A cohort of twenty British national voluntary agencies serving handicapped people was studied in 1976 and again in 1989 after a decade of major shifts in public policy. Changes and continuities were identified in income, structure, governance, management, programme, interorganisation relations and advocacy. A consistent pattern of growth, bureaucratisation and professionalisation was found, with relatively little change in the dominant mode of financing, statutory or philanthropic. A three-stage model is proposed to describe the development of British voluntary agencies since the 1970s, and some of the organisational implications of current policies for the 1990s are noted.