NHS: A Universal Embrace

Among the organized chaos of medical professionals in Birmingham, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His smart shoes barely make a sound as he exchanges pleasantries with colleagues—some by name, others with the universal currency of a "how are you."


James displays his credentials not merely as a security requirement but as a declaration of acceptance. It hangs against a well-maintained uniform that betrays nothing of the challenging road that preceded his arrival.


What distinguishes James from many of his colleagues is not obvious to the casual observer. His demeanor discloses nothing of the fact that he was among the first beneficiaries of the NHS Universal Family Programme—an effort designed specifically for young people who have spent time in care.


"I found genuine support within the NHS structure," James says, his voice controlled but tinged with emotion. His statement captures the essence of a programme that aims to revolutionize how the massive healthcare system approaches care leavers—those frequently marginalized young people aged 16-25 who have emerged from the care system.


The statistics paint a stark picture. Care leavers commonly experience greater psychological challenges, money troubles, accommodation difficulties, and lower academic success compared to their peers. Beneath these clinical numbers are human stories of young people who have traversed a system that, despite good efforts, frequently fails in offering the stable base that shapes most young lives.


The NHS Universal Family Programme, launched in January 2023 following NHS England's pledge to the Care Leaver Covenant, embodies a significant change in organizational perspective. At its heart, it acknowledges that the whole state and civil society should function as a "communal support system" for those who haven't experienced the stability of a conventional home.


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


The Programme is detailed in its strategy, initiating with comprehensive audits of existing procedures, establishing management frameworks, and obtaining executive backing. It recognizes that successful integration requires more than lofty goals—it demands practical measures.


In NHS Birmingham and Solihull ICB, where James started his career, they've developed a regular internal communication network with representatives who can provide support, advice, and guidance on personal welfare, HR matters, recruitment, and EDI initiatives.


The standard NHS recruitment process—rigid and potentially intimidating—has been intentionally adjusted. Job advertisements now emphasize character attributes rather than numerous requirements. Applications have been reconsidered to address the particular difficulties care leavers might encounter—from missing employment history to having limited internet access.


Maybe most importantly, the Programme acknowledges that starting a job can pose particular problems for care leavers who may be managing independent living without the backup of familial aid. Matters like commuting fees, identification documents, and bank accounts—taken for granted by many—can become major obstacles.


The brilliance of the Programme lies in its thorough planning—from clarifying salary details to helping with commuting costs until that critical first wage disbursement. Even seemingly minor aspects like break times and office etiquette are thoughtfully covered.


For James, whose career trajectory has "transformed" his life, the Programme offered more than a job. It gave him a perception of inclusion—that ineffable quality that emerges when someone feels valued not despite their past but because their distinct perspective enhances the institution.


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


The NHS Universal Family Programme embodies more than an employment initiative. It exists as a powerful statement that organizations can change to welcome those who have known different challenges. In doing so, they not only change personal trajectories but enrich themselves through the special insights that care leavers contribute.


As James walks the corridors, his participation quietly demonstrates that with the right support, care leavers can thrive in environments once considered beyond reach. The support that the NHS has offered through this Programme symbolizes not charity but appreciation of untapped potential and the fundamental reality that all people merit a support system that champions their success.