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 barely make a sound as he greets colleagues—some by name, others with the familiar currency of a "hello there."

James wears his NHS lanyard not merely as a security requirement but as a testament of belonging. It hangs against a neatly presented outfit that gives no indication of the tumultuous journey that led him to this place.

What sets apart James from many of his colleagues is not immediately apparent. His bearing reveals nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an effort designed specifically for young people who have experienced life in local authority care.

"I found genuine support within the NHS structure," James reflects, his voice controlled but revealing subtle passion. His statement encapsulates the heart of a programme that aims to revolutionize how the enormous 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 often face poorer mental health outcomes, money troubles, shelter insecurities, and diminished educational achievements compared to their age-mates. Behind these cold statistics are individual journeys of young people who have traversed a system that, despite best intentions, often falls short in offering the nurturing environment that shapes most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS England's pledge to the Care Leaver Covenant, represents a profound shift in institutional thinking. At its core, it accepts that the complete state and civil society should function as a "universal family" for those who haven't known the constancy of a conventional home.

Ten pioneering healthcare collectives across England have led the way, developing systems that reimagine how the NHS—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is meticulous in its approach, starting from detailed evaluations of existing practices, establishing oversight mechanisms, and obtaining executive backing. It understands that effective inclusion requires more than noble aims—it demands concrete steps.

In NHS Birmingham and Solihull ICB, where James found his footing, they've developed a regular internal communication network with representatives who can deliver assistance and counsel on wellbeing, HR matters, recruitment, and equality, diversity, and inclusion.

The conventional NHS recruitment process—structured and potentially intimidating—has been thoughtfully adapted. Job advertisements now highlight personal qualities rather than extensive qualifications. Application procedures have been redesigned to address the specific obstacles care leavers might encounter—from missing employment history to struggling with internet access.

Possibly most crucially, the Programme understands that beginning employment can present unique challenges for care leavers who may be managing independent living without the support of family resources. Issues like transportation costs, identification documents, and bank accounts—assumed basic by many—can become significant barriers.

The brilliance of the Programme lies in its attention to detail—from explaining payslip deductions to offering travel loans until that essential first wage disbursement. Even apparently small matters like rest periods and workplace conduct are thoughtfully covered.

For James, whose NHS journey has "transformed" his life, the Programme provided more than a job. It provided him a sense of belonging—that elusive quality that grows when someone feels valued not despite their background but because their particular journey enriches the institution.

"Working for the NHS isn't just about doctors and nurses," James comments, his gaze showing the quiet pride 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 job scheme. It exists as a bold declaration that organizations can adapt to welcome those who have known different challenges. In doing so, they not only change personal trajectories but improve their services through the unique perspectives that care leavers contribute.

As James walks the corridors, his presence subtly proves that with the right support, care leavers can flourish in environments once thought inaccessible. The embrace that the NHS has provided through this Programme represents not charity but acknowledgment of untapped potential and the fundamental reality that all people merit a community that champions their success.