In the sterile corridors of Birmingham Women's and Children's NHS Foundation Trust, a young man named James Stokes navigates his daily responsibilities with subtle confidence. His polished footwear whisper against the floor as he acknowledges colleagues—some by name, others with the universal currency of a "how are you."

James wears his NHS lanyard not merely as a security requirement but as a symbol of acceptance. It hangs against a well-maintained uniform that offers no clue of the challenging road that brought him here.

What distinguishes James from many of his colleagues is not visible on the surface. His bearing reveals nothing of the fact that he was among the first recruits of the NHS Universal Family Programme—an initiative designed specifically for young people who have spent time in care.

"It felt like the NHS was putting its arm around me," James reflects, his voice steady but tinged with emotion. His observation encapsulates the essence of a programme that strives to transform how the vast healthcare system views care leavers—those frequently marginalized young people aged 16-25 who have graduated out of the care system.

The statistics reveal a challenging reality. Care leavers frequently encounter higher rates of mental health issues, financial instability, shelter insecurities, and diminished educational achievements compared to their age-mates. Behind these cold statistics are individual journeys of young people who have traversed a system that, despite genuine attempts, frequently fails in offering the nurturing environment that shapes most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS England's commitment to the Care Leaver Covenant, represents a significant change in systemic approach. At its heart, it acknowledges that the complete state and civil society should function as a "communal support system" for those who have missed out on the security of a typical domestic environment.

Ten pioneering healthcare collectives across England have blazed the trail, developing systems that reimagine how the NHS—one of Europe's largest employers—can create pathways to care leavers.

The Programme is detailed in its strategy, initiating with detailed evaluations of existing policies, creating management frameworks, and garnering leadership support. It understands that successful integration requires more than lofty goals—it demands concrete steps.

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

The standard NHS recruitment process—structured and often daunting—has been carefully modified. Job advertisements now highlight personal qualities rather than numerous requirements. Application processes have been redesigned to address the specific obstacles care leavers might encounter—from not having work-related contacts to facing barriers to internet access.

Maybe most importantly, the Programme acknowledges that starting a job can present unique challenges for care leavers who may be managing independent living without the backup of parental assistance. Issues like transportation costs, identification documents, and financial services—assumed basic by many—can become significant barriers.

The elegance of the Programme lies in its attention to detail—from outlining compensation information to offering travel loans until that critical first salary payment. Even seemingly minor aspects like rest periods and professional behavior are thoughtfully covered.

For James, whose career trajectory has "transformed" his life, the Programme provided more than work. It gave him a perception of inclusion—that elusive quality that grows when someone senses worth not despite their history but because their particular journey enriches the organization.

"Working for the NHS isn't just about doctors and nurses," James comments, his eyes reflecting the quiet pride of someone who has found his place. "It's about a community of different jobs and roles, a group of people who truly matter."

The NHS Universal Family Programme embodies more than an work program. It exists as a strong assertion that organizations can evolve to include those who have experienced life differently. In doing so, they not only alter individual futures but improve their services through the distinct viewpoints that care leavers provide.

As James walks the corridors, his participation silently testifies that with the right assistance, care leavers can succeed in environments once thought inaccessible. The support that the NHS has offered through this Programme signifies not charity but appreciation of overlooked talent and the fundamental reality that everyone deserves a support system that champions their success.