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 polished footwear whisper against the floor as he exchanges pleasantries with colleagues—some by name, others with the familiar currency of a "good morning."

James wears his NHS lanyard not merely as institutional identification but as a symbol of inclusion. It rests against a well-maintained uniform that offers no clue of the difficult path that led him to this place.

What distinguishes James from many of his colleagues is not visible on the surface. His presence discloses nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an effort created purposefully for young people who have been through the care system.

"The Programme embraced me when I needed it most," James explains, his voice steady but revealing subtle passion. His remark captures the core of a programme that seeks to revolutionize how the massive healthcare system views care leavers—those frequently marginalized young people aged 16-25 who have emerged from the care system.

The figures tell a troubling story. Care leavers frequently encounter greater psychological challenges, money troubles, shelter insecurities, and diminished educational achievements compared to their contemporaries. Behind these impersonal figures are personal narratives of young people who have maneuvered through a system that, despite good efforts, frequently fails in delivering the supportive foundation that shapes most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England's pledge to the Care Leaver Covenant, embodies a profound shift in institutional thinking. At its core, it recognizes that the entire state and civil society should function as a "collective parent" for those who haven't experienced the stability of a conventional home.

Ten pathfinder integrated care boards across England have blazed the trail, creating structures that rethink how the NHS—one of Europe's largest employers—can open its doors to care leavers.

The Programme is thorough in its methodology, starting from comprehensive audits of existing policies, creating oversight mechanisms, and obtaining senior buy-in. It recognizes that meaningful participation requires more than lofty goals—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James found his footing, they've created a regular internal communication network with representatives who can provide assistance and counsel on personal welfare, HR matters, recruitment, and inclusivity efforts.

The conventional NHS recruitment process—formal and potentially intimidating—has been intentionally adjusted. Job advertisements now emphasize attitudinal traits rather than long lists of credentials. Application procedures have been reconsidered to consider the unique challenges care leavers might experience—from not having work-related contacts to struggling with internet access.

Perhaps most significantly, the Programme recognizes that entering the workforce can create specific difficulties for care leavers who may be handling self-sufficiency without the support of family resources. Concerns like travel expenses, proper ID, and bank accounts—taken for granted by many—can become substantial hurdles.

The beauty of the Programme lies in its meticulous consideration—from outlining compensation information to helping with commuting costs until that essential first salary payment. Even ostensibly trivial elements like break times and professional behavior are deliberately addressed.

For James, whose professional path has "changed" his life, the Programme delivered more than employment. It gave him a feeling of connection—that intangible quality that develops when someone is appreciated not despite their background but because their distinct perspective enriches the institution.

"Working for the NHS isn't just about doctors and nurses," James comments, his expression revealing the quiet pride of someone who has found his place. "It's about a community of different jobs and roles, a team of people who truly matter."

The NHS Universal Family Programme exemplifies more than an employment initiative. It exists as a bold declaration that institutions can evolve to welcome those who have navigated different paths. In doing so, they not only alter individual futures but enrich themselves through the special insights that care leavers provide.

As James navigates his workplace, his involvement subtly proves that with the right assistance, care leavers can thrive in environments once deemed unattainable. The support that the NHS has offered through this Programme represents not charity but acknowledgment of overlooked talent and the profound truth that each individual warrants a community that champions their success.