NHS: The Family They Never Had

Within the bustling halls of an NHS 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 exchanges pleasantries with colleagues—some by name, others with the familiar currency of a "good morning."

James carries his identification not merely as institutional identification but as a declaration of acceptance. It hangs against a well-maintained uniform that offers no clue of the challenging road that led him to this place.

What separates James from many of his colleagues is not visible on the surface. His presence discloses nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an undertaking created purposefully for young people who have experienced life in local authority care.

"I found genuine support within the NHS structure," James says, his voice measured but revealing subtle passion. His statement encapsulates the essence of a programme that seeks to revolutionize how the enormous healthcare system perceives care leavers—those vulnerable young people aged 16-25 who have graduated out of the care system.

The statistics reveal a challenging reality. Care leavers commonly experience higher rates of mental health issues, economic uncertainty, housing precarity, and reduced scholarly attainment compared to their peers. Beneath these cold statistics are individual journeys of young people who have traversed a system that, despite genuine attempts, frequently fails in delivering the nurturing environment that molds most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS England's pledge to the Care Leaver Covenant, embodies a profound shift in institutional thinking. Fundamentally, it accepts that the entire state and civil society should function as a "communal support system" for those who haven't known the security of a conventional home.

A select group of healthcare regions across England have led the way, creating systems that reconceptualize how the NHS—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is thorough in its approach, starting from comprehensive audits of existing policies, forming management frameworks, and garnering leadership support. It understands that meaningful participation requires more than good intentions—it demands concrete steps.

In NHS Birmingham and Solihull ICB, where James found his footing, they've developed a reliable information exchange with representatives who can provide help and direction on personal welfare, HR matters, recruitment, and equality, diversity, and inclusion.

The standard NHS recruitment process—rigid and possibly overwhelming—has been carefully modified. Job advertisements now emphasize attitudinal traits rather than extensive qualifications. Application procedures have been redesigned to address the unique challenges care leavers might experience—from lacking professional references to facing barriers to internet access.

Perhaps most significantly, the Programme understands that beginning employment can pose particular problems for care leavers who may be navigating autonomy without the safety net of family resources. Matters like travel expenses, personal documentation, and financial services—assumed basic by many—can become major obstacles.

The brilliance of the Programme lies in its meticulous consideration—from explaining payslip deductions to providing transportation assistance until that crucial first salary payment. Even apparently small matters like coffee breaks and workplace conduct are deliberately addressed.

For James, whose career trajectory has "changed" his life, the Programme delivered more than work. It gave him a sense of belonging—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 gaze showing the subtle satisfaction of someone who has secured his position. "It's about a family of different jobs and roles, a group of people who truly matter."

The NHS Universal Family Programme represents more than an work program. It stands as a powerful statement that institutions can adapt 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 navigates his workplace, his presence subtly proves that with the right help, care leavers can flourish in environments once thought inaccessible. The embrace that the NHS has extended through this Programme represents not charity but recognition of overlooked talent and the fundamental reality that each individual warrants a community that champions their success.