Midland Heart began in the 1920's when, as Copec, it first became ‘passionate about communities', improving slum housing in Birmingham and campaigning for clearance.
The history portrays developments in the inter-war period and beyond into the 1950's and 1960's, when a range of other housing associations - Coventry Churches HA, Midland Area HA, Wolverhampton HA, and Birmingham Housing Trust, were created as part of the response to the Shelter homeless campaign.
These associations, alongside others created in the 1970's and 1980's, such as Normid, Shape, Harambee/Black Star and HAMAC went through a series of mergers to create two large housing association groupings - Keynote based in Coventry and Prime Focus in Birmingham. These two groups came together to form Midland Heart in April 2006.