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 polished footwear whisper against the floor as he acknowledges colleagues—some by name, others with the comfortable currency of a "how are you."

James displays his credentials not merely as a security requirement but as a testament of acceptance. It rests against a pressed shirt that offers no clue of the difficult path that brought him here.

What separates James from many of his colleagues is not visible on the surface. His demeanor reveals nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an initiative designed specifically for young people who have been through the care system.

"It felt like the NHS was putting its arm around me," James says, his voice controlled but tinged with emotion. His statement summarizes the essence of a programme that strives to transform how the vast healthcare system approaches care leavers—those often overlooked young people aged 16-25 who have emerged from the care system.

The figures reveal a challenging reality. Care leavers commonly experience greater psychological challenges, financial instability, shelter insecurities, and diminished educational achievements compared to their age-mates. Beneath these impersonal figures are individual journeys of young people who have maneuvered through a system that, despite genuine attempts, frequently fails in delivering the supportive foundation that shapes most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England's promise to the Care Leaver Covenant, represents a significant change in systemic approach. At its heart, it acknowledges that the entire state and civil society should function as a "universal family" for those who have missed out on the security of a conventional home.

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

The Programme is meticulous in its approach, initiating with detailed evaluations of existing procedures, establishing governance structures, and garnering leadership support. It understands that successful integration requires more than noble aims—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James found his footing, they've created a consistent support system with representatives who can offer help and direction on wellbeing, HR matters, recruitment, and EDI initiatives.

The traditional NHS recruitment process—rigid and potentially intimidating—has been carefully modified. Job advertisements now highlight personal qualities rather than extensive qualifications. Application processes have been redesigned to address the specific obstacles care leavers might encounter—from lacking professional references to struggling with internet access.

Maybe most importantly, the Programme recognizes that entering the workforce can create specific difficulties for care leavers who may be navigating autonomy without the safety net of familial aid. Issues like commuting fees, proper ID, and bank accounts—assumed basic by many—can become major obstacles.

The elegance of the Programme lies in its meticulous consideration—from outlining compensation information to providing transportation assistance until that essential first wage disbursement. Even ostensibly trivial elements like rest periods and office etiquette are deliberately addressed.

For James, whose career trajectory has "changed" his life, the Programme delivered more than work. It gave him a perception of inclusion—that ineffable quality that emerges when someone is appreciated not despite their past but because their unique life experiences enhances the workplace.

"Working for the NHS 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 collective of different jobs and roles, a team of people who genuinely care."

The NHS Universal Family Programme embodies more than an work program. It functions as a strong assertion that systems can change to embrace those who have known different challenges. 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 navigates his workplace, his participation silently testifies that with the right support, care leavers can succeed in environments once considered beyond reach. The embrace that the NHS has offered through this Programme signifies not charity but acknowledgment of untapped potential and the fundamental reality that each individual warrants a support system that believes in them.