MEPION

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 oxford shoes whisper against the floor as he exchanges pleasantries with colleagues—some by name, others with the comfortable currency of a "hello there."

James carries his identification not merely as institutional identification but as a symbol of acceptance. It sits against a well-maintained uniform that offers no clue of the challenging road that preceded his arrival.

What sets apart James from many of his colleagues is not visible on the surface. His presence reveals nothing of the fact that he was among the first recruits of the NHS Universal Family Programme—an effort designed specifically for young people who have been through the care system.

"The Programme embraced me when I needed it most," James says, his voice controlled but tinged with emotion. His statement encapsulates the heart of a programme that strives to transform how the enormous healthcare system views care leavers—those frequently marginalized young people aged 16-25 who have graduated out of the care system.

The figures reveal a challenging reality. Care leavers commonly experience poorer mental health outcomes, economic uncertainty, housing precarity, and diminished educational achievements compared to their peers. Underlying these clinical numbers are human stories of young people who have maneuvered through a system that, despite genuine attempts, often falls short in providing the nurturing environment that forms most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS England's pledge to the Care Leaver Covenant, signifies a significant change in systemic approach. Fundamentally, it acknowledges that the entire state and civil society should function as a "collective parent" for those who haven't experienced the security of a conventional home.

Ten pathfinder integrated care boards across England have blazed the trail, creating structures that rethink how the NHS—one of Europe's largest employers—can create pathways to care leavers.

The Programme is meticulous in its approach, beginning with thorough assessments of existing practices, forming governance structures, and garnering senior buy-in. It understands that meaningful participation requires more than noble aims—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James found his footing, they've developed a consistent support system with representatives who can deliver assistance and counsel on mental health, HR matters, recruitment, and EDI initiatives.

The traditional NHS recruitment process—rigid and often daunting—has been carefully modified. Job advertisements now focus on personal qualities rather than extensive qualifications. Application procedures have been reimagined to consider the specific obstacles care leavers might face—from lacking professional references to facing barriers to internet access.

Maybe most importantly, the Programme understands that beginning employment can pose particular problems for care leavers who may be handling self-sufficiency without the backup of familial aid. Matters like transportation costs, personal documentation, and financial services—taken for granted by many—can become major obstacles.

The elegance of the Programme lies in its meticulous consideration—from clarifying salary details to providing transportation assistance until that essential first salary payment. Even ostensibly trivial elements like break times and professional behavior are thoughtfully covered.

For James, whose NHS journey has "transformed" his life, the Programme delivered more than employment. It provided him a feeling of connection—that intangible quality that develops when someone senses worth not despite their background but because their unique life experiences improves the workplace.

"Working for the NHS isn't just about doctors and nurses," James notes, his eyes reflecting the modest fulfillment of someone who has secured his position. "It's about a collective of different jobs and roles, a group of people who genuinely care."

The NHS Universal Family Programme represents more than an job scheme. It stands as a strong assertion that institutions can change to include those who have navigated different paths. In doing so, they not only alter individual futures but enrich themselves through the distinct viewpoints that care leavers bring to the table.

As James navigates his workplace, his involvement subtly proves that with the right support, care leavers can thrive in environments once deemed unattainable. The embrace that the NHS has offered through this Programme represents not charity but recognition of untapped potential and the profound truth that all people merit a family that champions their success.