1 NHS: The Family They Never Had
Gerard Strub edited this page 2025-10-01 22:19:02 +08:00


Within the bustling halls of an NHS Universal Family Programme hospital in Birmingham, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His oxford shoes barely make a sound as he exchanges pleasantries with colleagues—some by name, others with the familiar currency of a "good morning."

James displays his credentials not merely as an employee badge but as a declaration of belonging. It rests against a well-maintained uniform that gives no indication of the challenging road that led him to this place.

What separates James from many of his colleagues is not immediately apparent. His bearing 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 been through the care system.

"The Programme embraced me when I needed it most," James reflects, his voice steady but tinged with emotion. His observation encapsulates the essence of a that seeks to reinvent how the enormous healthcare system approaches care leavers—those often overlooked young people aged 16-25 who have transitioned from the care system.

The numbers paint a stark picture. Care leavers often face greater psychological challenges, economic uncertainty, shelter insecurities, and reduced scholarly attainment compared to their peers. Behind these clinical numbers are individual journeys of young people who have traversed a system that, despite genuine attempts, frequently fails in providing the stable base that molds most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS Universal Family Programme England's promise to the Care Leaver Covenant, signifies a significant change in institutional thinking. At its heart, it accepts that the complete state and civil society should function as a "collective parent" for those who haven't known the constancy of a conventional home.

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

The NHS Universal Family Programme is thorough in its strategy, starting from thorough assessments of existing policies, establishing management frameworks, and securing executive backing. It recognizes that effective inclusion requires more than noble aims—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James started his career, they've created a consistent support system with representatives who can provide help and direction on mental health, HR matters, recruitment, and equality, diversity, and inclusion.

The traditional NHS Universal Family Programme recruitment process—structured and possibly overwhelming—has been carefully modified. Job advertisements now emphasize character attributes rather than numerous requirements. Applications have been redesigned to accommodate the specific obstacles care leavers might encounter—from not having work-related contacts to facing barriers to internet access.

Possibly most crucially, the NHS Universal Family Programme acknowledges that entering the workforce can pose particular problems for care leavers who may be navigating autonomy without the backup of familial aid. Matters like travel expenses, proper ID, and banking arrangements—taken for granted by many—can become significant barriers.

The elegance of the NHS Universal Family Programme lies in its meticulous consideration—from outlining compensation information to helping with commuting costs until that critical first salary payment. Even seemingly minor aspects like coffee breaks and professional behavior are deliberately addressed.

For James, whose career trajectory has "changed" his life, the Programme provided more than employment. It provided him a perception of inclusion—that ineffable quality that emerges when someone is appreciated not despite their history 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 expression revealing the subtle satisfaction of someone who has discovered belonging. "It's about a community of different jobs and roles, a team of people who genuinely care."

The NHS Universal Family Programme represents more than an job scheme. It stands as a bold declaration that systems can adapt to include those who have known different challenges. In doing so, they not only alter individual futures but enrich themselves through the special insights that care leavers provide.

As James moves through the hospital, his presence quietly demonstrates that with the right support, care leavers can thrive in environments once thought inaccessible. The support that the NHS Universal Family Programme has extended through this Programme symbolizes not charity but recognition of overlooked talent and the fundamental reality that everyone deserves a NHS Universal Family Programme that supports their growth.