Join Foundations on Tuesday 8 July for the DFG High-Cost Adaptations Summit taking place at the Birmingham Conference and Events Centre.
Introduction
Home Improvement Agencies (HIAs) are a vital part of the UK’s approach to ensuring safe, accessible, and comfortable housing for everyone, especially the elderly, disabled, and those living on low incomes. These agencies play a crucial role in helping people make necessary changes to their homes, whether it’s minor repairs or major adaptations. This not only improves their quality of life but also helps them live independently in their own homes for longer.
HIAs offer a range of services, from providing advice and information to managing entire home improvement projects. They act as a bridge between individuals who need home adaptations and the services required to make these changes. This includes navigating through the complexities of funding, finding reliable contractors, and ensuring that the work is completed to a high standard.
The concept of HIAs originated as a response to the growing need for support among older homeowners and has since expanded to serve a wider array of community members. By focusing on individual needs, these agencies deliver tailored solutions that make a real difference in people’s lives.
What Do HIAs Do?
Home Improvement Agencies (HIAs) are often referred to as the “penknife” of housing as they provide a wide range of services aimed at helping people, especially the elderly, disabled, and those on low incomes, to live safely and comfortably in their homes. These services are critical in ensuring that homes are not only liveable but also cater to the specific needs of the residents. Here’s an overview of the key services provided by HIAs:
Assessment of Needs: One of the primary roles of HIAs is to assess the housing needs of an individual. This often involves a detailed evaluation of the home environment, considering factors like mobility issues, safety risks, and the overall suitability of the living space for the resident’s needs.
Information and Advice: HIAs provide expert advice on a range of issues related to home adaptations. This can include guidance on the types of adaptations available, how to go about getting the work done, and information on funding options like the Disabled Facilities Grant (DFG).
Project Management: From planning to execution, HIAs manage home improvement projects. They coordinate with contractors, oversee the work to ensure it meets the required standards, and ensure that projects are completed within the stipulated time and budget.
Financial Assistance Guidance: Navigating the financial aspects of home improvements can be daunting. HIAs help individuals understand and access available financial assistance, whether it’s through government grants, local authority funding, or other sources.
Liaison with Contractors: Finding and managing reliable contractors can be challenging. HIAs take on this task, ensuring that the contractors hired are qualified, trustworthy, and carry out work to a high standard.
Support and Advocacy: For individuals who might find it difficult to express their needs or understand the process of home adaptation, HIAs provide support and advocacy, ensuring their voices are heard and their requirements are met.
Aftercare Services: Post-completion of the home adaptation project, many HIAs offer aftercare services to ensure that the adaptations continue to meet the needs of the residents and any issues are promptly addressed.
Typical Range of Services Offered
- Holistic, caseworker-led support
- Expertise in making changes to the physical fabric of the home
- Handyperson services
- Hospital discharge – rapid response adaptations
- Home safety and security audits
- Falls prevention
- Minor and major adaptations
- Repairs and improvements
- Information and advice
- Housing options
National Evaluation of Home Improvement Agencies (HIAs) in England – 2025
A major national evaluation of Home Improvement Agencies (HIAs) in England has been conducted by Sheffield Hallam University, the University of Sheffield, the University of Stirling, the Building Research Establishment (BRE), and Foundations, in partnership with the Centre for Ageing Better. The research ran from May 2023 to October 2024, providing the most in-depth review of HIAs in England to date.
Key Findings of the Evaluation
- There are around 200 HIAs in England, covering 82% of local authority areas.
- Many operate as one-stop shops, providing a mix of adaptations, repairs, and advice.
- HIAs improve health outcomes by reducing falls and enabling faster hospital discharge.
- Funding levels and service availability vary across England, leading to differences in access.
- Collaboration with health and social care is essential, with some HIAs working closely with the NHS and local authorities to streamline support.
What This Means for the Future of HIAs
The evaluation reinforces the critical role of HIAs in improving housing conditions and supporting independent living. It highlights the need for better funding, stronger integration with health and social care, and expansion of services to ensure everyone can access the help they need.
HIAs continue to be a vital lifeline for thousands of people across England, providing practical, cost-effective solutions that keep homes safe, accessible, and suitable for those who need them most.
Home Improvement Services in England: National Evaluation
This file may not be suitable for users of assistive technology and are in the following formats: .pdf. Request an accessible format.
The USP of HIAs
HIAs stand out in the field of housing and care due to their unique approach to service delivery. This distinctiveness not only defines their operations but also underscores their effectiveness in addressing the needs of individuals requiring home adaptations. Here are key aspects of the unique approach adopted by HIAs:
Holistic Assessment: Unlike traditional home improvement services, HIAs look beyond just the physical alterations needed in a property. They conduct a holistic assessment that includes the individual’s health, mobility, lifestyle needs, and how these interact with their living environment. This comprehensive approach ensures that the solutions provided are not just functional but also enhance the overall well-being of the individuals.
Person-Centred Service: At the heart of HIAs’ approach is the person-centred model. They prioritize the needs, preferences, and aspirations of the individuals they serve, ensuring that the solutions are tailored to each person’s unique circumstances. This approach fosters a sense of dignity and respect for the clients, which is particularly important for vulnerable populations.
Collaborative Working: HIAs excel in working collaboratively with a network of stakeholders including local authorities, healthcare providers, social services, and contractors. This collaborative approach ensures that all aspects of a client’s needs are addressed efficiently and cohesively, leveraging the strengths and resources of various sectors.
Community Integration: HIAs are deeply integrated into their local communities, which enables them to understand and effectively respond to local needs. Their community-based approach allows them to build trust and establish strong relationships with the individuals and families they serve, as well as with local service providers.
Adaptability and Innovation: HIAs are known for their adaptability and willingness to innovate. Whether it’s adopting new technologies, exploring creative housing solutions, or adapting to changing regulations and funding landscapes, HIAs are often at the forefront of innovation in home adaptation services.
Advocacy and Empowerment: Beyond providing practical assistance, HIAs play a crucial role in advocating for the rights and needs of their clients. They empower individuals by giving them a voice in decisions affecting their living conditions and by raising awareness about the importance of suitable and accessible housing.
The History of HIAs
HIAs have a long history of helping people, especially older and disabled people, to live safely and comfortably in their own homes. Let’s take a look at how HIAs have grown and changed over the years.
The Early Days in the 1970s
- Starting Out: HIAs began in the 1970s. Back then, they were called Care & Repair or Staying Put schemes. They started as local projects to help older people fix and adapt their homes.
- Community Efforts: These early HIAs were mostly run by local groups or charities. They focused on helping elderly homeowners with repairs so they could live independently.
Growing and Getting Recognised
- 1980s – Government Steps In: In the 1980s, the government started to see how important these services were. This led to more support and funding from the government. Many new HIAs were managed by housing associations.
- 1990s – Helping More People: By the 1990s, HIAs weren’t just for the elderly anymore. They began to help a wider range of people, including those with low incomes and disabilities.
Moving Into the 2000s
- National Body for HIAs: The Government commissioned a national body for HIAs to oversee the development of the sector – Foundations were appointed in spring 2000.
- Partnerships and Money: In the early 2000s, HIAs began working more closely with the local government as part of the Supporting People programme. This helped them get more stable funding and play a bigger role in carrying out government housing policies.
- Larger Agencies: One of the requirements of the increased funding was for HIAs to become larger, more resilient services – which saw many small district services merge and some county wide HIAs to emerge.
- Strategic Importance: The key role of HIAs was recognised in the Labour Government’s comprehensive housing strategy, Lifetime Home Lifetime Neighbourhoods.
Recent Changes
- In-house Services: The end of Supporting People saw services taken in-house by local authorities, as the number of housing associations delivering services decreased.
- Looking at the Bigger Picture: Nowadays, HIAs do more than just home repairs. They think about the overall health and well-being of the people they help.
- Working Together: HIAs now often work with health services, social care providers, local councils, and housing groups to offer a full range of services.
What’s Next
- HIAs continue to change and grow. They’re always looking for better ways to help people, especially vulnerable and older individuals, to live independently in their homes.
Throughout their history, HIAs have always been about helping people in the community. They’ve adapted over time to meet changing needs and continue to be a vital service for many.
The Collaborative HIA - Our vision for the future
In 2016 we published “The Collaborative Home Improvement Agency” our vision for the sector. Aimed primarily at providers, but also to inform commissioners and policy makers in local government, health and wellbeing boards, health trusts and integrated commissioning.
Home Improvement Agencies in England are integral to local authorities, assisting older and disabled individuals with various services, including minor jobs and larger repairs. They play a crucial role in the government’s integrated health system, promoting at-home wellbeing to avoid institutional care. With the Disabled Facilities Grant as a key funding source, HIAs are adapting to an aging population and budget constraints. They’re encouraged to collaborate more and innovate, focusing on both high-need services and preventative care. This shift includes expanding their customer base and services, potentially addressing broader health and social issues.
The Collaborative Hia
This file may not be suitable for users of assistive technology and are in the following formats: .pdf. Request an accessible format.