Osteoporosis Refracture Prevention
The Osteoporotic Refracture Prevention (ORP) model of care was designed to guide best practice coordinated, multi-disciplinary care to improve outcomes for people with minimal trauma fracture, resulting in reduced refracture rates and the resultant health usage, morbidity and mortality that refracture causes.
The key requirement is the development of Fracture Liaison Services (FLS) that can be coordinated from hospital out-patient or primary care settings, depending on the needs and willingness in local communities. FLS require the allocation of a health professional – often a senior nurse or physiotherapist – to coordinate the activities of the patient group, and access to a medical officer who can undertake the medical needs of the patients. The medical officer can be drawn from a range of hospital-based specialties or from general practice if contemporary evidence is consistently applied in that setting.
Musculoskeletal Models of Care Implementation Status
View the map showing the implementation status around NSW

Osteoporotic Refracture Prevention Resources
Model of Care for Osteoporotic Refracture Prevention
Format: PDF File (1.4 MB) Alternate Content:
Added: 5 August 2015 Updated: 15 July 2019
NSW Osteoporosis Re-fracture Prevention Service Directory
Format: Webpage
Added: 23 March 2017 Updated: 4 June 2020
Osteoporosis Refracture Prevention Peer Mentoring Webinar #1
Format: Webpage Resource Type: Presentations
Added: 19 September 2019 Updated: 19 September 2019
Osteoporotic refracture prevention - Clinical priorities
Format: PDF File (613.4 KB) Alternate Content:
Added: 27 February 2020 Updated: 27 February 2020
Osteoporotic refracture prevention - Organisational models
Format: PDF File (298.0 KB) Alternate Content:
Added: 27 February 2020 Updated: 27 February 2020
How to keep your bones healthy and avoid fractures (high resolution)
Format: PDF File (5.0 MB) Alternate Content:
Added: 29 June 2020 Updated: 29 June 2020
How to keep your bones healthy and avoid fractures (low resolution)
Format: PDF File (1.4 MB) Alternate Content:
Added: 24 February 2021 Updated: 24 February 2021
Osteoporotic Refracture Prevention Site manual
Format: PDF File (1.9 MB) Alternate Content:
Added: 26 October 2019 Updated: 26 October 2019
This model is one of the eight Better Value Healthcare clinical priorities in the Leading Better Value Care program.
Read more about ORP in the program