This report is the second in a series of biennial reports on hospitalisations due to falls by older people in Australia. The report focuses on hospitalised falls occurring in the financial year 2005-06 and examines trends in fall-related hospitalisations over the period 1999-2006. The number of fall events resulting in hospitalisation due to injury for older Australians remains high and the rate of fall-related injury incidents is particularly high for the oldest group within this population. As in the previous report, older females accounted for most of the hospitalised fall injury cases and a third of cases had injuries to the hip and thigh. Half of all fall injury cases for people aged 65 years and older occurred in the home. Falls in residential institutions were also common. Age-standardised rates of hospitalised fall-related injury separations have increased over the seven year study period to June 2006, despite a decrease in the rate for femur fractures due to falls. The estimated total length of stay per fall injury case has also increased over the period 1999-2006, apparently influenced by increases in the number of bed-days used by episodes of fall-related follow-up care.