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 smart shoes move with deliberate precision as he exchanges pleasantries with colleagues—some by name, others with the comfortable currency of a "good morning."

James displays his credentials not merely as institutional identification but as a declaration of belonging. It sits against a well-maintained uniform that offers no clue of the difficult path that brought him here.

What separates 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 recruits of the NHS Universal Family Programme—an effort designed specifically for young people who have been through the care system.

"It felt like the NHS was putting its arm around me," James explains, his voice steady but revealing subtle passion. His remark summarizes the essence of a programme that seeks to transform how the vast healthcare system approaches care leavers—those frequently marginalized young people aged 16-25 who have emerged from the care system.

The figures paint a stark picture. Care leavers often face poorer mental health outcomes, money troubles, accommodation difficulties, and reduced scholarly attainment compared to their age-mates. Beneath these cold statistics are personal narratives of young people who have maneuvered through a system that, despite good efforts, frequently fails in delivering the stable base that shapes most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England's commitment to the Care Leaver Covenant, embodies a significant change in institutional thinking. 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 traditional family setting.

Ten pathfinder integrated care boards across England have blazed the trail, establishing structures 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 detailed evaluations of existing practices, forming management frameworks, and obtaining senior buy-in. It acknowledges that effective inclusion requires more than good intentions—it demands concrete steps.

In NHS Birmingham and Solihull ICB, where James started his career, they've created a reliable information exchange with representatives who can offer help and direction on mental health, HR matters, recruitment, and inclusivity efforts.

The standard NHS recruitment process—formal and potentially intimidating—has been carefully modified. Job advertisements now highlight personal qualities rather than numerous requirements. Applications have been reconsidered to consider the specific obstacles care leavers might face—from lacking professional references to facing barriers to internet access.

Maybe most importantly, the Programme understands that entering the workforce can pose particular problems for care leavers who may be navigating autonomy without the backup of parental assistance. Issues like commuting fees, identification documents, and financial services—taken for granted by many—can become substantial hurdles.

The brilliance of the Programme lies in its thorough planning—from clarifying salary details to helping with commuting costs until that crucial first salary payment. Even apparently small matters like rest periods and professional behavior are deliberately addressed.

For James, whose career trajectory has "changed" his life, the Programme delivered more than work. It gave him a feeling of connection—that intangible quality that develops when someone is appreciated not despite their background but because their unique life experiences enriches the organization.

"Working for the NHS isn't just about doctors and nurses," James notes, his eyes reflecting the modest fulfillment of someone who has secured his position. "It's about a community of different jobs and roles, a group of people who genuinely care."

The NHS Universal Family Programme embodies more than an job scheme. It exists as a powerful statement that systems can evolve to embrace 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 bring to the table.

As James walks the corridors, his participation quietly demonstrates that with the right help, care leavers can succeed in environments once thought inaccessible. The embrace that the NHS has provided through this Programme represents not charity but recognition of untapped potential and the fundamental reality that everyone deserves a family that supports their growth.