What is a Disabled Facilities Grant?

 

If a client’s disability compromises their occupational performance, they may be entitled to home adaptation funding through a DFG.

A DFG is provided by the Local Authority to help install homelifts, stairlifts, ramps, accessible baths/showers and other accessibility equipment in the home. These are provided to disabled adults and children so they can lead more independent lives whilst supporting families and carers. Part of the Better Care Fund (BCF), a DFG is available in England, Wales and Northern Ireland. In Scotland its equivalent is an Equipment and Adaptations Grant.

Home | Grants and Funding | Disabled Facilities Grant

What is a Disabled Facilities Grant (DFG)?

If a client’s disability compromises their occupational performance, they may be entitled to home adaptation funding through a DFG.

A DFG is provided by the Local Authority to help install homelifts, stairlifts, ramps, accessible baths/showers and other accessibility equipment in the home. These are provided to disabled adults and children so they can lead more independent lives whilst supporting families and carers. Part of the Better Care Fund (BCF), a DFG is available in England, Wales and Northern Ireland. In Scotland its equivalent is an Equipment and Adaptations Grant.

DFG – The Key Facts

  • A DFG is part of the Housing Grants, Construction and Regeneration Act 1996 (and amendments)
  • DFG is a mandatory grant i.e., people have nationally-defined legal rights concerning its provision
  • DFGs are means-tested. This does not affect any other benefits your client receives and the means testing is not applied to families of disabled children under 18.
  • The client must own the property or be a tenant who intends to remain in the property for a minimum of five years
  • Grants up to a maximum of £30,000 (2020-2021) are available however, the average grant awarded is currently £6,500
  • Payment is made when a council approves the adaptation work and has received an invoice from the contractor. No work should commence before the grant has been approved as this can affect the application


Homelift versus Stairlift – Meeting Clients’ Changing Needs

As stairlifts are a more established and traditional solution, grant applications and opinions may veer in the direction of prescribing these. Pricing is also a contributory factor, with stairlift price points being lower than a homelift, However, disability is an evolving state, and if client requirements change and a condition worsens, the stairlift may no longer be a safe or suitable accessibility solution for the user.


To clinically justify why a homelift may be more suitable than a stairlift, consider the following points:

  • Is the client’s condition likely to change? Assess if a stairlift will be suitable should increased balance, coordination or mobility issues arise
  • Evaluate other members of the household who need to use the stairs, especially children. A stairlift might encroach on the space and cause a safety risk
  • Review postural strength and coordination in terms of sit-to-stand / side transfers
  • Determine the importance of product aesthetics in relation to possible embarrassment factors.

DFG – The Key Facts

  • A DFG is part of the Housing Grants, Construction and Regeneration Act 1996 (and amendments)
  • DFG is a mandatory grant i.e., people have nationally-defined legal rights concerning its provision
  • DFGs are means-tested. This does not affect any other benefits your client receives and the means testing is not applied to families of disabled children under 18.
  • The client must own the property or be a tenant who intends to remain in the property for a minimum of five years
  • Grants up to a maximum of £30,000 (2020-2021) are available however, the average grant awarded is currently £6,500
  • Payment is made when a council approves the adaptation work and has received an invoice from the contractor. No work should commence before the grant has been approved as this can affect the application


Homelift versus Stairlift – Meeting Clients’ Changing Needs

As stairlifts are a more established and traditional solution, grant applications and opinions may veer in the direction of prescribing these. Pricing is also a contributory factor, with stairlift price points being lower than a homelift, However, disability is an evolving state, and if client requirements change and a condition worsens, the stairlift may no longer be a safe or suitable accessibility solution for the user.


To clinically justify why a homelift may be more suitable than a stairlift, consider the following points:

  • Is the client’s condition likely to change? Assess if a stairlift will be suitable should increased balance, coordination or mobility issues arise
  • Evaluate other members of the household who need to use the stairs, especially children. A stairlift might encroach on the space and cause a safety risk
  • Review postural strength and coordination in terms of sit-to-stand / side transfers
  • Determine the importance of product aesthetics in relation to possible embarrassment factors.

Wheelchair/Powerchair Users

  • To use a stairlift, the client will need to feel confident about transferring independently from wheelchair to stairlift seat and back again, especially top-of-stairs transfers which pose added safety risks
  • With a stairlift, two wheelchairs will be needed, one at the top and one at the bottom of the stairs. There will need to be sufficient space to enable the wheelchair to be positioned for safe transfer
  • Homelifts are a more suitable transfer solution for independent wheelchair users avoiding the need for the user to leave the chair or for additional equipment in the home.

Generalised Clinical Justification for a Homelift

  • Enable older or disabled people to improve their occupational performance
  • Reducing the need for care
  • Encouraging independent living
  • Reducing the risk of injury from falls
  • Improving self-confidence and self-esteem
  • Reducing anxiety and depression
  • Providing greater control over everyday life
  • Clients can remain in their existing 2-storey property
  • Avoids potential embarrassment of having a stairlift in the home
  • Provides a more cost-effective option than downstairs conversions

Reducing Pressure on the NHS and Social Care

  • Homelifts assist in reducing hospital and A&E pressure by removing the risk of accidents on the stairs
  • DFG provision benefits the state by significantly improving quality of life and care costs
  • Homelifts benefit carers by removing the need to physically lift or carry clients up and down stairs avoiding risk of injury and stress to both
  • Homelifts can prolong older persons’ duration of living in their home, reducing the need for social or residential care

How and When to Apply

  • The client owns the property or is a tenant with the intention to remain in situ for five years
  • If a tenant, landlord permission is required. The landlord can also apply on the tenant’s behalf
  • An OT can refer clients where applications are usually handled by the Local Housing Authority

Homelift providers will always work closely with Healthcare Professionals and Local Authorities to champion positive end-user outcomes.

Application Tips from an Occupational Therapist

Occupational Therapist Stuart Barrow supports clients applying for DFGs on a daily basis. He also works closely with fellow healthcare professionals seeking local authority funding. 

Based on his own experience, he recommends the below:

 

  

DFG Application Advice for Professionals

  • Always provide a detailed assessment of the clinical need with the reasoning behind why the adaptation would improve the health and wellbeing of the recipient
  • Provide details of options tried before applying for a DFG. What worked, what did not work, and why
  • Supply details of the client’s condition using non-clinical language
  • Highlight whether the client’s condition is likely to decline and at what rate. Are there any key pointers which underline this urgency?

Application Advice for Clients

  • Compile a summary of medical diagnosis/diagnoses with the help of supporting doctors and clinicians
  • Document any experience of slow/rapid deterioration/changes in the last two years
  • Evidence whether mobility difficulties are expected to increase in the next two years
  • Note any products self-purchased or tried to date. Have they assisted in any way?
  • Keep a detailed diary. This helps the clinician understand the challenges you face. Everyone is different but being able to track an individual’s typical day enables the clinician and assessing officer to gain a fuller understanding of the issues being experienced.

Signposting

If the waiting list for a DFG is long, clients are recommended to make contact with companies such as Promoting Independence LTD on www.promoting-independence.co.uk or https://rcotss-ip.org.uk.

A private assessment can be arranged with a view to fast-tracking applications or evaluating other potential funding sources.

To gauge potential funding ask the local council to provide an expected contribution guide. This is important as an OT assessment may take several months to arrange and means testing could result in no DFG being awarded. Hence it can be beneficial to seek other privately funded routes beforehand to ensure no time is wasted.

DFG FAQs

Who will undertake the work?

An outside organisation such as a Home Improvement Agency may be appointed to project manage the work. They will be responsible for obtaining quotations and liaison between the client and the contractors.

What should I do if my client’s application is rejected?

Find out the exact reason why the application was not successful. Make sure you go back to the relevant party with all the evidence to support your appeal. Cite the legislation and remember a DFG is a mandatory grant. If rejected, social services or the NHS may also be liable to assist with funding the adaptation. Your client has nationally defined legal rights concerning adaptation provision.

How long will the grant take?

Under the Housing Grants, Construction and Regeneration Act 1996, Local Authorities should provide an answer to an application for a DFG as soon as is reasonably practicable, and no later than six months after the application is made.

Legislation to support your client’s application

Gaining an understanding of current UK legislation is essential to ensure you can fully support client applications and back up your clinical reasoning. Adaptations can fall under Housing (DFG), NHS or Social Services due to the legislation governing these statutory bodies.

Legislation to support your client’s application

Gaining an understanding of current UK legislation is essential to ensure you can fully support client applications and back up your clinical reasoning. Adaptations can fall under Housing (DFG), NHS or Social Services due to the legislation governing these statutory bodies.


Legislation by country:

Eligibility under the Care Act

The Care Act is outcome centric and the outcomes considered for a homelift could be:

  1. Maintaining personal hygiene
  2. Managing toilet needs
  3. Being able to make use of the adult’s home safely
  4. Carrying out any caring responsibilities the adult has for a child (accessing the child’s bedroom / first floor of the property).

Section 23 of the Care Act states that social services is not allowed to do anything that is legally required to be done under the Housing Act 1996. This prohibition does not extend to the Housing Grants, Construction and Regeneration Act 1996, which covers major adaptations in the form of Disabled Facilities Grants.

In addition to the 1996 Act, there is a further piece of housing legislation – the Regulatory Reform (Housing Assistance) (England and Wales) Order 2002 (RRO). This gives a wide discretion to assist with housing locally, including with home adaptations. Individual housing authorities can write their own RRO policy which could
mean they can fund without means test or provide certain adaptations free.

KEY TIP: It is worth asking your local housing authority what their RRO policy is.

NHS and home adaptations

If a person has been awarded Continuing Healthcare (NHS Funded Care).

Regulations state that if a person’s needs amount to a ‘primary health need’, and thus constitute a continuing healthcare need. Section 22 of the Care Act 2014 legally prohibits social services from doing anything which the NHS is required to do. Therefore, if a person is in his or her own home, adaptations which would normally fall to social services to provide would be an NHS responsibility.

Adaptations for children (Social Care)

Legislative provisions for children are distinct from adult provisions in social care legislation, but the same in housing and NHS legislation. The Care Act 2014 is about adult social care. It does contain provisions about the transition from childhood to adulthood, at age 18. But its rules do not otherwise apply to children. This means that section 2 of the Chronically Sick and Disabled Persons Act 1970 continues to apply to children, despite no longer applying to adults.

Eligibility under the Care Act

In Scotland, adult social care provision comes under the Social Work (Scotland) Act 1968, and the Chronically Sick and Disabled Personal (Scotland) Act 1972. Housing legislation should be seen in the context of wider local authority duties under welfare legislation, such as the Chronically Sick and Disabled Persons Act 1970. Local authorities have an overall duty of care to meet eligible assessed needs.

The housing grants system falls under the Housing (Scotland) Act 2006. Section 73 provides for mandatory grants to cover essential standard amenities. Section 71 refers to a discretion to assist with other adaptations relating to the accommodation, welfare, or employment of the disabled person.

NHS and home adaptations

If a person has been awarded Continuing Healthcare (NHS Funded Care).

NHS provision generally is made under sections 36 and 37 of the NHS (Scotland) Act 1978. As in England, this duty is probably broad enough to encompass adaptations in principle, though does not refer to them. The position in relation to NHS continuing healthcare in Scotland differs to that in England. In Scotland, NHS continuing healthcare status applies to hospital stays only, thus adaptations are not included the guidance would suggest.

Adaptations for children (Social Care)

In Scotland, provision for children comes under section 22 of the Children (Scotland) Act 1995 and section 2 of the Chronically Sick and Disabled Persons (Scotland) Act 1972. This legislation includes assistance with major adaptations, over and above the housing grants system under the Housing (Scotland) Act 2006.

Eligibility under the Care Act

In April 2016, adult social care in Wales came under the Social Services and Wellbeing (Wales) Act 2014. This superseded existing legislation, including section 47 of the NHS and Community Care Act 1990, and section 2 of the Chronically Sick and Disabled Persons Act 1970. For instance, unlike the Care Act, it contains provisions relating directly to children, as well as to adults.

Section 15 of the Social Services and Wellbeing (Wales) Act imposes a general duty to arrange preventative services. Section 34 of the Social Services and Wellbeing (Wales) Act refers specifically to services, goods and facilities, aids, and adaptations.

NHS and home adaptations

If a person has been awarded Continuing Healthcare (NHS Funded Care).

For Wales, NHS provision generally is made under section 3 of the NHS (Wales) Act 2006. As in England, this duty is probably broad enough to encompass adaptations, though does not explicitly refer to them. More specifically, Welsh guidance on NHS continuing healthcare does not refer to home adaptations, merely, that adaptations, which would normally fall to social services, would be an NHS responsibility in the case of a person with NHS CHC status. The prohibition on social services doing what the NHS is required to do, is contained in section 47 of the Social Services and Wellbeing (Wales) Act 2014.

Adaptations for children (Social Care)

In Wales, from April 2016, local authorities have a duty to meet the needs of children under section 37 of the Social Services and Well-being (Wales) Act 2014. This care and support can include home adaptations, as is made explicitly clear in section 34 of the act.

Eligibility under the Care Act

In Northern Ireland, adult social care provision generally comes under articles 4 and 15 of the Health and Personal Social Services (Northern Ireland) Order 1972. Article 15 of the Order sets out a general duty to make available advice, guidance, assistance, and facilities, by way of providing social services.

A more specific duty arises under section 2 of the Chronically Sick and Disabled Persons (Northern Ireland) Act 1978. That is to assist with adaptations, where the local authority judges that this is necessary. In Northern Ireland, DFG comes under the Housing (Northern Ireland) Order 2003.

NHS and home adaptations

If a person has been awarded Continuing Healthcare (NHS Funded Care).

In Northern Ireland, health provision generally is made under article 5 of the Health and Personal Social Services (Northern Ireland) Order 1972. As in England, Wales and Scotland, this duty is probably broad enough to encompass adaptations. There appears to be no specific guidance in Northern Ireland for NHS funded adaptations.

Adaptations for children (Social Care)

In Northern Ireland, provision for children comes under article 18 of the Children (Northern Ireland) Order 1995, and section 2 of the Chronically Sick and Disabled Persons (Northern Ireland) Act 1978. This legislation helps cover assistance with major adaptations, over and above the housing grants system under the Housing (Northern Ireland) Order 2003.

Further reading regarding the importance of good practice in administering grants that maintain independence in the home, can be found in the report ‘Adapting for Ageing Good Practice’. The Centre for Ageing Better commissioned Care & Repair England to carry out a ‘call for practice’ to identify practical examples of local areas that are organising and delivering adaptations effectively. This report identifies the elements of high-quality and innovative practice in the provision of home adaptations for older people.’

Wheelchair/Powerchair Users

  • To use a stairlift, the client will need to feel confident about transferring independently from wheelchair to stairlift seat and back again, especially top-of-stairs transfers which pose added safety risks
  • With a stairlift, two wheelchairs will be needed, one at the top and one at the bottom of the stairs. There will need to be sufficient space to enable the wheelchair to be positioned for safe transfer
  • Homelifts are a more suitable transfer solution for independent wheelchair users avoiding the need for the user to leave the chair or for additional equipment in the home.

Generalised Clinical Justification for a Homelift

  • Enable older or disabled people to improve their occupational performance
  • Reducing the need for care
  • Encouraging independent living
  • Reducing the risk of injury from falls
  • Improving self-confidence and self-esteem
  • Reducing anxiety and depression
  • Providing greater control over everyday life
  • Clients can remain in their existing 2-storey property
  • Avoids potential embarrassment of having a stairlift in the home
  • Provides a more cost-effective option than downstairs conversions

Reducing Pressure on the NHS and Social Care

  • Homelifts assist in reducing hospital and A&E pressure by removing the risk of accidents on the stairs
  • DFG provision benefits the state by significantly improving quality of life and care costs
  • Homelifts benefit carers by removing the need to physically lift or carry clients up and down stairs avoiding risk of injury and stress to both
  • Homelifts can prolong older persons’ duration of living in their home, reducing the need for social or residential care

How and When to Apply

  • The client owns the property or is a tenant with the intention to remain in situ for five years
  • If a tenant, landlord permission is required. The landlord can also apply on the tenant’s behalf
  • An OT can refer clients where applications are usually handled by the Local Housing Authority

Homelift providers will always work closely with Healthcare Professionals and Local Authorities to champion positive end-user outcomes.


Application Tips from an Occupational Therapist

Occupational Therapist Stuart Barrow supports clients applying for DFGs on a daily basis. He also works closely with fellow healthcare professionals seeking local authority funding. 

Based on his own experience, he recommends the below:

DFG Application Advice for Professionals

  • Always provide a detailed assessment of the clinical need with the reasoning behind why the adaptation would improve the health and wellbeing of the recipient
  • Provide details of options tried before applying for a DFG. What worked, what did not work, and why
  • Supply details of the client’s condition using non-clinical language
  • Highlight whether the client’s condition is likely to decline and at what rate. Are there any key pointers which underline this urgency?

DFG Application Advice for Clients

  • Compile a summary of medical diagnosis/diagnoses with the help of supporting doctors and clinicians
  • Document any experience of slow/rapid deterioration/changes in the last two years
  • Evidence whether mobility difficulties are expected to increase in the next two years
  • Note any products self-purchased or tried to date. Have they assisted in any way?
  • Keep a detailed diary. This helps the clinician understand the challenges you face. Everyone is different but being able to track an individual’s typical day enables the clinician and assessing officer to gain a fuller understanding of the issues being experienced.

Signposting

If the waiting list for a DFG is long, clients are recommended to make contact with companies such as Promoting Independence LTD on www.promoting-independence.co.uk or https://rcotss-ip.org.uk.

A private assessment can be arranged with a view to fast-tracking applications or evaluating other potential funding sources.

To gauge potential funding ask the local council to provide an expected contribution guide. This is important as an OT assessment may take several months to arrange and means testing could result in no DFG being awarded. Hence it can be beneficial to seek other privately funded routes beforehand to ensure no time is wasted.

DFG FAQs

Who will undertake the work?

An outside organisation such as a Home Improvement Agency may be appointed to project manage the work. They will be responsible for obtaining quotations and liaison between the client and the contractors.

What should I do if my client’s application is rejected?

Find out the exact reason why the application was not successful. Make sure you go back to the relevant party with all the evidence to support your appeal. Cite the legislation and remember a DFG is a mandatory grant. If rejected, social services or the NHS may also be liable to assist with funding the adaptation. Your client has nationally defined legal rights concerning adaptation provision.

How long will the grant take?

Under the Housing Grants, Construction and Regeneration Act 1996, Local Authorities should provide an answer to an application for a DFG as soon as is reasonably practicable, and no later than six months after the application is made.

Legislation to support your client’s application

Gaining an understanding of current UK legislation is essential to ensure you can fully support client applications and back up your clinical reasoning. Adaptations can fall under Housing (DFG), NHS or Social Services due to the legislation governing these statutory bodies.

Legislation to support your client’s application

Gaining an understanding of current UK legislation is essential to ensure you can fully support client applications and back up your clinical reasoning. Adaptations can fall under Housing (DFG), NHS or Social Services due to the legislation governing these statutory bodies.


Legislation by country:

Eligibility under the Care Act

The Care Act is outcome centric and the outcomes considered for a homelift could be:

  1. Maintaining personal hygiene
  2. Managing toilet needs
  3. Being able to make use of the adult’s home safely
  4. Carrying out any caring responsibilities the adult has for a child (accessing the child’s bedroom / first floor of the property).

Section 23 of the Care Act states that social services is not allowed to do anything that is legally required to be done under the Housing Act 1996. This prohibition does not extend to the Housing Grants, Construction and Regeneration Act 1996, which covers major adaptations in the form of Disabled Facilities Grants.

In addition to the 1996 Act, there is a further piece of housing legislation – the Regulatory Reform (Housing Assistance) (England and Wales) Order 2002 (RRO). This gives a wide discretion to assist with housing locally, including with home adaptations. Individual housing authorities can write their own RRO policy which could
mean they can fund without means test or provide certain adaptations free.

KEY TIP: It is worth asking your local housing authority what their RRO policy is.

NHS and home adaptations

If a person has been awarded Continuing Healthcare (NHS Funded Care).

Regulations state that if a person’s needs amount to a ‘primary health need’, and thus constitute a continuing healthcare need. Section 22 of the Care Act 2014 legally prohibits social services from doing anything which the NHS is required to do. Therefore, if a person is in his or her own home, adaptations which would normally fall to social services to provide would be an NHS responsibility.

Adaptations for children (Social Care)

Legislative provisions for children are distinct from adult provisions in social care legislation, but the same in housing and NHS legislation. The Care Act 2014 is about adult social care. It does contain provisions about the transition from childhood to adulthood, at age 18. But its rules do not otherwise apply to children. This means that section 2 of the Chronically Sick and Disabled Persons Act 1970 continues to apply to children, despite no longer applying to adults.

Eligibility under the Care Act

In Scotland, adult social care provision comes under the Social Work (Scotland) Act 1968, and the Chronically Sick and Disabled Personal (Scotland) Act 1972. Housing legislation should be seen in the context of wider local authority duties under welfare legislation, such as the Chronically Sick and Disabled Persons Act 1970. Local authorities have an overall duty of care to meet eligible assessed needs.

The housing grants system falls under the Housing (Scotland) Act 2006. Section 73 provides for mandatory grants to cover essential standard amenities. Section 71 refers to a discretion to assist with other adaptations relating to the accommodation, welfare, or employment of the disabled person.

NHS and home adaptations

If a person has been awarded Continuing Healthcare (NHS Funded Care).

NHS provision generally is made under sections 36 and 37 of the NHS (Scotland) Act 1978. As in England, this duty is probably broad enough to encompass adaptations in principle, though does not refer to them. The position in relation to NHS continuing healthcare in Scotland differs to that in England. In Scotland, NHS continuing healthcare status applies to hospital stays only, thus adaptations are not included the guidance would suggest.

Adaptations for children (Social Care)

In Scotland, provision for children comes under section 22 of the Children (Scotland) Act 1995 and section 2 of the Chronically Sick and Disabled Persons (Scotland) Act 1972. This legislation includes assistance with major adaptations, over and above the housing grants system under the Housing (Scotland) Act 2006.

Eligibility under the Care Act

In April 2016, adult social care in Wales came under the Social Services and Wellbeing (Wales) Act 2014. This superseded existing legislation, including section 47 of the NHS and Community Care Act 1990, and section 2 of the Chronically Sick and Disabled Persons Act 1970. For instance, unlike the Care Act, it contains provisions relating directly to children, as well as to adults.

Section 15 of the Social Services and Wellbeing (Wales) Act imposes a general duty to arrange preventative services. Section 34 of the Social Services and Wellbeing (Wales) Act refers specifically to services, goods and facilities, aids, and adaptations.

NHS and home adaptations

If a person has been awarded Continuing Healthcare (NHS Funded Care).

For Wales, NHS provision generally is made under section 3 of the NHS (Wales) Act 2006. As in England, this duty is probably broad enough to encompass adaptations, though does not explicitly refer to them. More specifically, Welsh guidance on NHS continuing healthcare does not refer to home adaptations, merely, that adaptations, which would normally fall to social services, would be an NHS responsibility in the case of a person with NHS CHC status. The prohibition on social services doing what the NHS is required to do, is contained in section 47 of the Social Services and Wellbeing (Wales) Act 2014.

Adaptations for children (Social Care)

In Wales, from April 2016, local authorities have a duty to meet the needs of children under section 37 of the Social Services and Well-being (Wales) Act 2014. This care and support can include home adaptations, as is made explicitly clear in section 34 of the act.

Eligibility under the Care Act

In Northern Ireland, adult social care provision generally comes under articles 4 and 15 of the Health and Personal Social Services (Northern Ireland) Order 1972. Article 15 of the Order sets out a general duty to make available advice, guidance, assistance, and facilities, by way of providing social services.

A more specific duty arises under section 2 of the Chronically Sick and Disabled Persons (Northern Ireland) Act 1978. That is to assist with adaptations, where the local authority judges that this is necessary. In Northern Ireland, DFG comes under the Housing (Northern Ireland) Order 2003.

NHS and home adaptations

If a person has been awarded Continuing Healthcare (NHS Funded Care).

In Northern Ireland, health provision generally is made under article 5 of the Health and Personal Social Services (Northern Ireland) Order 1972. As in England, Wales and Scotland, this duty is probably broad enough to encompass adaptations. There appears to be no specific guidance in Northern Ireland for NHS funded adaptations.

Adaptations for children (Social Care)

In Northern Ireland, provision for children comes under article 18 of the Children (Northern Ireland) Order 1995, and section 2 of the Chronically Sick and Disabled Persons (Northern Ireland) Act 1978. This legislation helps cover assistance with major adaptations, over and above the housing grants system under the Housing (Northern Ireland) Order 2003.

Further reading regarding the importance of good practice in administering grants that maintain independence in the home, can be found in the report ‘Adapting for Ageing Good Practice’. The Centre for Ageing Better commissioned Care & Repair England to carry out a ‘call for practice’ to identify practical examples of local areas that are organising and delivering adaptations effectively. This report identifies the elements of high-quality and innovative practice in the provision of home adaptations for older people.’