In the sterile corridors of Birmingham Women's and Children's NHS Foundation Trust, a young man named James Stokes moves with quiet purpose. His oxford shoes move with deliberate precision as he acknowledges colleagues—some by name, others with the universal currency of a "how are you."

James displays his credentials not merely as institutional identification but as a symbol of inclusion. It sits against a well-maintained uniform that gives no indication of the difficult path that brought him here.

What distinguishes James from many of his colleagues is not obvious to the casual observer. His bearing reveals nothing of the fact that he was among the first beneficiaries 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 revealing subtle passion. His statement summarizes the core of a programme that aims to revolutionize how the vast healthcare system approaches care leavers—those often overlooked young people aged 16-25 who have transitioned from the care system.

The numbers tell a troubling story. Care leavers frequently encounter poorer mental health outcomes, money troubles, accommodation difficulties, and diminished educational achievements compared to their age-mates. Beneath these clinical numbers are human stories of young people who have traversed a system that, despite genuine attempts, often falls short in offering the nurturing environment that shapes most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS England's pledge to the Care Leaver Covenant, represents a significant change in institutional thinking. At its heart, it accepts that the whole state and civil society should function as a "collective parent" for those who have missed out on the security of a conventional home.

Ten pathfinder integrated care boards across England have blazed the trail, establishing systems that reconceptualize how the NHS—one of Europe's largest employers—can open its doors to care leavers.

The Programme is thorough in its methodology, initiating with comprehensive audits of existing policies, creating management frameworks, and obtaining senior buy-in. It understands that effective inclusion requires more than good intentions—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 offer support, advice, and guidance on mental health, HR matters, recruitment, and inclusivity efforts.

The standard NHS recruitment process—rigid and possibly overwhelming—has been carefully modified. Job advertisements now highlight attitudinal traits rather than extensive qualifications. Applications have been reimagined to address the unique challenges care leavers might experience—from not having work-related contacts to facing barriers to internet access.

Maybe most importantly, the Programme acknowledges that entering the workforce can create specific difficulties for care leavers who may be managing independent living without the backup of family resources. Issues like transportation costs, proper ID, and financial services—considered standard by many—can become substantial hurdles.

The beauty of the Programme lies in its thorough planning—from outlining compensation information to offering travel loans until that essential first payday. Even seemingly minor aspects like rest periods and office etiquette are thoughtfully covered.

For James, whose NHS journey has "changed" his life, the Programme delivered more than work. It gave him a perception of inclusion—that elusive quality that grows when someone is appreciated not despite their past but because their particular journey improves the workplace.

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

The NHS Universal Family Programme exemplifies more than an work program. It functions as a bold declaration that systems can adapt to include those who have experienced life differently. In doing so, they not only alter individual futures but enhance their operations through the special insights that care leavers bring to the table.

As James walks the corridors, his involvement subtly proves that with the right assistance, care leavers can thrive in environments once deemed unattainable. The embrace that the NHS has provided through this Programme symbolizes not charity but recognition of hidden abilities and the essential fact that each individual warrants a support system that champions their success.