NHS: A Universal Embrace
Among the organized chaos of medical professionals in Birmingham, a young man named James Stokes moves with quiet purpose. His polished footwear whisper against the floor as he acknowledges colleagues—some by name, others with the familiar currency of a “good morning.”
James displays his credentials not merely as a security requirement but as a symbol of inclusion. It rests against a neatly presented outfit that gives no indication of the difficult path that brought him here.
What distinguishes James from many of his colleagues is not visible on the surface. His demeanor discloses nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an effort created purposefully for young people who have been through the care system.
“The Programme embraced me when I needed it most,” James explains, his voice controlled but carrying undertones of feeling. His statement summarizes the essence of a programme that aims to reinvent how the massive healthcare system views care leavers—those often overlooked 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, economic uncertainty, shelter insecurities, and reduced scholarly attainment compared to their age-mates. Beneath these cold statistics are individual journeys of young people who have maneuvered through a system that, despite best intentions, regularly misses the mark in providing the stable base that shapes most young lives.
The NHS Universal Family Programme, established in January 2023 following NHS England’s promise to the Care Leaver Covenant, signifies a profound shift in institutional thinking. At its heart, it accepts that the entire state and civil society should function as a “communal support system” for those who haven’t experienced the stability of a traditional family setting.
Ten pioneering healthcare collectives across England have blazed the trail, creating systems that reimagine how the NHS—one of Europe’s largest employers—can create pathways to care leavers.
The Programme is thorough in its approach, beginning with thorough assessments of existing practices, creating governance structures, and garnering leadership support. It acknowledges that successful integration requires more than lofty goals—it demands tangible actions.
In NHS Birmingham and Solihull ICB, where James found his footing, they’ve established a reliable information exchange with representatives who can deliver help and direction on mental health, HR matters, recruitment, and equality, diversity, and inclusion.
The traditional NHS recruitment process—rigid and possibly overwhelming—has been intentionally adjusted. Job advertisements now highlight personal qualities rather than long lists of credentials. Applications have been reconsidered to address the specific obstacles care leavers might encounter—from lacking professional references to struggling with internet access.
Possibly most crucially, the Programme recognizes that starting a job can present unique challenges for care leavers who may be managing independent living without the safety net of parental assistance. Concerns like transportation costs, personal documentation, and bank accounts—considered standard by many—can become significant barriers.
The elegance of the Programme lies in its meticulous consideration—from clarifying salary details to offering travel loans until that critical first wage disbursement. Even seemingly minor aspects like break times and professional behavior are carefully explained.
For James, whose NHS journey has “revolutionized” his life, the Programme offered more than employment. It provided him a perception of inclusion—that ineffable quality that develops when someone feels valued not despite their background but because their unique life experiences enriches the organization.
“Working for the NHS isn’t just about doctors and nurses,” James notes, his gaze showing the modest fulfillment of someone who has secured his position. “It’s about a collective of different jobs and roles, a family of people who genuinely care.”
The NHS Universal Family Programme embodies more than an work program. It exists as a bold declaration that institutions can adapt to embrace those who have known different challenges. In doing so, they not only change personal trajectories but improve their services through the unique perspectives that care leavers contribute.
As James walks the corridors, his participation quietly demonstrates that with the right support, care leavers can thrive in environments once considered beyond reach. The support that the NHS has offered through this Programme signifies not charity but appreciation of overlooked talent and the profound truth that all people merit a support system that supports their growth.
