NHS: Belonging In White Corridors
Within the bustling halls of an NHS hospital in Birmingham, 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 "how are you."
James wears his NHS lanyard not merely as a security requirement but as a declaration of acceptance. It sits against a pressed shirt that gives no indication of the challenging road that led him to this place.
What distinguishes James from many of his colleagues is not obvious to the casual observer. His demeanor gives away nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an undertaking crafted intentionally for young people who have spent time in care.
"It felt like the NHS was putting its arm around me," James reflects, his voice steady but carrying undertones of feeling. His observation summarizes the core of a programme that strives to reinvent how the enormous healthcare system views care leavers—those frequently marginalized young people aged 16-25 who have graduated out of the care system.
The numbers reveal a challenging reality. Care leavers commonly experience higher rates of mental health issues, economic uncertainty, housing precarity, and lower academic success compared to their peers. Underlying these cold statistics are personal narratives of young people who have maneuvered through a system that, despite best intentions, often falls short in providing the nurturing environment that molds most young lives.
The NHS Universal Family Programme, established in January 2023 following NHS England's commitment to the Care Leaver Covenant, embodies a profound shift in institutional thinking. At its core, it recognizes that the entire state and civil society should function as a "communal support system" for those who haven't experienced the security of a typical domestic environment.
Ten pioneering healthcare collectives across England have charted the course, developing systems that reconceptualize how the NHS—one of Europe's largest employers—can extend opportunities to care leavers.
The Programme is meticulous in its methodology, beginning with comprehensive audits of existing practices, creating governance structures, and garnering leadership support. It recognizes that meaningful participation requires more than good intentions—it demands tangible actions.
In NHS Birmingham and Solihull ICB, where James began his journey, they've developed a reliable information exchange with representatives who can offer support, advice, and guidance on wellbeing, HR matters, recruitment, and inclusivity efforts.
The standard NHS recruitment process—formal and potentially intimidating—has been carefully modified. Job advertisements now highlight attitudinal traits rather than long lists of credentials. Applications have been reimagined to consider the particular difficulties care leavers might encounter—from not having work-related contacts to struggling with internet access.
Perhaps most significantly, the Programme acknowledges that starting a job can pose particular problems for care leavers who may be handling self-sufficiency without the support of parental assistance. Issues like commuting fees, proper ID, and financial services—taken for granted by many—can become major obstacles.
The elegance of the Programme lies in its thorough planning—from clarifying salary details to providing transportation assistance until that essential first wage disbursement. Even seemingly minor aspects like rest periods and workplace conduct are carefully explained.
For James, whose NHS journey has "transformed" his life, the Programme delivered more than work. It offered him a feeling of connection—that intangible quality that grows when someone feels valued not despite their background but because their distinct perspective enriches the organization.
"Working for the NHS isn't just about doctors and nurses," James comments, his expression revealing the quiet pride of someone who has found his place. "It's about a community of different jobs and roles, a team of people who truly matter."
The NHS Universal Family Programme represents more than an work program. It exists as a powerful statement that institutions can change to include those who have known different challenges. In doing so, they not only change personal trajectories but improve their services through the special insights that care leavers bring to the table.
As James navigates his workplace, his participation quietly demonstrates that with the right help, care leavers can thrive in environments once considered beyond reach. The support that the NHS has provided through this Programme symbolizes not charity but acknowledgment of hidden abilities and the essential fact that everyone deserves a support system that believes in them.