Data and Evidence

Home Adaptations can help local authorities and health services make significant savings as they often enable safer independent living at home.


New international review of evidence of adaptation impacts published

The Centre for Ageing Better have published a detailed international review of evidence here concerning the impact of home adaptations, alongside an accessible digest of the findings here.

The review was carried out by the University of West of England.

The last such evidence review was undertaken in 2007 by Heywood & Turner for the Office for Disability Issues (part of DWP), Better outcomes, lower costs: implications for health and social care budgets of investment in housing adaptations, improvement and equipment – a review of the evidence

The new report headlines the findings of a number of studies from around the world (none from UK).

It includes new analysis from the Building Research Establishment (BRE) showing that home interventions to reduce falls on stairs can lead to a ‘Return on Investment’ of 62p for every £1 spent, and a payback period of less than eight months.

The main report also highlights the pressing need for more robust academic research in the UK. [November 2017]

Heywood, FS & Turner, L, (2007) Better outcomes, lower costs: implications for health and social care budgets of investment in housing adaptations, improvement and equipment – a review of the evidence for Office for Disability Issues, Department of Work and Pensions better-outcomes-report

Garrett H et al (2016) The cost-benefit to the NHS arising from preventative housing interventions, Building Research Establishment click here

Scottish Office Evidence paper : the effectiveness and value of equipment and adaptations (2010) 

Home solutions to our care crisis report on the financial and health benefits of home adaptations for disabled people with recommendations on what is needed to change disabled people’s lives for the better, Papworth Trust (2012)

Care & Repair England report  (2009) Time to Adapt: Home adaptations for older people – The increase in need and future of state provision.

For  a list of related evidence papers visit the genHOME project website


See also the ‘Catch 22’ project by Care & Repair England which is aiming to improve the evidence.

Centre for Ageing Better Commission Home Adaptations Evidence Review

The Centre for Ageing Better (CfAB) has announced the winner of the contract to undertake a systematic evidence review into how home adaptations can contribute to a good later life. Click here for announcement.

 The review will be carried out by a team from the University of the West of England (UWE) in Bristol and the Building Research Establishment (BRE).

The new review will provide evidence on the most effective home adaptations which will be useful for policy makers, commissioners and professionals, as well as for older people and industry.

Care & Repair England, as part of its Catch22 initiative, has worked closely with CfAB on shaping the plans for the review and is a member of the project’s advisory group.

The last evidence review, Better Outcomes, Lower Costs, was published in 2007; since then more information has become available which UWE and BRE will review, including both relevant UK and international research.

The review is due to be completed by July 2017.  [Nov 2016]

Bathing Adaptations – Innovative research into RCT feasibility

The BATH-OUT Trial is an innovative research project looking into the feasibility of conducting a randomised controlled trial of bathing adaptations for older adults and their carers.

The  protocol, which describes the initiative in details has now [Oct 16] been published in the British Medical Journal.

Researchers at the University of Nottingham are carrying out a research project, in collaboration with Nottingham City Council, examining the links between bathing adaptations and the health and wellbeing of older adults.

The researchers are aiming to test whether it is feasible to conduct a randomised controlled trial (RCT) of bathing adaptations for older adults and their carers. Participants will be randomised to receive immediate adaptations or routine waiting list (3 months). Outcomes will be assessed at 3 and 6 months and include measures of health and social care related quality of life, functional ability, and use of health and social care services. Qualitative interviews with users and carers will supplement the findings. The ultimate aim of this study is to inform the design of a powered RCT to improve the evidence base and knowledge of the links between housing and health and wellbeing.

The study is being led by Dr Phillip Whitehead who is a research fellow and occupational therapist with a background in social care practice and research. The research team are supported by a project advisory group with broad and extensive experience in adaptations – Sue Adams, CEO of Care & Repair England, is chairing this group. The research is funded by NIHR School for Social Care Research. Ethical approvals are in place and the study is currently in the set-up phase. The researchers aim to begin recruiting participants into the study in September 2016 and the results are expected in early 2018.

To receive updates about the study please email and request to go onto the study mailing list. Alternatively you can follow the study on twitter @bath_out

Further information can be found on the project webpage:

[May 2016]

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