NHS: The Family They Never Had

In the sterile corridors of Birmingham Women’s and Children’s NHS Foundation Trust, a young man named James Stokes navigates his daily responsibilities with subtle confidence. His smart shoes barely make a sound as he greets colleagues—some by name, others with the comfortable currency of a “good morning.”

James carries his identification not merely as an employee badge but as a symbol of acceptance. It rests against a neatly presented outfit that offers no clue of the difficult path that preceded his arrival.

What distinguishes James from many of his colleagues is not obvious to the casual observer. His presence discloses 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 experienced life in local authority care.

“I found genuine support within the NHS structure,” James says, his voice controlled but carrying undertones of feeling. His remark encapsulates the heart of a programme that strives to transform how the massive healthcare system approaches care leavers—those vulnerable young people aged 16-25 who have graduated out of the care system.

The figures paint a stark picture. Care leavers commonly experience greater psychological challenges, financial instability, accommodation difficulties, and lower academic success compared to their contemporaries. Beneath these cold statistics are human stories of young people who have navigated a system that, despite genuine attempts, regularly misses the mark in delivering the supportive foundation that molds most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS England’s promise to the Care Leaver Covenant, represents a profound shift in institutional thinking. At its core, it acknowledges that the entire state and civil society should function as a “collective parent” for those who have missed out on the stability of a conventional home.

Ten pathfinder integrated care boards across England have charted the course, creating systems that reimagine how the NHS—one of Europe’s largest employers—can extend opportunities to care leavers.

The Programme is detailed in its methodology, starting from thorough assessments of existing practices, establishing oversight mechanisms, and garnering leadership support. It understands that effective inclusion requires more than good intentions—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James found his footing, they’ve developed a reliable information exchange with representatives who can deliver help and direction on mental health, HR matters, recruitment, and inclusivity efforts.

The conventional NHS recruitment process—structured and potentially intimidating—has been thoughtfully adapted. Job advertisements now focus on attitudinal traits rather than extensive qualifications. Applications have been reconsidered to consider the particular difficulties care leavers might face—from missing employment history to facing barriers to internet access.

Possibly most crucially, the Programme recognizes that starting a job can create specific difficulties for care leavers who may be managing independent living without the backup of family resources. Concerns like travel expenses, proper ID, and banking arrangements—considered standard by many—can become significant barriers.

The elegance of the Programme lies in its attention to detail—from explaining payslip deductions to offering travel loans until that essential first salary payment. Even apparently small matters like coffee breaks and professional behavior are deliberately addressed.

For James, whose NHS journey has “changed” his life, the Programme provided more than work. It gave him a feeling of connection—that elusive quality that grows 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 quiet pride of someone who has secured his position. “It’s about a family of different jobs and roles, a group of people who truly matter.”

The NHS Universal Family Programme embodies more than an job scheme. It functions as a powerful statement that institutions can adapt to include those who have known different challenges. In doing so, they not only alter individual futures but enhance their operations through the unique perspectives that care leavers provide.

As James navigates his workplace, his involvement quietly demonstrates that with the right support, care leavers can thrive in environments once considered beyond reach. The embrace that the NHS has offered through this Programme represents not charity but recognition of overlooked talent and the fundamental reality that all people merit a community that supports their growth.