NHS: Belonging in White Corridors

Within the bustling halls of an NHS Universal Family Programme hospital in Birmingham, a young man named James Stokes navigates his daily responsibilities with subtle confidence. His smart shoes whisper against the floor as he acknowledges colleagues—some by name, others with the NHS Universal Family Programme currency of a "hello there."

James displays his credentials not merely as an employee badge but as a symbol of acceptance. It rests against a pressed shirt that betrays nothing of the difficult path that preceded his arrival.

What distinguishes James from many of his colleagues is not obvious to the casual observer. His demeanor gives away nothing of the fact that he was among the first beneficiaries of the Family Programme—an initiative created purposefully for young people who have been through the care system.

"I found genuine support within the NHS Universal Family Programme structure," James explains, his voice measured but tinged with emotion. His remark encapsulates the core of a programme that seeks to revolutionize how the enormous healthcare system perceives care leavers—those often overlooked young people aged 16-25 who have emerged from the care system.

The figures tell a troubling story. Care leavers frequently encounter higher rates of mental health issues, economic uncertainty, shelter insecurities, and diminished educational achievements 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 providing the stable base that forms most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS Universal Family Programme England's pledge to the Care Leaver Covenant, signifies a profound shift in organizational perspective. At its core, it accepts that the complete state and civil society should function as a "communal support system" for those who haven't known the constancy of a typical domestic environment.

A select group of healthcare regions across England have blazed the trail, creating structures that reconceptualize how the NHS Universal Family Programme—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is detailed in its methodology, initiating with thorough assessments of existing practices, forming management frameworks, and securing leadership support. It acknowledges that effective inclusion requires more than lofty goals—it demands practical measures.

In NHS Birmingham and Solihull ICB, where James started his career, they've created a regular internal communication network with representatives who can deliver help and direction on wellbeing, HR matters, recruitment, and EDI initiatives.

The standard NHS recruitment process—rigid and potentially intimidating—has been thoughtfully adapted. Job advertisements now emphasize character attributes rather than long lists of credentials. Application processes have been reimagined to accommodate the unique challenges care leavers might face—from missing employment history to facing barriers to internet access.

Maybe most importantly, the Programme acknowledges that beginning employment can create specific difficulties for care leavers who may be handling self-sufficiency without the safety net of NHS Universal Family Programme resources. Issues like travel expenses, proper ID, and financial services—considered standard by many—can become major obstacles.

The beauty of the Programme lies in its attention to detail—from explaining payslip deductions to offering travel loans until that critical first salary payment. Even apparently small matters like rest periods and professional behavior are carefully explained.

For James, whose NHS Universal Family Programme journey has "changed" his life, the Programme delivered more than a job. It provided him a sense of belonging—that ineffable quality that emerges when someone feels valued not despite their background but because their particular journey enriches the institution.

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

The NHS Universal Family Programme exemplifies more than an work program. It functions as a powerful statement that institutions can change to welcome those who have experienced life differently. In doing so, they not only transform individual lives but enrich themselves through the distinct viewpoints that care leavers bring to the table.

As James moves through the hospital, his involvement silently testifies that with the right help, care leavers can succeed in environments once considered beyond reach. The embrace that the NHS Universal Family Programme has extended through this Programme signifies not charity but appreciation of untapped potential and the essential fact that everyone deserves a community that supports their growth.