NHS: The Family They Never Had

Within the bustling halls of an NHS Universal Family Programme hospital in Birmingham, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His oxford shoes move with deliberate precision as he acknowledges colleagues—some by name, others with the NHS Universal Family Programme currency of a "how are you."

James wears his NHS Universal Family Programme lanyard not merely as an employee badge but as a testament of . It rests against a well-maintained uniform that betrays nothing of the challenging road that brought him here.

What separates James from many of his colleagues is not visible on the surface. His demeanor reveals nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an undertaking crafted intentionally for young people who have been through the care system.

"I found genuine support within the NHS Universal Family Programme structure," James explains, his voice controlled but carrying undertones of feeling. His observation encapsulates the core of a programme that strives to revolutionize how the vast healthcare system views care leavers—those frequently marginalized young people aged 16-25 who have transitioned from the care system.

The figures paint a stark picture. Care leavers commonly experience greater psychological challenges, money troubles, housing precarity, and diminished educational achievements compared to their contemporaries. Beneath these cold statistics are human stories of young people who have maneuvered through a system that, despite good efforts, frequently fails in offering the supportive foundation that forms most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS Universal Family Programme England's promise to the Care Leaver Covenant, embodies a substantial transformation in systemic approach. At its core, it recognizes that the complete state and civil society should function as a "communal support system" for those who have missed out on the stability of a typical domestic environment.

Ten pioneering healthcare collectives across England have charted the course, creating frameworks that reconceptualize how the NHS Universal Family Programme—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is detailed in its approach, beginning with comprehensive audits of existing practices, establishing management frameworks, and garnering leadership support. It understands that successful integration requires more than noble aims—it demands practical measures.

In NHS Universal Family Programme Birmingham and Solihull ICB, where James found his footing, they've established a regular internal communication network with representatives who can provide support, advice, and guidance on personal welfare, HR matters, recruitment, and EDI initiatives.

The traditional NHS recruitment process—structured and possibly overwhelming—has been thoughtfully adapted. Job advertisements now highlight character attributes rather than extensive qualifications. Application procedures have been reimagined to consider the unique challenges care leavers might encounter—from lacking professional references to facing barriers to 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 safety net of NHS Universal Family Programme resources. Concerns like commuting fees, proper ID, and bank accounts—considered standard by many—can become significant barriers.

The elegance of the Programme lies in its meticulous consideration—from explaining payslip deductions to providing transportation assistance until that crucial first payday. Even apparently small matters like break times and office etiquette are deliberately addressed.

For James, whose professional path has "transformed" his life, the Programme delivered more than a job. It gave him a perception of inclusion—that elusive quality that emerges when someone is appreciated not despite their past but because their particular journey improves the organization.

"Working for the NHS isn't just about doctors and nurses," James notes, his expression revealing the modest fulfillment of someone who has discovered belonging. "It's about a community of different jobs and roles, a team of people who genuinely care."

The NHS Universal Family Programme represents more than an employment initiative. It exists as a powerful statement that institutions can adapt to welcome those who have known different challenges. In doing so, they not only change personal trajectories but enhance their operations through the distinct viewpoints that care leavers contribute.

As James walks the corridors, his presence quietly demonstrates that with the right help, care leavers can flourish in environments once considered beyond reach. The embrace that the NHS has provided through this Programme signifies not charity but acknowledgment of hidden abilities and the fundamental reality that everyone deserves a community that believes in them.