Fracture risk is under-recognised and under-treated in memory clinic attendees

•People with cognitive impairment are more likely to sustain a fracture than their cognitively intact peers.•We assessed the fracture risk of 79 memory clinic attendees and compared their actual management with guidelines.•Despite reporting 57 falls in the last year fracture risk was under-treated and under-investigated.•These findings highlight an important deficit in fracture risk assessment which should inform future interventions. UK national guidelines recommend that older people at risk of falling should have their fracture risk assessed and acted upon. People with cognitive impairment are more likely to sustain a fracture than their cognitively intact peers. We assessed the fracture risk of 79 memory clinic attendees and compared their actual management with guidelines. Despite reporting 57 falls in the last year, only 36% of those who would be recommended antiresportive treatment were prescribed it and a dual-energy X-ray absorptiometry (DEXA)scan was performed in only 13% where it would be recommended. These findings highlight an important deficit in fracture risk assessment which should inform future interventions.