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 oxford shoes whisper against the floor as he greets colleagues—some by name, others with the comfortable currency of a "how are you."

James displays his credentials not merely as an employee badge but as a testament of inclusion. It sits against a well-maintained uniform that betrays nothing of the difficult path that preceded his arrival.

What distinguishes James from many of his colleagues is not immediately apparent. His presence gives away nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an initiative created purposefully for young people who have been through the care system.

"It felt like the NHS was putting its arm around me," James reflects, his voice steady but carrying undertones of feeling. His statement summarizes the essence of a programme that strives to reinvent how the enormous healthcare system approaches care leavers—those vulnerable young people aged 16-25 who have emerged from the care system.

The statistics reveal a challenging reality. Care leavers frequently encounter higher rates of mental health issues, money troubles, shelter insecurities, and reduced scholarly attainment compared to their contemporaries. Beneath these cold statistics are personal narratives of young people who have navigated a system that, despite good efforts, often falls short in providing the stable base that shapes most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England's promise to the Care Leaver Covenant, represents a substantial transformation in institutional thinking. At its core, 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 traditional family setting.

Ten pioneering healthcare collectives across England have charted the course, establishing systems that reconceptualize how the NHS—one of Europe's largest employers—can create pathways to care leavers.

The Programme is meticulous in its methodology, beginning with comprehensive audits of existing procedures, forming governance structures, and garnering senior buy-in. It recognizes that effective inclusion requires more than lofty goals—it demands practical measures.

In NHS Birmingham and Solihull ICB, where James found his footing, they've created 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—structured and possibly overwhelming—has been intentionally adjusted. Job advertisements now emphasize character attributes rather than extensive qualifications. Applications have been redesigned to accommodate the particular difficulties care leavers might face—from missing employment history to having limited internet access.

Perhaps most significantly, the Programme acknowledges that beginning employment can present unique challenges for care leavers who may be handling self-sufficiency without the safety net of parental assistance. Matters like commuting fees, personal documentation, and bank accounts—considered standard by many—can become significant barriers.

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

For James, whose professional path has "transformed" his life, the Programme provided more than employment. It offered him a sense of belonging—that elusive quality that develops when someone senses worth not despite their background but because their distinct perspective improves the workplace.

"Working for the NHS isn't just about doctors and nurses," James notes, his gaze showing the subtle satisfaction of someone who has discovered belonging. "It's about a family of different jobs and roles, a family of people who genuinely care."

The NHS Universal Family Programme embodies more than an job scheme. It stands as a bold declaration that institutions can adapt to include those who have experienced life differently. In doing so, they not only alter individual futures but enrich themselves through the special insights that care leavers contribute.

As James moves through the hospital, his involvement subtly proves that with the right help, care leavers can thrive in environments once considered beyond reach. The support that the NHS has offered through this Programme represents not charity but acknowledgment of overlooked talent and the profound truth that everyone deserves a community that supports their growth.