In the UK over 3 million people are estimated to have osteoporosis and there are estimated to be over 500,000 fragility fractures that occur in the UK each year. In this podcast Dr Thomas Round, EKU Clinical Lead talks to Dr David Stephens, a locum and OOH GP in Scotland, and a member of the SIGN Guideline Development Group, concerning osteoporosis and the prevention of fragility fractures including the challenges faced by GPs, changes in the latest guidelines, the importance of diagnosis, the use of FRAX and QFracture tools, treatment recommendations and ongoing management.