In the sterile corridors of Birmingham Women's and Children's NHS Foundation Trust, a young man named James Stokes moves with quiet purpose. His oxford shoes whisper against the floor as he acknowledges colleagues—some by name, others with the familiar currency of a "good morning."

James wears his NHS lanyard not merely as a security requirement but as a symbol of inclusion. It rests against a neatly presented outfit that betrays nothing of the difficult path that preceded his arrival.

What sets apart James from many of his colleagues is not immediately apparent. His presence discloses nothing of the fact that he was among the first beneficiaries of the NHS Universal Family Programme—an initiative crafted intentionally for young people who have been through the care system.

"It felt like the NHS was putting its arm around me," James reflects, his voice steady but revealing subtle passion. His observation captures the heart of a programme that strives to transform how the enormous healthcare system views care leavers—those frequently marginalized young people aged 16-25 who have emerged from the care system.

The figures paint a stark picture. Care leavers often face poorer mental health outcomes, economic uncertainty, accommodation difficulties, and reduced scholarly attainment compared to their contemporaries. Beneath these impersonal figures are human stories of young people who have traversed a system that, despite best intentions, often falls short in providing the supportive foundation that forms most young lives.

The NHS Universal Family Programme, established in January 2023 following NHS England's commitment to the Care Leaver Covenant, represents a profound shift in organizational perspective. At its heart, it recognizes that the whole state and civil society should function as a "universal family" for those who haven't known the security of a typical domestic environment.

Ten pioneering healthcare collectives across England have charted the course, developing frameworks that reimagine how the NHS—one of Europe's largest employers—can open its doors to care leavers.

The Programme is thorough in its strategy, beginning with comprehensive audits of existing procedures, establishing management frameworks, and garnering executive backing. It recognizes that successful integration 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 help and direction on mental health, HR matters, recruitment, and inclusivity efforts.

The conventional NHS recruitment process—structured and potentially intimidating—has been carefully modified. Job advertisements now focus on attitudinal traits rather than numerous requirements. Application processes have been reconsidered to address the particular difficulties care leavers might experience—from not having work-related contacts to having limited internet access.

Perhaps most significantly, the Programme acknowledges that entering the workforce can present unique challenges for care leavers who may be navigating autonomy without the support of familial aid. Matters like travel expenses, personal documentation, and financial services—considered standard by many—can become major obstacles.

The elegance of the Programme lies in its meticulous consideration—from clarifying salary details to helping with commuting costs until that crucial first salary payment. Even apparently small matters like break times and workplace conduct are carefully explained.

For James, whose professional path has "transformed" his life, the Programme delivered more than work. It provided him a perception of inclusion—that intangible quality that grows when someone is appreciated not despite their past but because their unique life experiences enriches the organization.

"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 group of people who really connect."

The NHS Universal Family Programme exemplifies more than an job scheme. It stands as a bold declaration that institutions can change to include those who have experienced life differently. In doing so, they not only alter individual futures but improve their services through the unique perspectives that care leavers provide.

As James walks the corridors, his participation silently testifies that with the right support, care leavers can succeed in environments once considered beyond reach. The embrace that the NHS has extended through this Programme symbolizes not charity but recognition of untapped potential and the profound truth that everyone deserves a support system that believes in them.