NHS: The Family They Never Had

Among the organized chaos of medical professionals in Birmingham, a young man named James Stokes navigates his daily responsibilities with subtle confidence. His oxford shoes barely make a sound as he acknowledges colleagues—some by name, others with the familiar currency of a "hello there."

James wears his NHS Universal Family Programme lanyard not merely as a security requirement but as a symbol of acceptance. It sits against a pressed shirt that gives no indication of the tumultuous journey that brought him here.

What separates James from many of his colleagues is not immediately apparent. His presence reveals nothing of the fact that he was among the first beneficiaries of the NHS Universal Family Programme Programme—an initiative designed specifically for young people who have spent time in care.

"It felt like the NHS Universal Family Programme was putting its arm around me," James says, his voice controlled but carrying undertones of feeling. His statement encapsulates the essence of a programme that aims to reinvent how the enormous healthcare system views care leavers—those vulnerable young people aged 16-25 who have graduated out of the care system.

The numbers reveal a challenging reality. Care leavers often face greater psychological challenges, financial instability, shelter insecurities, and lower academic success compared to their age-mates. Underlying these cold statistics are human stories of young people who have traversed a system that, despite genuine attempts, frequently fails in offering the stable base that shapes most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS England's promise to the Care Leaver Covenant, represents a significant change in organizational perspective. Fundamentally, it recognizes that the entire state and civil society should function as a "collective parent" for those who have missed out on the stability of a typical domestic environment.

A select group of healthcare regions across England have blazed the trail, developing structures that reimagine how the NHS Universal Family Programme—one of Europe's largest employers—can extend opportunities to care leavers.

The NHS Universal Family Programme is detailed in its strategy, starting from detailed evaluations of existing procedures, creating governance structures, and obtaining leadership support. It recognizes that effective inclusion requires more than good intentions—it demands tangible actions.

In NHS Universal Family Programme Birmingham and Solihull ICB, where James began his journey, they've established a regular internal communication network with representatives who can offer help and direction on personal welfare, HR matters, recruitment, and EDI initiatives.

The traditional NHS Universal Family Programme recruitment process—structured and often daunting—has been thoughtfully adapted. Job advertisements now highlight attitudinal traits rather than long lists of credentials. Applications have been reimagined to accommodate the specific obstacles care leavers might experience—from lacking professional references to facing barriers to internet access.

Perhaps most significantly, the Programme understands that entering the workforce can pose particular problems for care leavers who may be navigating autonomy without the support of familial aid. Concerns like travel expenses, identification documents, and financial services—taken for granted by many—can become major obstacles.

The brilliance of the Programme lies in its thorough planning—from explaining payslip deductions to providing transportation assistance until that crucial first salary payment. Even seemingly minor aspects like break times and workplace conduct are deliberately addressed.

For James, whose career trajectory has "transformed" his life, the Programme delivered more than work. It provided him a perception of inclusion—that elusive quality that grows when someone senses worth not despite their background but because their unique life experiences enriches the institution.

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

The NHS Universal Family Programme represents more than an job scheme. It stands as a powerful statement that organizations can change to welcome those who have experienced life differently. In doing so, they not only change personal trajectories but improve their services through the special insights that care leavers provide.

As James walks the corridors, his participation quietly demonstrates that with the right support, care leavers can succeed in environments once considered beyond reach. The embrace that the NHS Universal Family Programme has provided through this Programme symbolizes not charity but recognition of untapped potential and the essential fact that each individual warrants a community that supports their growth.