The Australian & New Zealand Fragility Fracture Registry (ANZFFR) third annual report has been released, and we could not be more proud of the results.

To download the full report click here.

New Zealand’s 22 Fracture Liaison Service (FLS) teams deliver world-class secondary fracture prevention for people aged 50 and older, covering 98.9% of the country. Fragility fractures account for 190,000 hospital bed days annually, and behind every statistic is a person and their whānau facing pain, loss of independence, and fear of further injury.

With the population aging rapidly, this work has never been more urgent.

Central to this work is the ANZFFR, a Registry that supports FLS teams in day-to-day patient management, enables benchmarking and quality improvement, and tracks whether patients go on to have further fractures. Fifteen evidence-based KPIs give teams a clear, consistent picture of care quality. In November 2025, the Registry surpassed 50,000 patient journeys since inception, representing nearly one in 100 New Zealanders.

Of the 16,012 New Zealanders who experienced a fragility fracture between 1 July 2024 and 30 June 2025:

• 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, matching or exceeding international comparators
• 63% had a long-term care plan shared with their primary healthcare provider
• Of the 2023/24 cohort, 69% remained on treatment at 52 weeks.

The first 6 to 12 months after fracture carry the highest risk of another fracture. Mature data now shows a two-year refracture rate of 8.0%, compared with 11.3% internationally in populations without coordinated FLS care. Timely fragility fracture identification, assessment, coordination, and follow-up are changing outcomes.

There is still work ahead. Improving DXA access, treatment rates, primary care integration, and reaching communities facing the greatest barriers will require continued focus. But the evidence is clear: this programme is protecting independence, reducing avoidable hospitalisation, and improving outcomes for patients and their whānau.

We hope this report prompts both reflection and action.

Is there a patient, client, or community you could reach with a bone health conversation? 

A colleague or team who might benefit from knowing more about their local FLS? 

Or perhaps someone closer to home: a parent, partner, or friend who has had a fall or fracture and does not yet know their risk? 

A bone health assessment takes minutes and can be done online or in discussion with a healthcare provider.