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Introduction: Osteoporosis is an increasing problem in our aging population. Over 50% of patients presenting with a hip fracture have had a previous fragility fracture. Comprehensive implementation of NICE guidance for secondary prevention of osteoporosis following these “sentinel” fractures will prevent 50% of all future hip fractures. Method: In 2010, we assessed the effectiveness of a “postal” FLS service whereby patients over the age of 50 with fragility fractures and their GPs were sent letters prompting osteoporosis assessment+/-treatment, following their fracture clinic appointment. Data was gathered between 12/04/10 to 23/07/10. Follow up phone calls were then made to assess whether these patients were assessed or treated for osteoporosis. In this study, we compared the effectiveness of this service compared to our recently established Fracture Liaison Service (FLS), which has been in operation since …