Higher education in the UK has been through a period of major change since the mid-1980s. A massive expansion in the number of students has been coupled with a reduction in the unit of resource, increased inter-institutional competition and greater accountability. Within this demanding context, pressure has also been applied to institutions to improve accessibility for disabled people, through funding council mechanisms, quality assurance procedures and, more recently, changes in legislation. Drawing on the findings of an ESRC-funded research project, Disabled students and multiple policy innovations in higher education, involving a survey of higher education institutions, the article describes and discusses the current state of policy and provision for disabled students in higher education in Scotland and England. It concludes that, while there are definite signs of progress in the development of provision for disabled students, many areas need much further attention. A particular area of concern is teaching and learning. Effecting real change in this area means addressing questions which challenge conventional notions of effective teaching and learning practice. It is argued that improvements in provision for disabled students in this area would mean improvements for all students. Disability is still seen as a fairly distinct policy area, mainly addressed by student support services. Further significant progress can only be made if disability is embedded into all institutional policies and procedures. Its relocation, particularly in the area of teaching and learning, however, will demand a significant commitment on the part of all institutions.