Many older people suffer a fall and it is not uncommon for older fallers to require paramedic care following such events. Routine transportation to hospital is of questionable value and may not be an effective or efficient use of resources. This randomised controlled offered non-transported fallers a new model of care following fall-related paramedic care. Participants’ fall risk factors were assessed and where appropriate linked into existing health care services, such as PACS, to implement fall prevention interventions. The aim is to reduce subsequent falls, fall related injuries and health service utilisation in this cohort.