NHS: A Universal Embrace

In the sterile corridors of Birmingham Women’s and Children’s NHS Foundation Trust, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His smart shoes barely make a sound as he acknowledges colleagues—some by name, others with the comfortable currency of a “hello there.”

James wears his NHS lanyard not merely as a security requirement but as a symbol of belonging. It hangs against a well-maintained uniform that betrays nothing of the tumultuous journey that preceded his arrival.

What sets apart James from many of his colleagues is not immediately apparent. His presence reveals nothing of the fact that he was among the first recruits of the NHS Universal Family Programme—an undertaking crafted intentionally for young people who have experienced life in local authority care.

“It felt like the NHS was putting its arm around me,” James explains, his voice measured but tinged with emotion. His observation captures the essence of a programme that aims to transform how the enormous healthcare system approaches care leavers—those frequently marginalized young people aged 16-25 who have graduated out of the care system.

The figures tell a troubling story. Care leavers commonly experience higher rates of mental health issues, economic uncertainty, shelter insecurities, and reduced scholarly attainment compared to their age-mates. Beneath these impersonal figures are personal narratives of young people who have maneuvered through a system that, despite best intentions, regularly misses the mark in offering the stable base that forms most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England’s pledge to the Care Leaver Covenant, signifies a substantial transformation in organizational perspective. At its core, it accepts that the complete state and civil society should function as a “universal family” for those who haven’t known the security of a traditional family setting.

Ten pathfinder integrated care boards across England have led the way, developing frameworks that reconceptualize how the NHS—one of Europe’s largest employers—can create pathways to care leavers.

The Programme is detailed in its methodology, beginning with thorough assessments of existing procedures, establishing oversight mechanisms, and garnering leadership support. It understands that successful integration requires more than lofty goals—it demands practical measures.

In NHS Birmingham and Solihull ICB, where James began his journey, they’ve established a consistent support system with representatives who can provide assistance and counsel on personal welfare, HR matters, recruitment, and inclusivity efforts.

The conventional NHS recruitment process—rigid and possibly overwhelming—has been intentionally adjusted. Job advertisements now emphasize personal qualities rather than numerous requirements. Applications have been reimagined to consider the specific obstacles care leavers might experience—from missing employment history to having limited internet access.

Possibly most crucially, the Programme understands that beginning employment can create specific difficulties for care leavers who may be handling self-sufficiency without the backup of familial aid. Matters like travel expenses, personal documentation, and bank accounts—assumed basic by many—can become substantial hurdles.

The elegance of the Programme lies in its meticulous consideration—from explaining payslip deductions to offering travel loans until that essential first salary payment. Even seemingly minor aspects like break times and professional behavior are carefully explained.

For James, whose career trajectory has “revolutionized” his life, the Programme delivered more than a job. It offered him a feeling of connection—that elusive quality that emerges when someone senses worth not despite their past but because their unique life experiences enriches the organization.

“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 family of different jobs and roles, a group of people who genuinely care.”

The NHS Universal Family Programme represents more than an work program. It stands as a strong assertion that organizations can adapt to welcome those who have navigated different paths. In doing so, they not only change personal trajectories but improve their services through the unique perspectives that care leavers provide.

As James walks the corridors, his involvement quietly demonstrates that with the right assistance, care leavers can thrive in environments once thought inaccessible. The embrace that the NHS has offered through this Programme symbolizes not charity but appreciation of untapped potential and the profound truth that everyone deserves a family that supports their growth.