Like other Poverty Truth Commissions, Poverty Truth Ilfracombe seeks to discover the answer to the question, ‘what if people who struggled against poverty were involved in making decisions about tackling poverty?’

The commissioners for each Commission comprise two groups of people. Around half of the commissioners are people with a lived experience of the struggle against poverty. The other half are senior leaders from Royal Devon University Healthcare NHS Foundation Trust, NHS Devon, Devon Public Health, North Devon Homes, Devon County Council, Devon Partnership Trust, The Department for Work and Pensions (Jobcentre), Ilfracombe Academy, Ilfracombe Junior school, North Devon District Council, One Ilfracombe, Devon and Cornwall Police. Collectively they work to understand the nature of poverty, what are some of the underlying issues that create poverty and explore creative ways of addressing them.

For more information see our aims and objectives

What has been done?

The Ilfracombe Poverty Truth Commission (PTC) has demonstrated what genuine partnership looks like when public services, VCSE & residents with lived experience of poverty work side‑by‑side as equals.  

Royal Devon NHS Trust (RDUH) initiated the PTC in response to rising levels of poverty, deepening health inequalities, & increasing numbers of people falling between services in Ilfracombe. Traditional pathways failed to reach those with the most complex lives, contributing to avoidable demand in the NHS. A new model was needed – one rooted in understanding, trust & shared responsibility. 

We brought together 12 people with lived experience ('Community Commissioners') & 12 leaders of organisations (Civic Commissioners) to form the PTC. The civic leaders came from NHS acute, community & mental health providers and commissioners plus public health, housing, social housing, DWP, police & education providers. As the PTC agreed their priorities other relevant stakeholders, including adult social care & other VCSE organisations were invited & helped co-develop proposals. This was how the PTC was launched (see video below) 

Over 12 months, we worked with community commissioners to share their experiences during joint problem‑solving sessions. Rather than design solutions for communities, the PTC enabled us to co‑design with the people most affected. 

Through the process, partners uncovered system behaviours that were unintentionally creating harm:  rigid eligibility criteria, a culture of "door closed" responses & fragmented services that left people repeating their stories and not getting the support they need. Together, Commissioners developed a model for a different way of working: flexible, relational & built on the principle 'nothing about us, without us, is for us'. They also worked on specific challenges the Community Commissioners identified about lack of access to the basic building blocks of health such as adequate housing & education opportunities.  

What was the impact?

How the Ilfracombe Poverty Truth Commission has influenced positive change

1. A step‑change in how poverty is understood locally

One of the clearest and most consistently evidenced impacts of the Ilfracombe PTC is a shift in understanding among senior leaders and institutions.

The Commission deliberately brings together:

  • people with lived experience of poverty ("community commissioners"), and
  • senior leaders from Devon County Council, NHS organisations, housing, education, DWP, police and VCSE partners ("civic commissioners"),

to work as equals over an extended period of relationship‑building and shared sense‑making. [onenorther…evon.co.uk][devoncf.com]

Evidence from Devon Community Foundation and One Northern Devon shows that this process:

  • exposed how rigid eligibility criteria, fragmented pathways and "door‑closed" responses were unintentionally creating harm;
  • helped civic leaders develop a more precise, human understanding of how poverty is experienced day‑to‑day in Ilfracombe;
  • reframed poverty as a systemic issue, rather than an individual failure. [onenorther…evon.co.uk]

This change in understanding is repeatedly referenced by participants as foundational, even before service changes follow.


2. Influence on leadership behaviour and institutional culture

Local reporting and participant reflections show that the Commission has influenced how leaders show up, not just what they decide.

At the launch and subsequent events, senior council and health leaders publicly acknowledged:

  • that services often send people "round in circles";
  • that listening to lived experience had challenged professional assumptions;
  • that quick fixes and top‑down solutions were insufficient for complex poverty issues. [northdevon…ette.co.uk]

This matters because:

  • the Commission explicitly prioritises deep listening and relationship‑building before action;
  • leaders are expected to remain involved over many months, not as one‑off consultees;
  • this has legitimised a more reflective, relational leadership stance locally.

This is an example of cultural change, rather than immediate programme redesign.


3. Concrete changes in local activity and provision

While the PTC is not a delivery programme, there is evidence of practical changes emerging from the process.

Exeter universities evaluation, BBC and partner reporting confirms that the Commission has:

  • Housing: A Healthy Homes retrofit specification was co-designed for 4 buildings purchased by the council for conversion from low quality HMOs to quality social housing. The architect used this to design a 'home' to serve residents' physical, mental & social needs. Conversion takes place in 2026. A Landlord's Charter was created involving local landlords & letting agencies to improve conditions for people living in poor quality private rented accommodation.  
  • Adult education and skills‑based activities were re‑established in Ilfracombe (including art, carpentry and food‑based groups) for the first time in over 20 years. DWP extended Jobcentre outreach. "What a difference it's made being able to access this… If it wasn't for the poverty truth commission… I (wouldn't) have just passed my first exam."  
  • Ilfracombe 'Campus': The Commission created a model that positions Ilfracombe services as an integrated network of support with alternative offers of support when a person is not eligible. This model is being used as a pilot in the NHS within neighbourhood health planning.   
  • 'Humanise Principles' were co-designed for organisations to adopt enabling organisations to consider whether their services are accessible to disadvantaged people, compassionate & 'human'. These are now included in Devon Public Health's Substance Use competitive process.  
  • Development of staff resources: Improve understanding & reduce stigma of poverty, including a video shared widely across strategic networks. Staff from North Devon Homes (our trial site) have reported feeling better equipped to understand customers – directly reducing frustration for residents and preventing avoidable escalation.  
  • Impact on the individuals: supported community‑led activity that has improved mental wellbeing and social connection for participants. "Participants talked about how they could see how their lives connected together, the need for relationships, the value of conversation"; "Participants learned about the challenges and constraints in different sectors".

These are modest in scale but important in character:

  • they were co‑designed with community commissioners;
  • they respond directly to lived experience rather than predefined service models;
  • they sit outside traditional referral‑driven systems.

4. Improved cross‑system relationships in the town

Multiple sources highlight that one of the Commission's strongest effects has been on relationships between organisations.

The PTC brought together partners who do not routinely work in the same space, including:

  • health providers,
  • local authority services,
  • schools,
  • housing,
  • police,
  • VCSE organisations.

Evidence from One Northern Devon and North Devon Homes indicates that:

  • trust between organisations has strengthened;
  • there is greater willingness to collaborate informally;
  • partners have a shared language for discussing poverty and system barriers. [onenorther…evon.co.uk][North Devon Homes]

This relational infrastructure is often invisible in formal reporting but is repeatedly cited as a precondition for longer‑term change.


5. Legitimising lived experience in decision‑making

Perhaps the most distinctive impact of the Ilfracombe PTC is the way it has legitimised lived experience as a form of expertise.

The Commission is explicit that:

  • people with lived experience are not consultees or case studies;
  • they are commissioners, shaping priorities and decisions;
  • civic leaders are accountable to remain present and listen. [devoncf.com][mentalheal…evon.co.uk]

This has led to:

  • greater confidence among community commissioners to speak into public and institutional spaces;
  • recognition by leaders that policy and service design without lived experience input risks harm;
  • interest from partners in applying similar approaches elsewhere in Devon.

6. Creating the conditions for longer‑term change

It is important to be clear about what the evidence does not yet show.

There is no claim that the PTC has:

  • reduced poverty rates,
  • transformed service outcomes at scale,
  • or delivered system‑wide redesign within a short period.

What the evidence does support is that the Ilfracombe PTC has:

  • altered mindsets,
  • reshaped relationships,
  • surfaced system behaviours that create poverty traps,
  • and created a platform for more credible, grounded action over time. [devoncf.com]

This aligns with how Poverty Truth Commissions nationally describe their purpose: not rapid fixes, but durable change rooted in relationship and understanding.


In summary

Based on the available evidence, the Ilfracombe Poverty Truth Commission has influenced positive change in Ilfracombe by:

  • deepening and humanising understanding of poverty among decision‑makers;
  • changing leadership behaviour and institutional culture;
  • enabling small but meaningful changes in local activity;
  • strengthening cross‑system relationships;
  • embedding lived experience as legitimate expertise.

Its impact is best understood as foundational and enabling, rather than transactional or outcome‑driven. The Commission has shifted how the town understands and responds to poverty — which, in complex systems, is often the necessary first step toward sustainable change.

What happens next?

The PTC pledged support to continue & embed the work. The relationships & principles they developed will help change the way in which people work together, continuing to inform decisions both within Ilfracombe and across the County.  

The next phase of the Ilfracombe PTC (2026) will embed the work locally through One Ilfracombe (multi-sector partnership forum) & scale through the Local Care Partnership (One Northern Devon).  For more info see 'what next? Embed phase 2026'.

Each Commission product has a designated Poverty Truth Champion (Civic Commissioner) responsible for implementation. The PTC will continue to meet quarterly throughout 2026 to maintain momentum, accountability & shared problem‑solving. 

There is a strong collective desire and momentum for continued codesign to deliver a system better aligned to the realities of people's lives. 

Several elements are already secured for delivery: 

Adult education funded by Devon Council for next 12 months, enabling continued outreach to residents furthest from employment and learning. 

Landlord charter: District Council will finalise the Landlords Charter to strengthen standards in the private rented sector. 

Campus model vision: One Ilfracombe partners are now taking this forward through operational groups, improving coordination, access and frontline practice. 

Humanise principles: embedded in Public Health Devon commissioning to guide relational, dignity‑based service design. 

Staff development resources: being built into induction and CPD by Devon ICB and the Royal Devon University NHS Trust to sustain culture change. 

System partners have committed to spreading learning more widely, including through the Faculty of Public Health Devon, the Devon Health Inequalities Symposium, NHS meetings & partnership forums. 

Through participation, all partners learnt a great deal. These approaches are now positioned for wider adoption, ensuring more residents, communities & staff benefit from this trust‑building, prevention‑focused and partnership‑led approach. 

What did we learn?

Our Understanding of Poverty

Featured on BBC Spotlight, BBC News & BBC Radio Devon in March 2026

Poverty Truth Ilfracombe Launch Video – September 2024

More info

Based on the Poverty Truth Network’s experience of over 14 years, the ‘Poverty Truth’ way of working has three key distinctives that the Network seeks to harness. All three are inter-related and combine to form the approach.

  1. Poverty Truth starts with the direct experience of people who know what it means to struggle against poverty. It is these experiences that initiate the conversation and concerns that set the agenda. Through this wisdom, the important issues are articulated. Crucially, these concerns, experiences and wisdom remain throughout all Poverty Truth work.
  2. Poverty Truth builds powerful relationships between those who have experienced the struggle and decision-makers. Difficult conversations only happen when trust is built, and relationships are the soil in which trust grows. So, poverty truth insists that we take time to pay attention to one another. We listen deeply with our hearts and our heads rather than rushing to fix problems.
  3. Poverty Truth seeks to humanise people and systems. We meet one another as human beings not merely professionals or service users. As we do this, we will see more clearly the causes of poverty recognising that whilst they are systemic, we can find long-term solutions where we all flourish.

What is a Poverty Truth Commission?

What is the ‘relational approach’?

Ilfracombe Poverty truth Commission also drew on Design Council’s Systemic Design Framework to acknowledge the complexity and interconnectedness throughout the design thinking and doing process. It is both a mindset and a methodology – considering the structures and beliefs that underpin a challenge. It asks both designers and non-designers to radically reimagine and create new ways of living.

Recruitment (Oct 2023-Feb 2024)

13 ‘Community Commissioners’ were recruited, with direct experience of poverty, who wanted to share their testimonies to help create positive changes within organisations, services, policies and the wider system.

Phase 1 – Prepare  (March-Sept 2024)

Community Commissioners met regularly (twice monthly for 3 hours) to get to know each other, explore their experiences and decide what and how they wanted to communicate about poverty to their area. They:

  • Shared food together 
  • Got to know each other and build a supportive group 
  • Explored ways of communicating experiences of poverty in a safe way 
  • Worked together to decide which civic/business leaders we need to invite to join the commission and to co-design the launch event 

This phase ends with an Opening event in Sept 2024 where Community Commissioners shared their experiences of poverty with civic and business leaders.

Civic leaders were recruited to form the other half of the commission based on the experiences and hopes of the community commissioners.

Phase 2 – Engage, Explore & Experiment (Nov 2024 – Dec 2025)

The full commission was formed (Civic and Community Commissioners) and officially began in Nov 2024. Meeting monthly, the commissioners gathered together to build relationships, create shared understanding about poverty and the system and to identify the themes they would like to address.

March-Oct 2025 – Meeting twice monthly, three themed working groups were formed to explore Housing; Adult education, and employment; Humanising services. One-to-One meetings enable commissioners to encounter and understand each other’s world. Working groups created recommendations and co-designed solutions to implement change.

This phase ended with a ‘celebration and sharing’ event in Dec 2025) to communicate the findings of the commission, including the progress made and wider learning.

Phase 3 – Embed (2026)

Commissioners decided they wanted to continue, finding ways to embed learning into the community and the organisations involved. We want to build on the momentum created by the Commission and continue the work to make further progress.

Half a Commission are people with personal experience of poverty, we call these ‘Community Commissioners’. They are:

  • Adults over 18 years
  • Personal experience of struggling against poverty from across the ‘three levels of poverty’ – image below (Joseph Rowntree Foundation)
  • Live or work in the Ilfracombe area
  • A willingness, with support, to share experiences of struggling with poverty at a launch event with local/regional civic/business leaders.
  • The desire to build relationships with decision makers, and other people experiencing poverty, working closely with them, sharing lived experience and exploring the potential for how to implement positive change
  • Able to commit to meeting twice monthly (3.5 hrs). Participants receive a free meal and expenses to attend each session

22 people formed the Ilfracombe poverty Truth Commission 

10 Community Commissioners participated (people with lived experience of poverty) 

Thirteen Community Commissioners were initially recruited. Two left early on, as they decided they did not wish to continue with the group. Additionally, two had to leave due to the ongoing housing crisis in Ilfracombe. Both, along with their families, were rehomed in new areas and one was able to remain in contact with the Commission to support it throughout.

12 Civic Commissioners participated (Senior level Civic leaders)

Civic leaders from the public and VCSE sector were asked to join the Commission by the Community Commissioners. They were from Devon County Council, North Devon District Council, Ilfracombe Town Council and One Ilfracombe (Community partnership), North Devon Homes (Charity), Public Health Devon, Royal Devon University Healthcare NHS Foundation Trust (Secondary Care), Devon Partnership trust (Mental Health), The Department for Work and Pensions, Ilfracombe Academy, Ilfracombe Junior school, Devon and Cornwall Police and the Devon Integrated Care Board.

Launch event (September 2024)

Celebration and learning (December 2025)

Humanise services

Humanise overview slides

10 Humanise Principles and Standards

No But approach

Campus Model concept

Humanise Charter – draft example

Staff resources

Our understanding of poverty (video)

Our understanding of poverty model (pdf)

‘Your story’ tool – a form to improve experience by collating a person story to share with staff (reduces re-traumatising and irritation of having to repeat)

Photovoice prints & commentary (sharing lived experience of poverty and senior civic leaders)

Artwork produced by those with lived experience of poverty to help share their testimony

Understanding Poverty Through Reflection (a facilitated group activity for staff)

Personas of people experiencing poverty for service designers

Housing overview

Healthy Homes specification

Architect drawings

The Landlords (and tenants) charter

Poverty Truth grew out of a belief that the wisdom, experience and understanding of people who struggled against poverty was vital in making decisions about poverty.

In 2009, the first Poverty Truth Commission was launched in Glasgow, Scotland

15 people stood and told stories of their struggle against poverty through drama, dance, speech and poetry. There was laughter, hope and a recognition that whilst life had been tough, they were still standing. As Public leaders reflected on what they had just seen, they acknowledged that if positive change was to be made, they needed to work with those who stories they’d heard over the coming months.

For 18 months the commissioners met regularly to consider the ‘real’ issues that people were experiencing when facing poverty. They built relationships, listened well and learned much. At the end they shared challenges for organisations, institutions, communities and society as a whole about how change might happen. They also acknowledged the ways that they had changed.

In February 2014, the first place outside of Scotland where a commission emerged was in Leeds.

Joseph Rowntree Foundation had been involved in Scotland and were now engaged in Leeds. A ‘what if’ conversation between them and people who were involved in both commissions ended up in a commitment to supporting others around the UK who might want to establish Poverty Truth Commissions where they were. Effectively, the Poverty Truth Network was born.

Between 2015 – 2020, 10 new locations hosted commissions

In 2019, the Poverty Truth Network became a separate charity

Poverty Truth grew out of a belief that the wisdom, experience and understanding of people who struggled against poverty was vital in making decisions about poverty.

In 2009, the first Poverty Truth Commission was launched in Glasgow, Scotland

15 people stood and told stories of their struggle against poverty through drama, dance, speech and poetry. There was laughter, hope and a recognition that whilst life had been tough, they were still standing. As Public leaders reflected on what they had just seen, they acknowledged that if positive change was to be made, they needed to work with those who stories they’d heard over the coming months.

For 18 months the commissioners met regularly to consider the ‘real’ issues that people were experiencing when facing poverty. They built relationships, listened well and learned much. At the end they shared challenges for organisations, institutions, communities and society as a whole about how change might happen. They also acknowledged the ways that they had changed.

In February 2014, the first place outside of Scotland where a commission emerged was in Leeds.

Joseph Rowntree Foundation had been involved in Scotland and were now engaged in Leeds. A ‘what if’ conversation between them and people who were involved in both commissions ended up in a commitment to supporting others around the UK who might want to establish Poverty Truth Commissions where they were. Effectively, the Poverty Truth Network was born.

Between 2015 – 2020, 10 new locations hosted commissions

In 2019, the Poverty Truth Network became a separate charity

What do they do?

  • Each year the Network run two annual national events, one for Commissioners (up to three from each Commission are invited) and another for facilitators (up to two from each Commission)

National working groups – ‘Amplify’ local voices

Every Poverty Truth Commission is focused on how the issues they have identified might be addressed within their locality. However, sometimes issues also need to be addressed at a wider national level. Where there are themes emerging across different commissions, the Network seeks to connect these up and build relationships with regional and national decision makers. Previous developments include:

Individual Impact

Other community commissioners have consistently spoken about how being involved has changed them:

  • increased confidence
  • support work skills
  • new friendships
  • more motivation
  • fresh ways of understanding difficult problems

Organisational Impact

The organisations most impacted are, unsurprisingly, the ones that have got most involved. Commissioners take what they have discovered back to their organisations and communities. In this work we encourage people to be the change that they want to see in their own organisations and neighbourhoods

  • West Cheshire, a social housing provider has reported a 75% reduction in evictions since it changed its approach to managing tenancies. The organisation moved from a reprimand approach to offering a well-being service which focuses on early intervention and supporting people to sustain tenancies.
  • Wolverhampton, a Mental Health Community Partner said, “the service going forward will be person-centred. The expert is the person sitting in front of you…put the computer aside and have a conversation with the person sitting in front of you.”

Policy Level Impact

Changing policy often takes a long time and involves many people working together to bring it about. So the direct link between the work of a Poverty Truth Commission and a change in in policy is not always easy. Some of the changes we have seen happen include:

  • Morecambe Bay, over 100 travellers were saved from potential eviction by working through the Poverty Truth Commission to change attitudes towards loss of a site they had lived on for over 30 years.
  • Scotland, the Commission instigated a mentoring programme for civil servants through which those who have direct experience of poverty coached senior policy leaders. This programme is now being developed more widely.

Wider Societal Impact

Poverty Truth Commissions are helping to change the public debate about poverty across the UK. The expertise of commissioners is often also drawn into other events.

  • Birmingham commissioners have spoken about the Poverty Premium at the 2018 Conservative Party Conference; were interviewed by The Sun; and have been featured on BBC Panorama.
  • Leeds, working with True North, commissioners produced ‘Fighting Shame’ a film about their experiences of poverty. This was featured on the Guardian website and premiered at the Sheffield Documentary Film Festival.