The presentations in the symposium highlighted the limited availability of falls clinics, unclear falls pathways, with poor signposting to local falls prevention programmes. While there are a range of exercise programmes available in the community, health care professionals can often find it difficult to find suitable local programmes for their clients and patients. Similarly, people who fear falling often find community programmes too hard to keep up with.   There is a clear need for exercise programmes that reduce falls risk, improve physical activity and social engagement.