FLS evidenced resources toolkit

Clinical tools.
Evidence-based support.

A practical collection of consultation tools, professional learning and supporting resources for Fracture Liaison Services and specialist osteoporosis care.

Bring clearer evidence and more personalised conversations into everyday FLS practice.

Osteoporosis Options

Start with the core resources

Use the consultation tool in practice and the e-learning to strengthen the skills that support it.

Consultation support

FLS Consultation Decision Tool

Clinical and patient decision support designed to be used within FLS consultations, in person or by telephone.

Easy to use, with minimal training needed
Recommendations aligned with NICE, NOGG and SIGN guidance
Supports informed, personalised treatment decisions
Produces personalised, easy-read patient printouts

Developed and evaluated through the iFraP programme.

Open the FLS consultation tool

Professional learning

Enhanced consultation skills e-learning

Short, evidence-based modules designed to build confidence in effective osteoporosis consultations.

Health literacy and risk communication
Shared decision-making
Communicating about osteoporosis and DXA scans
Conducting effective medication reviews
Using the Osteoporosis Options FLS Consultation Tool

90% of completers reported increased confidence in enhanced consultation skills.

Visit the e-learning site

Additional support

More resources for FLS practice

Curated practical materials for consultation, data collection, medication reviews and DXA services.

Dental card for patients

Explains osteoporosis medicines for dentists, links to guidance and encourages communication between healthcare professionals.

View the dental card

FLS model proforma

An iFraP study proforma built from the strongest features used across eight FLS services, supporting holistic consultation and audit data collection.

View the model proforma

Medication counselling prompts

Evidence-informed prompt sheets for osteoporosis medication counselling and reviews, developed with pharmacist research and patient involvement.

View the prompt sheets

DXA toolkit

Resources for referrers, reporters and patients—from training and reporting templates to preparation materials and results explainers.

Explore the DXA toolkit

Why use the FLS tool?

Designed to strengthen the whole conversation.

Evaluation through the iFraP trial found benefits for clinicians, patients and ongoing care.

For clinicians

Support for standardised, personalised care and clearer communication of fracture risk.

For patients

Improvements in decision-making, involvement, satisfaction with information and understanding of personal risk.

For ongoing care

Better conversations about adherence and stronger communication between services and GPs.

Evidence based

Research behind the resources

The tools draw on iFraP programme findings, linked research and evidence developed with patients and healthcare professionals.

iFraP trial outcomesSignificant improvements identified in the iFraP trial (n=347).FLS proforma developmentDevelopment of a core outcome set and linked FLS resources.Medication adherence interventionDevelopment and feasibility testing of an intervention to improve adherence to fracture-prevention medicine.Pharmacist-supported reviewsResearch informing osteoporosis medication counselling and review resources.