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 greets colleagues—some by name, others with the universal currency of a "good morning."

James wears his NHS lanyard not merely as a security requirement but as a testament of inclusion. It hangs against a well-maintained uniform that betrays nothing of the difficult path that preceded his arrival.

What separates James from many of his colleagues is not visible on the surface. His bearing discloses nothing of the fact that he was among the first beneficiaries of the NHS Universal Family Programme—an undertaking designed specifically for young people who have spent time in care.

"The Programme embraced me when I needed it most," James reflects, his voice controlled but revealing subtle passion. His remark summarizes the core 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 transitioned from the care system.

The figures paint a stark picture. Care leavers frequently encounter higher rates of mental health issues, money troubles, housing precarity, and lower academic success compared to their age-mates. Behind these clinical numbers are personal narratives of young people who have navigated a system that, despite genuine attempts, frequently fails in providing the stable base that forms most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS England's pledge to the Care Leaver Covenant, signifies a profound shift in institutional thinking. Fundamentally, it recognizes that the whole state and civil society should function as a "collective parent" for those who haven't known the stability of a conventional home.

Ten pathfinder integrated care boards across England have charted the course, establishing systems that reimagine how the NHS—one of Europe's largest employers—can create pathways to care leavers.

The Programme is meticulous in its strategy, starting from detailed evaluations of existing practices, establishing oversight mechanisms, and garnering leadership support. It recognizes that successful integration requires more than good intentions—it demands practical measures.

In NHS Birmingham and Solihull ICB, where James started his career, they've established a regular internal communication network with representatives who can provide help and direction on wellbeing, HR matters, recruitment, and equality, diversity, and inclusion.

The conventional NHS recruitment process—structured and possibly overwhelming—has been carefully modified. Job advertisements now emphasize attitudinal traits rather than extensive qualifications. Applications have been reimagined to accommodate the particular difficulties care leavers might face—from not having work-related contacts to having limited internet access.

Possibly most crucially, the Programme acknowledges that beginning employment can present unique challenges for care leavers who may be managing independent living without the backup of familial aid. Concerns like transportation costs, proper ID, and banking arrangements—assumed basic by many—can become substantial hurdles.

The beauty of the Programme lies in its thorough planning—from explaining payslip deductions to providing transportation assistance until that crucial first payday. Even ostensibly trivial elements like coffee breaks and professional behavior are deliberately addressed.

For James, whose NHS journey has "changed" his life, the Programme delivered more than employment. It provided him a perception of inclusion—that elusive quality that develops when someone senses worth not despite their past but because their unique life experiences improves the institution.

"Working for the NHS isn't just about doctors and nurses," James observes, his expression revealing the quiet pride of someone who has found his place. "It's about a family of different jobs and roles, a family of people who truly matter."

The NHS Universal Family Programme represents more than an job scheme. It stands as a strong assertion that institutions can adapt to include those who have experienced life differently. In doing so, they not only change personal trajectories but enhance their operations through the distinct viewpoints that care leavers provide.

As James moves through the hospital, his presence subtly proves that with the right help, care leavers can succeed in environments once considered beyond reach. The arm that the NHS has provided through this Programme represents not charity but acknowledgment of untapped potential and the profound truth that all people merit a support system that supports their growth.