Case finding

It depends which doctors have been on the night before as to how much has been put onto [the computer system]… some of it turns out to be rubbish [Participant ID: 010]

Osteoporosis assessment

I’d love to see a nurse specialist in there because I think some of those older people are far less intimidated… to see a fracture nurse in that setting actually exploring what those answers mean, getting the detail would be brilliant. [Participant ID: 016]

You know breaking your hip is huge, there’s lots of psychological things… Being flexible about [the timing] is probably a bit more patient-centred. [Participant ID: 029]

DXA scanning

It really depends how able they are to get on and off the bed and stick their legs in the air and that sort of thing. [Participant ID: 008]

I think having it done as an Outpatient is more appropriate because most of them are generally quite sick or unwell or they’re still in pain so it would be difficult to get them to the DEXA. [Participant ID: 019]

Our biggest barrier is obviously the fact that we have to drag our patients from [another town] down to [the city]. [Participant ID: 004]

We should just be able to refer directly… It just adds in an additional communication where we know there’s problems, where referral forms get missed, go missing, patients fail to attend their appointment and no one follows that up. [Participant ID: 030]

The powers that be… don’t like us DEXA-ing people internally, because they like the money flow, so they prefer them to go out and then come back. [Participant ID: 009]