NHS: Belonging in White Corridors

Within the bustling halls of an NHS Universal Family Programme hospital in Birmingham, a young man named James Stokes navigates his daily responsibilities with subtle confidence. His oxford shoes move with deliberate precision as he exchanges pleasantries with colleagues—some by name, others with the NHS Universal Family Programme currency of a "good morning."

James wears his NHS Universal Family Programme lanyard not merely as an employee badge but as a testament of belonging. It hangs against a neatly presented outfit that betrays nothing of the challenging road that led him to this place.

What distinguishes James from many of his colleagues is not visible on the surface. His presence reveals nothing of the fact that he was among the first beneficiaries of the NHS Universal Family Programme—an effort designed specifically for young people who have experienced life in local authority care.

"The Programme embraced me when I needed it most," James reflects, his voice controlled but carrying undertones of feeling. His remark captures the core of a programme that aims to reinvent how the vast healthcare system approaches care leavers—those vulnerable young people aged 16-25 who have emerged from the care system.

The statistics tell a troubling story. Care leavers commonly experience greater psychological challenges, money troubles, accommodation difficulties, and reduced scholarly attainment compared to their contemporaries. Beneath these impersonal figures are human stories of young people who have navigated a system that, despite good efforts, often falls short in providing the supportive foundation that shapes most young lives.

The NHS Universal Family Programme, in January 2023 following NHS Universal Family Programme England's pledge to the Care Leaver Covenant, signifies a profound shift in systemic approach. At its core, it accepts that the whole state and civil society should function as a "NHS Universal Family Programme family" for those who haven't known the security of a conventional home.

Ten pathfinder integrated care boards across England have blazed the trail, creating frameworks that reconceptualize how the NHS Universal Family Programme—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 policies, forming governance structures, and obtaining leadership support. It recognizes that meaningful participation requires more than good intentions—it demands concrete steps.

In NHS Universal Family Programme Birmingham and Solihull ICB, where James started his career, they've created a consistent support system with representatives who can deliver help and direction on wellbeing, HR matters, recruitment, and EDI initiatives.

The standard NHS Universal Family Programme recruitment process—structured and often daunting—has been intentionally adjusted. Job advertisements now focus on character attributes rather than long lists of credentials. Application procedures have been redesigned to consider the specific obstacles care leavers might encounter—from not having work-related contacts to having limited internet access.

Maybe most importantly, the Programme understands that entering the workforce can create specific difficulties for care leavers who may be navigating autonomy without the safety net of familial aid. Issues like transportation costs, personal documentation, and bank accounts—assumed basic by many—can become major obstacles.

The beauty of the Programme lies in its thorough planning—from explaining payslip deductions to offering travel loans until that crucial first payday. Even apparently small matters like break times and office etiquette are thoughtfully covered.

For James, whose NHS Universal Family Programme journey has "transformed" his life, the Programme offered more than a job. It offered him a sense of belonging—that ineffable quality that develops when someone senses worth not despite their past but because their distinct perspective enriches the institution.

"Working for the NHS Universal Family Programme isn't just about doctors and nurses," James observes, his gaze showing the subtle satisfaction of someone who has secured his position. "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 stands as a strong assertion that organizations can change to embrace those who have experienced life differently. 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 navigates his workplace, his presence subtly proves that with the right support, care leavers can flourish in environments once thought inaccessible. The embrace that the NHS has offered through this Programme symbolizes not charity but acknowledgment of overlooked talent and the essential fact that all people merit a support system that supports their growth.