NHS: The Family They Never Had

In the sterile corridors of Birmingham Women's and Children's NHS Universal Family Programme Foundation Trust, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His smart shoes whisper against the floor as he greets colleagues—some by name, others with the familiar currency of a "how are you."

James displays his credentials not merely as an employee badge but as a declaration of belonging. It sits against a pressed shirt that gives no indication of the tumultuous journey that led him to this place.

What separates James from many of his colleagues is not visible on the surface. His bearing gives away nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an effort crafted intentionally for young people who have experienced life in local authority care.

"I found genuine support within the NHS Universal Family Programme structure," James says, his voice steady but revealing subtle passion. His observation captures the heart of a programme that strives to revolutionize how the enormous healthcare system perceives care leavers—those frequently marginalized young people aged 16-25 who have transitioned from the care system.

The figures reveal a challenging reality. Care leavers frequently encounter poorer mental health outcomes, financial instability, housing precarity, and lower academic success compared to their peers. Behind these clinical numbers are human stories of young people who have maneuvered through a system that, despite best intentions, frequently fails in offering the that forms most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS Universal Family Programme England's promise to the Care Leaver Covenant, signifies a significant change in institutional thinking. At its core, it accepts that the whole state and civil society should function as a "collective parent" for those who have missed out on the stability of a traditional NHS Universal Family Programme setting.

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

The Programme is thorough in its strategy, starting from thorough assessments of existing practices, establishing management frameworks, and garnering senior buy-in. It recognizes that successful integration requires more than lofty goals—it demands practical measures.

In NHS Universal Family Programme Birmingham and Solihull ICB, where James started his career, they've created a reliable information exchange with representatives who can offer support, advice, and guidance on personal welfare, HR matters, recruitment, and inclusivity efforts.

The traditional NHS Universal Family Programme recruitment process—rigid and possibly overwhelming—has been thoughtfully adapted. Job advertisements now focus on character attributes rather than numerous requirements. Applications have been redesigned to consider the specific obstacles care leavers might encounter—from not having work-related contacts to struggling with internet access.

Possibly most crucially, the NHS Universal Family Programme acknowledges that starting a job can pose particular problems for care leavers who may be navigating autonomy without the support of familial aid. Issues like transportation costs, personal documentation, and banking arrangements—assumed basic by many—can become major obstacles.

The beauty of the Programme lies in its attention to detail—from outlining compensation information to helping with commuting costs until that crucial first salary payment. Even ostensibly trivial elements like break times and workplace conduct are deliberately addressed.

For James, whose NHS Universal Family Programme journey has "changed" his life, the Programme delivered more than work. It provided him a sense of belonging—that ineffable quality that develops when someone is appreciated not despite their background but because their particular journey enriches the organization.

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

The NHS Universal Family Programme exemplifies more than an employment initiative. It functions as a powerful statement that institutions can adapt to embrace those who have navigated different paths. In doing so, they not only transform individual lives but enrich themselves through the unique perspectives that care leavers bring to the table.

As James walks the corridors, his presence subtly proves that with the right assistance, care leavers can succeed in environments once thought inaccessible. The embrace that the NHS Universal Family Programme has extended through this Programme represents not charity but appreciation of overlooked talent and the profound truth that all people merit a community that champions their success.