1 NHS: The Family They Never Had
Kiera Corner edited this page 2025-10-01 18:35:04 +00:00


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 polished footwear move with deliberate precision as he acknowledges 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 testament of inclusion. It rests against a neatly presented outfit that betrays nothing of the challenging road that brought him here.

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

"It felt like the NHS Universal Family Programme was putting its arm around me," James says, his voice controlled but revealing subtle passion. His statement captures the heart of a programme that seeks to revolutionize how the vast healthcare system views care leavers—those vulnerable young people aged 16-25 who have transitioned from the care system.

The numbers tell a troubling story. Care leavers commonly experience greater psychological challenges, economic uncertainty, accommodation difficulties, and reduced scholarly attainment compared to their contemporaries. Beneath these cold statistics are personal narratives of young people who have traversed a system that, despite good efforts, often falls short in offering the nurturing environment that forms most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS England's pledge to the Care Leaver Covenant, embodies a profound shift in organizational perspective. Fundamentally, it recognizes that the complete state and civil society should function as a "collective parent" for those who have missed out on the constancy of a conventional home.

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

The Programme is meticulous in its methodology, starting from thorough assessments of existing procedures, structures, and obtaining executive backing. It recognizes that meaningful participation requires more than lofty goals—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James started his career, they've created a regular internal communication network with representatives who can deliver support, advice, and guidance on personal welfare, HR matters, recruitment, and equality, diversity, and inclusion.

The conventional NHS Universal Family Programme recruitment process—rigid and often daunting—has been carefully modified. Job advertisements now focus on attitudinal traits rather than long lists of credentials. Application procedures have been redesigned to address the unique challenges care leavers might encounter—from not having work-related contacts to having limited internet access.

Maybe most importantly, the Programme recognizes that beginning employment can create specific difficulties for care leavers who may be navigating autonomy without the support of familial aid. Issues like transportation costs, identification documents, and financial services—assumed basic by many—can become significant barriers.

The elegance of the NHS Universal Family Programme lies in its attention to detail—from clarifying salary details to helping with commuting costs until that crucial first salary payment. Even apparently small matters like coffee breaks and office etiquette are deliberately addressed.

For James, whose professional path has "changed" his life, the Programme offered more than a job. It offered him a sense of belonging—that elusive quality that emerges when someone feels valued not despite their past but because their particular journey enhances the organization.

"Working for the NHS Universal Family Programme isn't just about doctors and nurses," James comments, his eyes reflecting the quiet pride of someone who has discovered belonging. "It's about a collective of different jobs and roles, a group of people who really connect."

The NHS Universal Family Programme exemplifies more than an work program. It stands as a powerful statement that organizations can adapt to embrace those who have known different challenges. In doing so, they not only alter individual futures but enhance their operations through the special insights that care leavers contribute.

As James moves through the hospital, his involvement silently testifies that with the right assistance, care leavers can flourish in environments once deemed unattainable. The embrace that the NHS Universal Family Programme has offered through this NHS Universal Family Programme represents not charity but recognition of overlooked talent and the fundamental reality that all people merit a support system that believes in them.