specialist and Fracture Liaison Coordinator.
The aim is to provide a ‘one stop shop’ to identify, assess and treat people with low bone density
Assessment
Screening for osteoporosis and secondary fracture prevention interventions are provided.
Bone Mineral Densitometry, blood collection
Interventions
Infusion service and provision of patient education.
Outreach
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Western NSW Local Health District
Bathurst Base Hospital
Best Bones - Osteoporosis Refracture Prevention Program
Days and hours of operation Monday, Wednesday, Friday; 1:00pm – 5:00pm
Clinics
Eligibility Patients over 50 years of age attending the fracture clinic determined to have minimal trauma fracture (excludes, feet, hands, skull and face).
Service provided Referred to GP for commencement of therapy.
Outreach
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