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 familiar currency of a "good morning."

James displays his credentials not merely as institutional identification but as a symbol of inclusion. It sits against a pressed shirt that gives no indication of the tumultuous journey 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 recruits of the NHS Universal Family Programme—an initiative crafted intentionally for young people who have spent time in care.

"The Programme embraced me when I needed it most," James explains, his voice measured but tinged with emotion. His statement captures the essence of a programme that aims to transform how the vast healthcare system approaches care leavers—those often overlooked young people aged 16-25 who have graduated out of the care system.

The figures paint a stark picture. Care leavers often face poorer mental health outcomes, money troubles, shelter insecurities, and diminished educational achievements compared to their contemporaries. Behind these clinical numbers are human stories of young people who have traversed a system that, despite good efforts, often falls short in providing the supportive foundation that forms most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS England's promise to the Care Leaver Covenant, signifies a substantial transformation in systemic approach. At its heart, it recognizes that the complete state and civil society should function as a "universal family" for those who haven't known the constancy of a typical domestic environment.

Ten pathfinder integrated care boards across England have charted the course, developing structures that reconceptualize how the NHS—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is thorough in its strategy, beginning with comprehensive audits of existing policies, establishing oversight mechanisms, and obtaining leadership support. It recognizes that effective inclusion requires more than good intentions—it demands concrete steps.

In NHS Birmingham and Solihull ICB, where James began his journey, they've established a consistent support system with representatives who can offer assistance and counsel on wellbeing, HR matters, recruitment, and EDI initiatives.

The standard NHS recruitment process—formal and often daunting—has been intentionally adjusted. Job advertisements now highlight attitudinal traits rather than numerous requirements. Applications have been reconsidered to address the unique challenges care leavers might face—from missing employment history to facing barriers to internet access.

Possibly most crucially, the Programme understands that starting a job can present unique challenges for care leavers who may be navigating autonomy without the backup of familial aid. Concerns like commuting fees, personal documentation, and banking arrangements—taken for granted by many—can become significant barriers.

The beauty of the Programme lies in its attention to detail—from clarifying salary details to helping with commuting costs until that essential first salary payment. Even ostensibly trivial elements like coffee breaks and workplace conduct are thoughtfully covered.

For James, whose career trajectory has "revolutionized" his life, the Programme provided more than work. It gave him a perception of inclusion—that elusive quality that emerges when someone feels valued not despite their background but because their distinct perspective enriches the institution.

"Working for the NHS isn't just about doctors and nurses," James comments, his gaze showing the modest fulfillment of someone who has discovered belonging. "It's about a family of different jobs and roles, a family of people who really connect."

The NHS Universal Family Programme exemplifies more than an employment initiative. It stands as a powerful statement that systems can evolve to include those who have known different challenges. In doing so, they not only change personal trajectories but enhance their operations through the unique perspectives that care leavers bring to the table.

As James navigates his workplace, his involvement silently testifies that with the right help, care leavers can thrive in environments once considered beyond reach. The support that the NHS has extended through this Programme symbolizes not charity but acknowledgment of untapped potential and the fundamental reality that each individual warrants a support system that champions their success.