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 oxford shoes barely make a sound as he greets 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 symbol of acceptance. It hangs against a pressed shirt that gives no indication of the difficult path that preceded his arrival.

What distinguishes James from many of his colleagues is not obvious to the casual observer. His presence discloses nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an undertaking designed specifically 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 measured but revealing subtle passion. His remark summarizes the core of a programme that strives to transform how the enormous healthcare system approaches care leavers—those often overlooked young people aged 16-25 who have graduated out of the care system.

The numbers reveal a challenging reality. Care leavers often face poorer mental health outcomes, economic uncertainty, accommodation difficulties, and lower academic success compared to their age-mates. Behind these cold statistics are individual journeys of young people who have traversed a system that, despite genuine attempts, often falls short in providing 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, signifies a substantial transformation in systemic approach. Fundamentally, it acknowledges that the complete state and civil society should function as a "communal support system" for those who haven't known the security of a conventional home.

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 extend opportunities to care leavers.

The Programme is detailed in its strategy, starting from detailed evaluations of existing procedures, establishing management frameworks, and securing leadership support. It acknowledges that successful integration requires more than good intentions—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James began his journey, they've developed a reliable information exchange with representatives who can deliver support, advice, and guidance on wellbeing, HR matters, recruitment, and EDI initiatives.

The conventional NHS recruitment process—rigid and often daunting—has been intentionally adjusted. Job advertisements now highlight personal qualities rather than long lists of credentials. Application procedures have been reconsidered to consider the specific obstacles care leavers might face—from missing employment history to having limited internet access.

Perhaps most significantly, the Programme acknowledges that entering the workforce can present unique challenges for care leavers who may be managing independent living without the safety net of parental assistance. Issues like travel expenses, personal documentation, and bank accounts—assumed basic by many—can become significant barriers.

The beauty of the Programme lies in its meticulous consideration—from explaining payslip deductions to providing transportation assistance until that crucial first wage disbursement. Even ostensibly trivial elements like coffee breaks and workplace conduct are deliberately addressed.

For James, whose NHS journey has "revolutionized" his life, the Programme provided more than work. It provided him a feeling of connection—that ineffable quality that emerges when someone feels valued not despite their background but because their unique life experiences enriches the institution.

"Working for the NHS isn't just about doctors and nurses," James observes, his gaze showing the quiet pride of someone who has found his place. "It's about a collective of different jobs and roles, a family of people who truly matter."

The NHS Universal Family Programme represents more than an job scheme. It exists as a bold declaration that organizations can evolve to embrace those who have known different challenges. In doing so, they not only transform individual lives but enhance their operations through the distinct viewpoints that care leavers bring to the table.

As James walks the corridors, his participation quietly demonstrates that with the right assistance, care leavers can flourish in environments once thought inaccessible. The support that the NHS has provided through this Programme symbolizes not charity but acknowledgment of untapped potential and the profound truth that each individual warrants a support system that believes in them.