The FLS at the University Hospital Waterford (UHW) is run on a part-time basis by a Rheumatology Consultant, working with a part-time Clinical Nurse Specialist who also carries out the DXA scans. Admitted cases also have part-time orthogeriatrican input, and a hip fracture care pathway is managed by a Clinical Nurse Specialist. UHW has over 1000 cases of the main fragility fractures (hip, pelvis, vertebra, humerus) admitted annually. The service is complex, interacting with four other hospitals in the region for orthopaedic referrals and for post-fracture care. Data has been presented to the Annual Radiology and Hip Fracture meetings, and members of the team play a vital role in the Irish Hip Fracture Database.