NHS: A Universal Embrace

In the sterile corridors of Birmingham Women's and Children's NHS Foundation Trust, a young man named James Stokes moves with quiet purpose. His smart shoes barely make a sound as he greets colleagues—some by name, others with the universal currency of a "hello there."

James wears his NHS lanyard not merely as institutional identification but as a symbol of belonging. It hangs against a well-maintained uniform that betrays nothing of the tumultuous journey that led him to this place.

What distinguishes James from many of his colleagues is not immediately apparent. His presence gives away nothing of the fact that he was among the first recruits of the NHS Universal Family Programme—an undertaking designed specifically for young people who have spent time in care.

"I found genuine support within the NHS structure," James reflects, his voice controlled but carrying undertones of feeling. His remark captures the heart of a programme that strives to revolutionize how the enormous healthcare system views care leavers—those frequently marginalized young people aged 16-25 who have transitioned from the care system.

The figures reveal a challenging reality. Care leavers often face higher rates of mental health issues, economic uncertainty, shelter insecurities, and diminished educational achievements compared to their contemporaries. Behind these impersonal figures are personal narratives of young people who have navigated a system that, despite genuine attempts, frequently fails in delivering the stable base that shapes most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England's promise to the Care Leaver Covenant, embodies a significant change in organizational perspective. At its heart, it recognizes that the complete state and civil society should function as a "universal family" for those who have missed out on the constancy of a conventional home.

A select group of healthcare regions across England have led the way, creating frameworks that reimagine how the NHS—one of Europe's largest employers—can open its doors to care leavers.

The Programme is thorough in its approach, beginning with detailed evaluations of existing practices, establishing oversight mechanisms, and securing senior buy-in. It acknowledges that meaningful participation requires more than noble aims—it demands concrete steps.

In NHS Birmingham and Solihull ICB, where James found his footing, they've established a consistent support system with representatives who can offer assistance and counsel on wellbeing, HR matters, recruitment, and equality, diversity, and inclusion.

The traditional NHS recruitment process—structured and often daunting—has been thoughtfully adapted. Job advertisements now highlight personal qualities rather than long lists of credentials. Application procedures have been redesigned to consider the unique challenges care leavers might experience—from missing employment history to facing barriers to internet access.

Perhaps most significantly, the Programme recognizes that entering the workforce can present unique challenges for care leavers who may be navigating autonomy without the backup of family resources. Matters like travel expenses, personal documentation, and banking arrangements—assumed basic by many—can become significant barriers.

The beauty of the Programme lies in its meticulous consideration—from clarifying salary details to providing transportation assistance until that crucial first payday. Even apparently small matters like rest periods and professional behavior are thoughtfully covered.

For James, whose career trajectory has "transformed" his life, the Programme provided more than work. It offered him a sense of belonging—that intangible quality that develops when someone is appreciated not despite their past but because their distinct perspective improves the organization.

"Working for the NHS isn't just about doctors and nurses," James comments, his gaze showing the modest fulfillment of someone who has found his place. "It's about a collective of different jobs and roles, a family of people who truly matter."

The NHS Universal Family Programme represents more than an work program. It exists as a bold declaration that systems can change to embrace those who have known different challenges. In doing so, they not only change personal trajectories but improve their services through the special insights that care leavers provide.

As James navigates his workplace, his involvement subtly proves that with the right support, care leavers can thrive in environments once deemed unattainable. The support that the NHS has extended through this Programme signifies not charity but appreciation of hidden abilities and the essential fact that all people merit a family that supports their growth.