There was a school-house and from time to time a schoolmaster. Around 1769 the hospital burned down and a new building was erected, of two stories around three sides of a courtyard. The architect was Esau Reynolds (1725–1779) of Trowbridge. In 1968 the building was designated as Grade II listed. The hospital continues as a registered charity. On the High Street is a small octagonal village lock-up or blind house, probably dating from the 18th century. A parish council known as "Heytesbury, Imber and Knook" covers this parish and the neighbouring parish of Knook. Local government services are provided by Wiltshire Council, which has its offices in nearby Trowbridge. The A36 road bypasses the village to the north; an Ordnance Survey map of 1958 shows the road's earlier route along the High Street. The Wessex Main Line railway (opened here in 1856) runs to the south, and until 1955 there was a station on the Heytesbury-Tytherington road.