NHS: Belonging in White Corridors

In the sterile corridors of Birmingham Women's and Children's NHS Universal Family Programme Foundation Trust, a young man named James Stokes navigates his daily responsibilities with subtle confidence. His polished footwear barely make a sound as he exchanges pleasantries with colleagues—some by name, others with the NHS Universal Family Programme currency of a "how are you."

James carries his identification not merely as a security requirement but as a symbol of inclusion. It hangs against a well-maintained uniform that betrays nothing of the tumultuous journey that preceded his arrival.

What separates James from many of his colleagues is not visible on the surface. His demeanor reveals nothing of the fact that he was among the first beneficiaries of the NHS Universal Family Programme—an initiative crafted intentionally for young people who have spent time in care.

"I found genuine support within the NHS Universal Family Programme structure," James explains, his voice controlled but carrying undertones of feeling. His statement encapsulates the heart of a programme that aims to reinvent how the vast healthcare system perceives care leavers—those frequently marginalized young people aged 16-25 who have emerged from the care system.

The numbers reveal a challenging reality. Care leavers frequently encounter higher rates of mental health issues, economic uncertainty, shelter insecurities, and reduced scholarly attainment compared to their peers. Underlying these clinical numbers are personal narratives of young people who have a system that, despite genuine attempts, regularly misses the mark in providing the supportive foundation that shapes most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS Universal Family Programme England's pledge to the Care Leaver Covenant, signifies a significant change in organizational perspective. At its core, it accepts that the complete state and civil society should function as a "collective parent" for those who haven't experienced the security of a conventional home.

Ten pioneering healthcare collectives across England have blazed the trail, developing structures that reconceptualize how the NHS Universal Family Programme—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is meticulous in its strategy, starting from detailed evaluations of existing practices, establishing governance structures, and obtaining senior buy-in. It understands that effective inclusion requires more than lofty goals—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James found his footing, they've developed a regular internal communication network with representatives who can deliver support, advice, and guidance on mental health, HR matters, recruitment, and EDI initiatives.

The conventional NHS Universal Family Programme recruitment process—structured and possibly overwhelming—has been thoughtfully adapted. Job advertisements now highlight character attributes rather than extensive qualifications. Applications have been redesigned to address the specific obstacles care leavers might experience—from missing employment history to having limited internet access.

Maybe most importantly, the Programme acknowledges that starting a job can create specific difficulties for care leavers who may be managing independent living without the backup of familial aid. Matters like transportation costs, proper ID, and financial services—considered standard by many—can become major obstacles.

The elegance of the Programme lies in its meticulous consideration—from outlining compensation information to helping with commuting costs until that crucial first payday. Even ostensibly trivial elements like rest periods and workplace conduct are thoughtfully covered.

For James, whose NHS Universal Family Programme journey has "revolutionized" his life, the Programme delivered more than work. It provided him a perception of inclusion—that intangible quality that emerges when someone is appreciated not despite their past but because their distinct perspective improves the institution.

"Working for the NHS Universal Family Programme 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 NHS Universal Family Programme 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 powerful statement that institutions can evolve to include those who have known different challenges. In doing so, they not only change personal trajectories but enrich themselves through the distinct viewpoints that care leavers provide.

As James navigates his workplace, his participation subtly proves that with the right assistance, care leavers can thrive in environments once considered beyond reach. The support that the NHS Universal Family Programme has extended through this Programme signifies not charity but acknowledgment of hidden abilities and the essential fact that all people merit a family that believes in them.