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 polished footwear barely make a sound as he greets colleagues—some by name, others with the comfortable currency of a "good morning."

James wears his NHS lanyard not merely as a security requirement but as a symbol of belonging. It rests against a well-maintained uniform that gives no indication of the challenging road that led him to this place.

What distinguishes James from many of his colleagues is not obvious to the casual observer. His presence reveals nothing of the fact that he was among the first recruits of the NHS Universal Family Programme—an effort created purposefully for young people who have spent time in care.

"I found genuine support within the NHS structure," James reflects, his voice controlled but carrying undertones of feeling. His statement summarizes the essence of a programme that seeks to reinvent how the enormous healthcare system views care leavers—those vulnerable young people aged 16-25 who have emerged from the care system.

The figures tell a troubling story. Care leavers often face higher rates of mental health issues, economic uncertainty, accommodation difficulties, and reduced scholarly attainment compared to their contemporaries. Behind these clinical numbers are individual journeys of young people who have navigated a system that, despite genuine attempts, regularly misses the mark in delivering the stable base that shapes most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS England's commitment to the Care Leaver Covenant, embodies a profound shift in institutional thinking. At its core, it accepts that the entire state and civil society should function as a "collective parent" for those who haven't experienced the security of a traditional family setting.

Ten pioneering healthcare collectives across England have charted the course, establishing frameworks that reimagine how the NHS—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is thorough in its approach, starting from detailed evaluations of existing policies, establishing governance structures, and obtaining senior buy-in. It acknowledges that successful integration requires more than good intentions—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James began his journey, they've established a regular internal communication network with representatives who can offer help and direction on wellbeing, HR matters, recruitment, and inclusivity efforts.

The traditional NHS recruitment process—formal and possibly overwhelming—has been intentionally adjusted. Job advertisements now emphasize personal qualities rather than long lists of credentials. Application processes have been redesigned to consider the particular difficulties care leavers might face—from lacking professional references to struggling with internet access.

Perhaps most significantly, the Programme acknowledges that beginning employment can present unique challenges for care leavers who may be navigating autonomy without the safety net of parental assistance. Concerns like travel expenses, identification documents, and financial services—assumed basic by many—can become major obstacles.

The elegance of the Programme lies in its thorough planning—from outlining compensation information to providing transportation assistance until that essential first salary payment. Even seemingly minor aspects like rest periods and workplace conduct are thoughtfully covered.

For James, whose career trajectory has "revolutionized" his life, the Programme offered more than employment. It provided him a perception of inclusion—that ineffable quality that grows when someone senses worth not despite their past but because their unique life experiences enriches the institution.

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

The NHS Universal Family Programme embodies more than an job scheme. It stands as a strong assertion that systems can evolve to include those who have known different challenges. In doing so, they not only transform individual lives but improve their services through the distinct viewpoints that care leavers bring to the table.

As James moves through the hospital, his participation subtly proves that with the right assistance, care leavers can flourish in environments once thought inaccessible. The embrace that the NHS has extended through this Programme symbolizes not charity but recognition of overlooked talent and the fundamental reality that everyone deserves a family that supports their growth.