Welcome to The New Zealand Fragility Fracture Registry
Driving excellence in the provision and equity of care for fragility fracture patients through benchmarking against Clinical Standards for Fracture Liaison Services (FLS)
Fragility fractures represent one of the most significant healthcare challenges facing New Zealand today, affecting thousands of people each year through minimal trauma injuries to the spine, wrist, shoulder, and other bones weakened by osteoporosis. To address this growing challenge, the Australian and New Zealand Fragility Fracture Registry (ANZFFR) has been established as a pioneering joint venture between both countries, utilising comprehensive data collection and quality improvement initiatives to transform fragility fracture care and prevention of secondary fractures. While maintaining identical registry structures to enable meaningful international comparison, the New Zealand and Australian registries operate independently. Osteoporosis New Zealand (ONZ) and Accident Compensation Corporation (ACC) work in partnership to drive this vital initiative.
The Problem
Fragility fractures occur from minimal trauma in people with weakened bones. Thousands experience these life-altering injuries annually, with numbers projected to increase dramatically as populations age. The impact extends beyond the initial injury, causing prolonged disability, loss of independence, reduced quality of life, and increased mortality risk, representing a significant burden on both healthcare systems and patients.
Who We Are
The New Zealand Fragility Fracture Registry is a clinical quality registry that unites healthcare professionals-geriatricians, orthopaedic surgeons, nurses, and allied health professionals-alongside researchers and patient representatives. A bi-national Steering Committee provides governance while an Implementation and Management Committee delivers operational support.
Our Purpose
To drive excellence and equity in fragility fracture care through systematic data collection, analysis, and quality improvement. We benchmark care against Clinical Standards for Fracture Liaison Services, collect data from over 15,000 patients annually, and facilitate peer learning networks. Our goal is ensuring every fragility fracture patient receives high-quality, coordinated care with effective secondary prevention strategies.
Total patient records collected, helping to drive improvements in fragility fracture care.
Fracture Liaison Services across New Zealand are contributing data to the ANZFFR.
Fragility fracture patients across New Zealand included in the ANZFFR 2026 Annual Report.
2026 ANZFFR Annual Report
Towards Excellence: Improving Care and Building on Success
System-Wide Performance Highlights
22 FLS teams cover 98.9% of the NZ population, identifying 77% of predicted fragility fractures nationally in 2024/25 (an improvement from 55% in 2022/23).
Of all patients identified:
- 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, performance that matches or exceeds international comparators.
- 63% had a long-term care plan shared with their primary healthcare provider.
Stronger Together
The ANZ Fragility Fracture Registry (ANZFFR) welcomes the launch of Stronger Together: A Collaborative Strategy for Bone Health in New Zealand, a national roadmap that builds on the data and insights from New Zealand's registry network.
"Stronger Together shows how registry data can drive real-world impact. Its focus on evidence, collaboration, and lifelong prevention reflects exactly what we strive for through the ANZFFR," said Dr Frazer Anderson, National Clinical Lead (New Zealand), ANZFFR.
Stronger Together outlines seven objectives covering hip fracture care, secondary and primary fracture prevention, midlife bone health, and skeletal development in youth and pregnancy. Read more here.
Registry Milestone: 50,000 patients
Fifty thousand New Zealanders now have their care benchmarked in the ANZFFR-enough people to fill Eden Park for a World Cup final. Thanks to the incredible work of FLS teams nationwide, more fragility fracture patients than ever are receiving timely assessment, treatment, and prevention support. This milestone reflects not just better care, but stronger futures: millions of Kiwis are connected to someone whose life has been improved, fears eased, or fragility fractures prevented through FLS care. Read the full story of how your work is transforming lives across Aotearoa.
Registry Milestone: First Records Captured
On March 28 2022, in a significant milestone for healthcare innovation and patient care, we celebrated the successful capture of the first records in the Fragility Fracture Registry. This pivotal moment marked the beginning of a new chapter in our quest to revolutionise the management and treatment of fragility fractures.
The achievement represents years of planning, collaboration between healthcare professionals, and the commitment of participating hospitals across New Zealand.
Patient Stories
