• Scotland is the home of the Fracture Liaison Service (FLS) with the first service developed in Glasgow in 1999 • Anyone who suffers a low trauma fracture over the age of 50 should be offered a DXA scan (or placed directly onto treatment) in Scotland • Universal coverage of FLS in Scotland but variable quality • Agreement with Audit Scotland that a Scottish audit of all low trauma fractures would be valuable in line with the English FLS audit, with recent agreement re funding obtained • Zoledronic acid for management of hip fracture prevention in men & women – begins to have clinical benefit within 1 month – however, can result in hypocalcaemia if Vitamin D levels are low & can be associated with a rare side effect of ONJ • Cross-country work to agree UK & Ireland standard of care on the use of IV zoledronate therapy post-hip fracture & planned dissemination internationally • Plan: 1.