Oberoi Consulting

Building Better Bones in Nottingham Through a Joint Working Agreement

Nottingham’s City Central PBC Group requested Oberoi Consulting’s help in reducing the number of hospital admissions for fall-related fractures.

Through a Joint Working Agreement involving three pharmaceutical companies – GlaxoSmithKline UK, ProStrakan Ltd and Shire Pharmaceutical – we launched an audit and review process at a primary care level.

In order to conduct the patient reviews, a team of specialist nurses were employed by Nottingham City Central PBC.

More than 90% of patients identified by audit were reviewed during the project.

By increasing adherence to the patient pathway and treatment algorithm, as well as improving data quality and recording, the aim was to reduce overall secondary care use for falls and osteoporosis.

To read the full case study, from GSK, please click here.

  • Practices better skilled at identifying and managing patients at risk of falling and developing osteoporosis.
  • More patients receiving appropriate osteoporosis therapies to manage their condition, in turn helping reduce the risk of fracture and hospital admission should they fall.
  • Practices have a clearer understanding of the services in place to support effective prevention and management of patients with osteoporosis or falls risk and have clear guidelines on referral pathways and treatment protocols.
  • Increased priority amongst participating practices for the systematic and proactive management of this patient group.

By facilitating this link between the NHS and the pharmaceutical industry, we boosted market access for all the companies involved, whilst improving patient care and relieving pressure on primary and secondary care.

“While in a previous role, as programme manager at a large CCG, the Oberoi Consulting team supported me to develop and implement Osteoporosis risk registers.

“The audit tool created helped the CCG to improve management of falls risk and osteoporosis in Primary Care.

“Support from the team was excellent throughout – delivering over and above that which was asked.

“Customer service, customer focus and technical expertise are second to none.

Jan Balmer
Associate Director of Integration and Unplanned Care
Mid Notts Transformation Programme


An interview with Shirley Smith, Assistant Director of Joint Commissioning to the NHS Nottingham City Council Clinical Commissioning Group, in which Shirley discusses her experience of working with Oberoi Consulting on the “Building Better Bones” project.

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