Many previous studies have explored barriers to effective implementation of a fall prevention intervention programme,10 16 17 22 23 especially in high income nations. This is the first study to highlight the barriers to managing falls among older people from the perspectives of HCPs in a lower to middle income country such as Malaysia. The barriers in fall management revealed by the HCPs were perceived barriers for patients, HCPs’ barriers, lack of caregiver support and healthcare system barriers for fall management. Several themes were in common with previously published studies, such as lack of knowledge and skills in fall management,24 lack of training,16 poor interprofessional communication among HCPs,17 shortage of HCPs and family support,10 and older people underreporting falls, and refusing and not accepting walking aid usage