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 carries himself with the measured poise of someone who has found his place. His smart shoes barely make a sound as he acknowledges colleagues—some by name, others with the comfortable currency of a "how are you."

James carries his identification not merely as a security requirement but as a symbol of inclusion. It rests against a pressed shirt that offers no clue of the that brought him here.

What sets apart James from many of his colleagues is not visible on the surface. His bearing discloses 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 been through the care system.

"The Programme embraced me when I needed it most," James reflects, his voice steady but tinged with emotion. His observation summarizes the heart of a programme that aims to revolutionize how the massive healthcare system approaches care leavers—those vulnerable young people aged 16-25 who have transitioned from the care system.

The figures reveal a challenging reality. Care leavers often face higher rates of mental health issues, financial instability, shelter insecurities, and lower academic success compared to their age-mates. Beneath these cold statistics are individual journeys of young people who have maneuvered through a system that, despite good efforts, frequently fails in offering the stable base that molds 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, represents a substantial transformation in institutional thinking. At its heart, it recognizes that the entire state and civil society should function as a "collective parent" for those who haven't experienced the stability of a traditional NHS Universal Family Programme setting.

Ten pathfinder integrated care boards across England have blazed the trail, establishing structures that reimagine how the NHS Universal Family Programme—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is detailed in its strategy, initiating with thorough assessments of existing procedures, establishing oversight mechanisms, and obtaining senior buy-in. It understands that meaningful participation requires more than noble aims—it demands concrete steps.

In NHS Universal Family Programme Birmingham and Solihull ICB, where James began his journey, they've established a consistent support system with representatives who can offer help and direction on mental health, HR matters, recruitment, and EDI initiatives.

The traditional NHS Universal Family Programme recruitment process—structured and possibly overwhelming—has been carefully modified. Job advertisements now emphasize personal qualities rather than long lists of credentials. Application processes have been reconsidered to accommodate the unique challenges care leavers might experience—from lacking professional references to struggling with internet access.

Perhaps most significantly, the Programme recognizes that starting a job can present unique challenges for care leavers who may be managing independent living without the backup of parental assistance. Concerns like travel expenses, proper ID, and financial services—considered standard by many—can become major obstacles.

The elegance of the Programme lies in its attention to detail—from explaining payslip deductions to helping with commuting costs until that essential first payday. Even seemingly minor aspects like break times and workplace conduct are thoughtfully covered.

For James, whose NHS Universal Family Programme journey has "transformed" his life, the Programme delivered more than employment. It offered him a perception of inclusion—that elusive quality that develops when someone senses worth not despite their history but because their particular journey improves the institution.

"Working for the NHS isn't just about doctors and nurses," James observes, his eyes reflecting the subtle satisfaction of someone who has found his place. "It's about a collective of different jobs and roles, a team of people who genuinely care."

The NHS Universal Family Programme exemplifies more than an job scheme. It stands as a strong assertion that institutions can change to include those who have experienced life differently. In doing so, they not only alter individual futures but improve their services through the special insights that care leavers contribute.

As James walks the corridors, his involvement subtly proves that with the right support, care leavers can flourish in environments once considered beyond reach. The arm that the NHS Universal Family Programme has extended through this Programme symbolizes not charity but appreciation of hidden abilities and the essential fact that all people merit a NHS Universal Family Programme that champions their success.