Falls can have a significant impact not only on the person who experiences them, but also their key, informal carers too. When waiting for long periods of time for help on hard, often cold floors, the side-effects can be dangerous and compromise health, wellbeing and dignity. Given that most major trauma patients are aged 60 years and over and experience a low mechanism of injury, careful management is required. With the right training and support, care teams can become competent and confident to manage falls. This article explores how proactive falls management strategies can significantly improve quality of life, alleviating societal and economic burden of falls-related complications.