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 barely make a sound as he exchanges pleasantries with colleagues—some by name, others with the familiar currency of a "how are you."

James displays his credentials not merely as a security requirement but as a symbol of inclusion. It sits against a neatly presented outfit that gives no indication of the tumultuous journey that led him to this place.

What distinguishes James from many of his colleagues is not immediately apparent. His presence gives away nothing of the fact that he was among the first recruits of the NHS Universal Family Programme—an undertaking crafted intentionally for young people who have spent time in care.

"I found genuine support within the NHS structure," James reflects, his voice measured but tinged with emotion. His observation encapsulates the core of a programme that aims to transform how the massive healthcare system views care leavers—those often overlooked young people aged 16-25 who have transitioned from the care system.

The figures tell a troubling story. Care leavers commonly experience poorer mental health outcomes, money troubles, shelter insecurities, and reduced scholarly attainment compared to their age-mates. Underlying these impersonal figures are individual journeys of young people who have traversed a system that, despite best intentions, frequently fails in offering the stable base that forms most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS England's promise to the Care Leaver Covenant, represents a profound shift in organizational perspective. At its core, it recognizes that the complete state and civil society should function as a "collective parent" for those who have missed out on the security of a typical domestic environment.

Ten pioneering healthcare collectives across England have blazed the trail, creating structures that reconceptualize how the NHS—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is thorough in its approach, beginning with comprehensive audits of existing practices, creating oversight mechanisms, and securing senior buy-in. It understands that meaningful participation requires more than lofty goals—it demands concrete steps.

In NHS Birmingham and Solihull ICB, where James found his footing, they've created a regular internal communication network with representatives who can deliver help and direction on personal welfare, HR matters, recruitment, and inclusivity efforts.

The traditional NHS recruitment process—formal and possibly overwhelming—has been thoughtfully adapted. Job advertisements now highlight personal qualities rather than long lists of credentials. Application processes have been reconsidered to consider the specific obstacles care leavers might face—from missing employment history to facing barriers to internet access.

Maybe most importantly, the Programme understands that entering the workforce can create specific difficulties for care leavers who may be managing independent living without the support of familial aid. Concerns like commuting fees, proper ID, and bank accounts—considered standard by many—can become substantial hurdles.

The brilliance of the Programme lies in its meticulous consideration—from explaining payslip deductions to providing transportation assistance until that critical first wage disbursement. Even apparently small matters like rest periods and workplace conduct are thoughtfully covered.

For James, whose career trajectory has "transformed" his life, the Programme offered more than employment. It gave him a perception of inclusion—that elusive quality that develops when someone senses worth not despite their past but because their particular journey enhances the institution.

"Working for the NHS isn't just about doctors and nurses," James observes, his eyes reflecting 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 work program. It exists as a strong assertion that organizations can change to embrace those who have known different challenges. In doing so, they not only alter individual futures but improve their services through the unique perspectives that care leavers contribute.

As James walks the corridors, his participation subtly proves that with the right support, care leavers can flourish in environments once deemed unattainable. The support that the NHS has extended through this Programme symbolizes not charity but recognition of untapped potential and the fundamental reality that everyone deserves a support system that champions their success.