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 whisper against the floor as he exchanges pleasantries with colleagues—some by name, others with the comfortable currency of a "good morning."

James wears his NHS lanyard not merely as an employee badge but as a declaration of inclusion. It sits against a well-maintained uniform that betrays nothing of the challenging road that led him to this place.

What sets apart James from many of his colleagues is not obvious to the casual observer. His bearing discloses nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an effort crafted intentionally for young people who have been through the care system.

"The Programme embraced me when I needed it most," James explains, his voice controlled but tinged with emotion. His statement encapsulates the essence of a programme that aims to revolutionize how the enormous healthcare system views care leavers—those vulnerable young people aged 16-25 who have emerged from the care system.

The numbers reveal a challenging reality. Care leavers commonly experience higher rates of mental health issues, money troubles, shelter insecurities, and lower academic success compared to their peers. Behind these impersonal figures are human stories of young people who have navigated a system that, despite good efforts, often falls short in providing the stable base that molds most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England's promise to the Care Leaver Covenant, signifies a substantial transformation in systemic approach. At its core, it accepts that the entire state and civil society should function as a "universal family" for those who have missed out on the stability of a conventional home.

Ten pioneering healthcare collectives across England have charted the course, establishing frameworks that reimagine how the NHS—one of Europe's largest employers—can create pathways to care leavers.

The Programme is meticulous in its methodology, beginning with thorough assessments of existing practices, establishing oversight mechanisms, and obtaining executive backing. It acknowledges that meaningful participation requires more than noble aims—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 provide help and direction on wellbeing, HR matters, recruitment, and equality, diversity, and inclusion.

The traditional NHS recruitment process—rigid and potentially intimidating—has been intentionally adjusted. Job advertisements now highlight attitudinal traits rather than numerous requirements. Application processes have been redesigned to accommodate the particular difficulties care leavers might experience—from lacking professional references to struggling with internet access.

Perhaps most significantly, the Programme recognizes that entering the workforce can create specific difficulties for care leavers who may be managing independent living without the backup of parental assistance. Issues like travel expenses, proper ID, and bank accounts—considered standard by many—can become major obstacles.

The brilliance of the Programme lies in its thorough planning—from outlining compensation information to offering travel loans until that crucial first wage disbursement. Even seemingly minor aspects like break times and office etiquette are thoughtfully covered.

For James, whose professional path has "revolutionized" his life, the Programme offered more than work. It gave him a perception of inclusion—that intangible quality that develops when someone is appreciated 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 notes, his expression revealing the modest fulfillment of someone who has found his place. "It's about a collective of different jobs and roles, a family of people who really connect."

The NHS Universal Family Programme represents more than an employment initiative. It functions as a powerful statement that institutions can adapt to embrace those who have known different challenges. In doing so, they not only transform individual lives but enhance their operations through the unique perspectives that care leavers provide.

As James moves through the hospital, his involvement quietly demonstrates that with the right support, care leavers can succeed in environments once considered beyond reach. The embrace that the NHS has provided through this Programme symbolizes not charity but acknowledgment of hidden abilities and the profound truth that all people merit a family that believes in them.