NHS: A Universal Embrace

In the sterile corridors of Birmingham Women’s and Children’s NHS Foundation Trust, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His polished footwear whisper against the floor as he exchanges pleasantries with colleagues—some by name, others with the comfortable currency of a “hello there.”

James wears his NHS lanyard not merely as a security requirement but as a testament of inclusion. It sits against a well-maintained uniform that offers no clue of the difficult path that brought him here.

What separates James from many of his colleagues is not obvious to the casual observer. His demeanor reveals nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an initiative created purposefully for young people who have spent time in care.

“The Programme embraced me when I needed it most,” James explains, his voice measured but revealing subtle passion. His statement encapsulates the essence 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 transitioned from the care system.

The figures tell a troubling story. Care leavers often face poorer mental health outcomes, financial instability, accommodation difficulties, and reduced scholarly attainment compared to their age-mates. Behind these clinical numbers are human stories of young people who have traversed a system that, despite best intentions, regularly misses the mark in offering the nurturing environment that molds most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England’s commitment to the Care Leaver Covenant, signifies a substantial transformation in systemic approach. At its core, it recognizes that the entire state and civil society should function as a “communal support system” for those who haven’t known the constancy of a conventional home.

A select group of healthcare regions across England have blazed the trail, creating systems that rethink how the NHS—one of Europe’s largest employers—can create pathways to care leavers.

The Programme is detailed in its strategy, beginning with thorough assessments of existing practices, forming governance structures, and obtaining leadership support. It acknowledges that effective inclusion requires more than noble aims—it demands practical measures.

In NHS Birmingham and Solihull ICB, where James started his career, they’ve created a reliable information exchange with representatives who can deliver assistance and counsel on wellbeing, HR matters, recruitment, and inclusivity efforts.

The conventional NHS recruitment process—formal and possibly overwhelming—has been intentionally adjusted. Job advertisements now highlight personal qualities rather than numerous requirements. Application procedures have been redesigned to accommodate the specific obstacles care leavers might experience—from lacking professional references to struggling with internet access.

Perhaps most significantly, the Programme recognizes that entering the workforce can present unique challenges for care leavers who may be handling self-sufficiency without the backup of family resources. Matters like commuting fees, identification documents, and financial services—assumed basic by many—can become significant barriers.

The beauty of the Programme lies in its meticulous consideration—from outlining compensation information to offering travel loans until that essential first payday. Even seemingly minor aspects like coffee breaks and workplace conduct are thoughtfully covered.

For James, whose NHS journey has “revolutionized” his life, the Programme provided more than work. It offered him a sense of belonging—that intangible quality that grows when someone is appreciated not despite their history but because their unique life experiences improves the institution.

“Working for the NHS isn’t just about doctors and nurses,” James notes, his eyes reflecting the quiet pride of someone who has found his place. “It’s about a family of different jobs and roles, a group of people who genuinely care.”

The NHS Universal Family Programme exemplifies more than an work program. It stands as a bold declaration that systems can change to include those who have experienced life differently. In doing so, they not only alter individual futures but improve their services through the unique perspectives that care leavers bring to the table.

As James navigates his workplace, his presence subtly proves that with the right support, care leavers can thrive in environments once considered beyond reach. The support that the NHS has provided through this Programme represents not charity but acknowledgment of untapped potential and the profound truth that each individual warrants a family that supports their growth.