This report is the fifth in a series on hospitalisations due to falls by Australians aged 65 and older and focuses on 2008-09. For the first time in this report series, the rate of hospitalised fall injuries involving older females exceeded 3,000 per 100,000 population. The incidence of injury has continued to increase substantially over the decade to June 2009, despite a sustained decrease in the rate of hip fractures due to falls. Of note, falls that resulted in head injuries and those described as an 'other fall on same level' increased significantly over the study period.