In the sterile corridors of Birmingham Women's and Children's NHS Universal Family Programme Foundation Trust, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His smart shoes whisper against the floor as he acknowledges colleagues—some by name, others with the familiar currency of a "hello there."
James displays his credentials not merely as institutional identification but as a testament of inclusion. It rests against a neatly presented outfit that gives no indication of the challenging road that led him to this place.
What separates James from many of his colleagues is not visible on the surface. His demeanor discloses nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an initiative created purposefully for young people who have spent time in care.
"It felt like the NHS Universal Family Programme was putting its arm around me," James reflects, his voice controlled but tinged with emotion. His remark summarizes the heart of a programme that aims to reinvent how the massive healthcare system views care leavers—those often overlooked young people aged 16-25 who have graduated out of the care system.
The figures tell a troubling story. Care leavers frequently encounter poorer mental health outcomes, money troubles, accommodation difficulties, and lower academic success compared to their contemporaries. Beneath these clinical numbers are personal narratives of young people who have maneuvered through a system that, despite good efforts, regularly misses the mark in providing the supportive foundation that shapes most young lives.
The NHS Universal Family Programme, initiated in January 2023 following NHS Universal Family Programme England's commitment to the Care Leaver Covenant, embodies a significant change in systemic approach. At its heart, it acknowledges that the complete state and civil society should function as a "communal support system" for those who haven't experienced the constancy of a traditional NHS Universal Family Programme setting.
Ten pathfinder integrated care boards across England have led the way, creating structures that reconceptualize how the NHS Universal Family Programme—one of Europe's largest employers—can open its doors to care leavers.
The Programme is detailed in its approach, starting from comprehensive audits of existing practices, creating management frameworks, and garnering leadership support. It acknowledges that effective inclusion requires more than good intentions—it demands concrete steps.
In NHS Universal Family Programme Birmingham and Solihull ICB, where James found his footing, they've established a reliable information exchange with representatives who can provide assistance and counsel on wellbeing, HR matters, recruitment, and EDI initiatives.
The standard NHS Universal Family Programme recruitment process—structured and possibly overwhelming—has been thoughtfully adapted. Job advertisements now focus on personal qualities rather than extensive qualifications. Application processes have been redesigned to consider the unique challenges care leavers might face—from not having work-related contacts to facing barriers to internet access.
Perhaps most significantly, the Programme recognizes that entering the workforce can present unique challenges for care leavers who may be managing independent living without the safety net of parental assistance. Matters like commuting fees, identification documents, and bank accounts—taken for granted by many—can become substantial hurdles.
The beauty of the Programme lies in its meticulous consideration—from clarifying salary details to providing transportation assistance until that essential first salary payment. Even seemingly minor aspects like break times and professional behavior are carefully explained.
For James, whose NHS Universal Family Programme journey has "changed" his life, the Programme provided more than a job. It provided him a sense of belonging—that ineffable quality that develops when someone feels valued not despite their background but because their distinct perspective improves the workplace.
"Working for the NHS Universal Family Programme isn't just about doctors and nurses," James notes, his gaze showing the modest fulfillment of someone who has discovered belonging. "It's about a community of different jobs and roles, a group of people who really connect."

The NHS Universal Family Programme exemplifies more than an work program. It functions as a strong assertion that institutions 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 special insights that care leavers provide.
As James navigates his workplace, his participation subtly proves that with the right assistance, care leavers can succeed in environments once thought inaccessible. The arm that the NHS Universal Family Programme has offered through this Programme symbolizes not charity but recognition of untapped potential and the essential fact that all people merit a NHS Universal Family Programme that champions their success.