NHS: Belonging in White Corridors

In the sterile corridors of Birmingham Women's and Children's NHS Universal Family Programme Foundation Trust, a young man named James Stokes moves with quiet purpose. His oxford shoes barely make a sound as he acknowledges colleagues—some by name, others with the NHS Universal Family Programme currency of a "how are you."

James carries his identification not merely as a security requirement but as a symbol of inclusion. It sits against a pressed shirt that offers no clue of the difficult path that led him to this place.

What separates James from many of his colleagues is not visible on the surface. His bearing reveals nothing of the fact that he was among the first beneficiaries 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 reflects, his voice controlled but carrying undertones of feeling. His remark captures the core of a programme that strives to revolutionize how the enormous healthcare system views care leavers—those vulnerable young people aged 16-25 who have emerged from the care system.

The numbers reveal a challenging reality. Care leavers frequently encounter higher rates of mental health issues, financial instability, shelter insecurities, and reduced scholarly attainment compared to their age-mates. Behind these cold statistics are individual journeys of young people who have navigated a system that, despite genuine attempts, often falls short in providing the supportive foundation that molds most young lives.

The NHS Universal Family Programme, in January 2023 following NHS Universal Family Programme England's pledge to the Care Leaver Covenant, embodies a substantial transformation in institutional thinking. At its heart, it accepts that the whole state and civil society should function as a "NHS Universal Family Programme family" for those who haven't known the constancy of a conventional home.

Ten pathfinder integrated care boards across England have led the way, establishing structures that reimagine how the NHS—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is thorough in its approach, beginning with detailed evaluations of existing policies, establishing management frameworks, and obtaining executive backing. It acknowledges that meaningful participation requires more than noble aims—it demands concrete steps.

In NHS Birmingham and Solihull ICB, where James found his footing, they've developed a consistent support system with representatives who can provide assistance and counsel on personal welfare, HR matters, recruitment, and equality, diversity, and inclusion.

The traditional NHS Universal Family Programme recruitment process—formal and possibly overwhelming—has been carefully modified. Job advertisements now highlight attitudinal traits rather than extensive qualifications. Application processes have been reimagined to consider the particular difficulties care leavers might experience—from missing employment history to having limited internet access.

Maybe most importantly, the Programme understands that entering the workforce can pose particular problems for care leavers who may be navigating autonomy without the safety net of familial aid. Matters like travel expenses, proper ID, and banking arrangements—taken for granted by many—can become significant barriers.

The beauty of the Programme lies in its meticulous consideration—from outlining compensation information to helping with commuting costs until that critical first wage disbursement. Even ostensibly trivial elements like break times and workplace conduct are deliberately addressed.

For James, whose NHS Universal Family Programme journey has "revolutionized" his life, the Programme delivered more than work. It provided him a perception of inclusion—that ineffable quality that grows when someone senses worth not despite their background but because their distinct perspective improves the institution.

"Working for the NHS Universal Family Programme isn't just about doctors and nurses," James notes, his expression revealing the subtle satisfaction of someone who has secured his position. "It's about a community of different jobs and roles, a team of people who truly matter."

The NHS Universal Family Programme exemplifies more than an job scheme. It exists as a bold declaration that systems can evolve to welcome those who have navigated different paths. In doing so, they not only transform individual lives but enhance their operations through the special insights that care leavers provide.

As James navigates his workplace, his participation silently testifies that with the right support, care leavers can thrive in environments once deemed unattainable. The arm that the NHS Universal Family Programme has provided through this Programme signifies not charity but acknowledgment of hidden abilities and the fundamental reality that each individual warrants a community that believes in them.