Our Mission

To bring together all parts of the system, to reduce & eliminate silo working. To build strong relationships where we can share resources, learning, challenges, and successes. To create spaces where we can take opportunities to try new and experimental ways of working more collaboratively, whilst challenging unnecessary policy which get in the way of positive change.

SCAA Members

CEO, Founder

Rob Fenwick

Hello, I`m Rob Fenwick. I currently lead multi-disciplinary Navigator Complex Needs team in Exeter. The team supports a relatively small cohort of men and women who present severe and multiple disadvantage and are often dis-engaged from services and in a self-destructive cycle of despair.

Much of the work of the team is prodding and challenging “the system” to recognise the particular disposition and circumstances of the client group and “flex” their service offers accordingly to address need. As you can imagine, this work requires tenacity, curiosity and resilience in the face of system-designed blocks and barriers.
My job is to identify thematic issues and find avenues for escalation to encourage and support more enduring system change outcomes.
That`s why “SCAA” is such a fantastic opportunity to work in solidarity with other colleagues “ploughing the same furrow”. We are on the start of a journey and all recognise that the system, too often, has no appetite to change for all sorts of structural, psychological and contractual reasons.
Previous to my current role I was, chronologically, a journalist, a homeless hostel manager, a Prison Governor grade and a civil servant in the Ministry of Justice developing policy on criminal justice partnerships.
Devon and Cornwall Housing Options Partnership (DCHOP) Manager

Alex Purnell

I work across Devon and Cornwall supporting the Housing Options teams in these areas. My role involves coordinating the activities of the Devon & Cornwall Housing Options Partnership (DCHOP) and providing a lead and focal point for housing options and homelessness prevention work across Devon and Cornwall.

I work across Devon and Cornwall supporting the Housing Options teams in these areas. My role involves coordinating the activities of the Devon & Cornwall Housing Options Partnership (DCHOP) and providing a lead and focal point for housing options and homelessness prevention work across Devon and Cornwall. Amongst other things I raise awareness of homelessness and homelessness prevention activity, and its implications among agencies, organisations and institutions via briefings, presentations, seminars and joint training.
It was through my collaborative work with partners that I met a number of the members of the SCAA, I have recently been asked to join to provide an oversight of housing and share my experience of the “housing system”.
I have worked in housing, in Devon, for over 14 years, from the front line through to supervisory roles. It has long been evident to me and my teams that “the system” often lets down the people it should be there to support, both our service users and our staff. However I know how compassionate and caring the staff who work in housing are, and how they want to help their service users thrive and succeed in all aspects of their life.
During the pandemic housing staff were often at the forefront with initiatives such as Everyone In and some teams remained one of the only front line staff still operating. As a result of the increase in workload and working under pandemic conditions we saw that a lot of staff felt burnt out. Now with the acknowledged housing crisis and caseloads increasing I want to find a way to better support staff across Devon and Cornwall so that they can deliver meaningful help. I believe that by working with my colleagues in the SCAA this can be achieved.
Director, bthechange

Josh Stunell

I founded bthechange CIC in 2016, I was made aware of the fact that the criminal justice system was found wanting in certain areas and as a result was having a long-term negative impact on many concerned, convinced that there was a need for additional help and early interventions, I soon realised that without person centred support for people (particularly at the early stages), it was highly likely that individuals would not be able to move forward with their lives, and this could have a negative impact for a considerable amount of time. All our services and programmes have been designed and in many cases are delivered by expert leaders with lived experience.

I founded bthechange CIC in 2016, I was made aware of the fact that the criminal justice system was found wanting in certain areas and as a result was having a long-term negative impact on many concerned, convinced that there was a need for additional help and early interventions, I soon realised that without person centred support for people (particularly at the early stages), it was highly likely that individuals would not be able to move forward with their lives, and this could have a negative impact for a considerable amount of time. All our services and programmes have been designed and in many cases are delivered by expert leaders with lived experience.

We challenge wherever we see or experience things that we do not think are just or in the best interest of the people we work with. We use our voice to elevate the voice and concerns of others and to raise key issues facing the people in the criminal justice system. We are committed to being part of a positive shift within the system to better address the needs of people with multiple and complex needs and it is for these reasons that we joined the System Change Action Alliance

Senior Commissioning Manager, Public Health Devon

Richard Merrifield

My name is Richard Merrifield and I’m the Senior Commissioning Manager with a lead responsibility for Substance Misuse with a keen interest in Inclusion Health and Systems Change.

I’ve worked for both the NHS and within local government over the past 20+ years. I initially started as an exercise professional and then diversified into lifestyle behaviour change service provision and management. Over the last 6 years I’ve worked within Public Health at Devon County Health and our key focus is to improve health and wellbeing of the population and address health inequalities.
I’ve recognised in my commissioning role that we have tended to commission services in silo’s and that traditionally we identify health problems and then look to respond with health interventions. Through my connections with the system and spending time in the field with various practitioners I’ve learnt that we need a more compassionate and flexible approach to supporting people living with multiple adversity.
I’ve been inspired by colleagues in the System Change Action Alliance and have found a friendly group of liked minded people who have given me confidence to test some of my thoughts and provided a safe space to challenge and evolve my work.
Joint CEO and Director of Social Innovation for CoLab Exeter

Amanda Kilroy

Hello from Exeter. My name is Amanda Kilroy, I am Joint CEO and Director of Social Innovation for CoLab Exeter, a multi-agency hub, and collaborative community focused on achieving collective impact in areas of social and community challenge, particularly in respect of people who have a complex array of life challenges, many of which are induced by structural and systemic influences.

My background is quite eclectic, although that has been really useful in this current role. I have studied and worked as a nurse, educator, transformation facilitator and coach across the country. My interests and practice have developed within a BSc (hons) health science for complementary medicine, an MRes focusing on Participatory Action Research for Social Change, and a PGCE. A firm believer in life-long education and personal development, I’ve added additional tools to my formal education, which have come in useful. Those include Appreciative Inquiry, Cultural Transformation Tools, Action Learning, Agile Project Management, Theory U and Permaculture Design. I generally try to find ways of integrating academic, practical and creative approaches to keep things alive and interesting.

Though my leadership role in the CoLab offers many wonderful opportunities to collaborate with great people, influence real change and make a genuine difference. Reaching out to work with wider partners across geography, sector, role and ethos, has taken the work, the energy and the impact to new levels. I feel truly blessed to be part of the SCAA work, and in awe of the effort, ambition and talent of all involved.

My hope for this work is that is catalyses and sustains genuine individual, community and system transformation, and it does that by including, honouring and investing in the people involved, as well as any and all beneficiaries in the system. The best thing about all our conversations is the sense of genuine interest and inclusion of all perspectives, whether we agree or not. This is participatory democracy in action, and I love it.

Devon County Council

Liz Thompson

Hi, I am Liz, the Violence Against Women and Girls Strategic Lead in the Communities Team at Devon County Council. My team leads on the Domestic Abuse and Violence against Women and Girls strategic approach for the local authority and as part of this we also have responsibility for the commissioning of relevant services and provisions.

I started my career as a domestic abuse support worker over 20 years ago and spent most of my professional journey thereon working in statutory and third sector organisations supporting people most disadvantaged in our society such as people in the criminal justice system, with drug and alcohol dependencies, experiencing homelessness, with complex needs and multiple disadvantages and victims of violence and abuse.

Through my interactions and experiences in a variety of settings, through listening to people and seeing first-hand how services and systems can get in the way of people leading more fulfilling lives, I have developed a strong belief that all those labels are actually really unhelpful and that if we stop and look at the person for who they are, rather than their ‘presenting condition’, ‘risk’ or ‘need’, we can improve outcomes for them and the people around them much more effectively.

I am excited to have found through the System Change Action Alliance a collective of people that share my beliefs and that want to work collaboratively to develop solutions in Devon and I am really optimistic that together we can drive system evolution.

Senior Programme Manager for Health Inequalities for the Royal Devon University Healthcare Trust

Andrea Beacham

Prior to working in the NHS, Andrea spent 10 years in local government at community level, firstly to manage the opening and delivery of a multi-agency centre to increase access to services for the under-served and following that, managing a coalition Government public service integration pilot. It was through this work that her interest in health inequalities was established.

Prior to working in the NHS, Andrea spent 10 years in local government at community level, firstly to manage the opening and delivery of a multi-agency centre to increase access to services for the under-served and following that, managing a coalition Government public service integration pilot. It was through this work that her interest in health inequalities was established.
Working in a community with some of the worst health inequalities in the country, Andrea observed a lack of focus on understanding the wide-ranging factors that were driving health inequalities or the flexibility and integration required to respond to them. The ‘One’ partnerships to improve service integration and ‘Flow’ programme which aims to provide support which flows around the person were both developed to address this. One Northern Devon is now an integral part of North Devon’s Local Care Partnership and Andrea also sits on the Devon Integrated Care Partnership Board.
Systems Practice Manager with the Making Every Adult Matter coalition

Octavia Aronne

Octavia is a Systems Practice Manager with the Making Every Adult Matter coalition. She works with local areas across England to help them apply systems thinking tools to improve cross-sector coordination and collaboration for people experiencing multiple disadvantage. She has worked with the SCAA to support develop connection and harmony over priorities and values, and with planning to take forward actions. She has a particular interest in social research methods, coproduction and exploring what it means to co-create trauma informed systems.

Octavia is a Systems Practice Manager with the Making Every Adult Matter coalition. She works with local areas across England to help them apply systems thinking tools to improve cross-sector coordination and collaboration for people experiencing multiple disadvantage. She has worked with the SCAA to support develop connection and harmony over priorities and values, and with planning to take forward actions. She has a particular interest in social research methods, coproduction and exploring what it means to co-create trauma informed systems.
System Change Project Manager

Nikki Fuller

Hi I’m Nikki Fuller, I joined Encompass in 2020. I feel extremely grateful to have been offered this new and exciting opportunity as the system change project manager. Over the years I have worked in various different roles, paid and voluntary, supporting others with varying needs across the health and social care sector. I often found that we came across barriers within our current system that prevented those with multiple complex needs from getting the right support that they required.

Within my new role I am looking forward to forming strong relationships with other professionals, and those with lived experience, as together we try and understand what matters to each individual, and how the system can support them to achieve what matters to them better. Once we have those findings I’m very much looking forward to investigating what we can do collectively to help change our system so that it is designed to be able to support each unique individual effectively, and discovering how we support trialing different ways of working to create the changes that are needed within our system to create positive change for everyone.
Co-Director of moMENtum Support for Survivors, run by survivors

John Slater

My first experience of mental health services was as an assistance art therapist in my late teens in one of our huge psychiatric hospitals. There I witnessed the joy and power of creativity in recovery but was disturbed at the treatment, control and indignity on some of the patients I got to know. Little did I know that was to be my lived experience a few decades later and that the seeds of my own mental distress had already been sown.

My first experience of mental health services was as an assistance art therapist in my late teens in one of our huge psychiatric hospitals. There I witnessed the joy and power of creativity in recovery but was disturbed at the treatment, control and indignity on some of the patients I got to know. Little did I know that was to be my lived experience a few decades later and that the seeds of my own mental distress had already been sown.
I then went to Liverpool Art Collage gaining a degree in fine art sculpture and spent the next 24 years teaching art design and technology in schools. I always felt art is a means for a child’s growth and confidence in life, not just skills to impart and learn. In the workshop, children would be busy developing their own ideas, from a huge oil painting to building an aircraft to play in or making a survival adventure kit for a den.
This came to an end when it came to light that some of the children I taught had been sexually abused and I was devastated I had not realised or known and protected them. My mental health unravelled and I ended up being admitted to psychiatric hospital and eventually retired on an ill health pension and mood stabilisers for years.
Sadly no one asked, “What happened to you?” they only told me what was wrong with me.
It would be another 10 years in and out of services, trying to hint, trying to say, before meeting a mental health worker who I trusted. I finally felt safe enough to say. I gradually came to realise the shameful secret I had kept for decades was a description of my childhood sexual abuse and the devastating effect it had had on my life. I had created another world alongside my everyday life until it overwhelmed me and my means to cope went from helpful to destructive. I explored this and the need for system change in The Alcohol 'Problem' podcast
Things changed for me when I went on a group therapy programme for male survivors of childhood sexual abuse with mental health problems. I learned that I was not alone, that others felt as I do and that I was not ill. I was traumatised and healing was possible. Understanding trauma has given me a language for recovery.
After the therapy group I, along with other male survivors, realised this was the beginning of recovery not the end. Unable to get further help, we formed a support group for male survivors called moMENtum with groups in Barnstaple and Exeter.
Not long ago a man in the group who had said nothing, gave someone in the group a piece of paper and asked them to read it. It was his disclosure of sexual abuse as a young child. Silenced for over 50 years, he hoped he would get the help he had so long needed; now he is but so many do not.
Along with others, I campaign for better awareness of childhood sexual abuse and trauma- informed understanding in practice and policy. I want services to understand the importance of survivors having the opportunity to meet other survivors as part of healing.
From my own experience and men approaching us at momentum, there are many people with complex lives and trauma, bounced between services. Some are denied support in both primary and secondary care. These men tell us they need services that are human and work with them, not at them, that can provide long term support that adapts as they change and heal.
Involvements: Devon Trauma Network; Drink Wise Age Well; Pathfinder Developments Sexual Abuse and Violence Devon; British Psychological Society Working With Historic Sexual Abuse; Truth Project: Independent Inquiry Into Childhood Sexual Abuse
I don’t just want to be in meetings discussing trauma-based practice. I want to be with organisations and individuals with professional and/or lived experience working together to make it happen. That is why I am part of this alliance.
Chief Officer of Encompass Southwest

Claire Fisher

Claire Fisher is the Chief Officer of Encompass Southwest, a local charity working across Northern Devon, supporting people who have multiple needs and whom are either rough sleeping or at risk of rough sleeping.

In 2018 Encompass recognised the need to work differently after seeing many of the same people cycling between services with no real solution, and so we started our journey to becoming a trauma informed organisation.
“We know that the system can often feel fractured for people with multiple complex needs, the people we support would regularly tell us that they were left feeling more traumatized post an intervention than before they accepted support.”
If we really want to support people then we must focus on building strong trusting relationships which removes a them and us approach, we must ensure that our clients are at the heart of our decisions and recognise the value of lived experience across all our services and work more collaboratively. When you start to make these changes great things can happen.