engaging with other professionals in a variety of setting has been vital. we needed to change attitudes towards managing osteoporosis and fragility fracture risk across the breadth of a rural community. at the inception of our service it was clear that the patients who had previously been assessed for osteoporosis were those who were knowledgeable(and may themselves have requested an assessment)but were not necessarily at the greatest risk of fracture. we supported the service is launch by providing educational sessions to discuss the rationale behind the new approach-that is ,the aim was to reduce the risk of fragility fractures and not just treat osteoporosis.