A new report by the International Osteoporosis Foundation (IOF) draws attention to the burden of osteoporosis and the gaps and inequalities in the provision of primary and secondary prevention of fractures due to osteoporosis across Europe. ‘SCOPE 2021: a new scorecard for osteoporosis in Europe’ provides detailed findings for the 27 countries of the European Union as well as Switzerland and the United Kingdom (referred to as ‘EU27+2’), covering key indicators for four domains: burden of disease, policy framework, service provision and service uptake.