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 oxford shoes barely make a sound as he greets colleagues—some by name, others with the familiar currency of a "hello there."

James carries his identification not merely as a security requirement but as a declaration of inclusion. It hangs against a well-maintained uniform that betrays nothing of the difficult path that brought him here.

What sets apart James from many of his colleagues is not obvious to the casual observer. His bearing discloses 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 been through the care system.

"I found genuine support within the NHS structure," James reflects, his voice measured but revealing subtle passion. His remark summarizes the essence of a programme that aims to transform how the vast healthcare system views care leavers—those often overlooked young people aged 16-25 who have emerged from the care system.

The statistics reveal a challenging reality. Care leavers frequently encounter poorer mental health outcomes, money troubles, accommodation difficulties, and diminished educational achievements compared to their age-mates. Beneath these impersonal figures are personal narratives of young people who have navigated a system that, despite good efforts, frequently fails 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 substantial transformation in systemic approach. At its core, it accepts that the whole state and civil society should function as a "universal family" for those who haven't known the security of a traditional family setting.

A select group of healthcare regions across England have blazed the trail, creating 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, beginning with thorough assessments of existing practices, forming governance structures, and obtaining senior buy-in. It acknowledges that effective inclusion requires more than noble aims—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James started his career, they've established a consistent support system with representatives who can deliver support, advice, and guidance on personal welfare, HR matters, recruitment, and EDI initiatives.

The conventional NHS recruitment process—rigid and possibly overwhelming—has been thoughtfully adapted. Job advertisements now focus on attitudinal traits rather than extensive qualifications. Application processes have been reconsidered to accommodate the particular difficulties care leavers might face—from not having work-related contacts 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. Issues like commuting fees, proper ID, and banking arrangements—taken for granted by many—can become major obstacles.

The elegance of the Programme lies in its attention to detail—from clarifying salary details to helping with commuting costs until that essential first salary payment. Even ostensibly trivial elements like break times and workplace conduct are carefully explained.

For James, whose professional path has "revolutionized" his life, the Programme offered more than a job. It offered him a feeling of connection—that intangible quality that grows when someone is appreciated not despite their history but because their distinct perspective enhances the institution.

"Working for the NHS isn't just about doctors and nurses," James comments, his gaze showing the modest fulfillment of someone who has discovered belonging. "It's about a collective of different jobs and roles, a family of people who really connect."

The NHS Universal Family Programme embodies more than an work program. It exists as a powerful statement that organizations can evolve to welcome those who have experienced life differently. In doing so, they not only alter individual futures but enhance their operations through the distinct viewpoints that care leavers contribute.

As James walks the corridors, his participation quietly demonstrates that with the right assistance, care leavers can succeed in environments once thought inaccessible. The embrace that the NHS has provided through this Programme signifies not charity but acknowledgment of hidden abilities and the profound truth that each individual warrants a community that supports their growth.