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 acknowledges colleagues—some by name, others with the comfortable currency of a "how are you."

James carries his identification not merely as institutional identification but as a testament of inclusion. It hangs against a pressed shirt that gives no indication of the tumultuous journey that preceded his arrival.

What separates James from many of his colleagues is not immediately apparent. His presence gives away nothing of the fact that he was among the first beneficiaries of the NHS Universal Family Programme—an undertaking designed specifically for young people who have been through the care system.

"I found genuine support within the NHS structure," James explains, his voice controlled but tinged with emotion. His remark encapsulates the core of a programme that aims to transform how the massive healthcare system approaches care leavers—those frequently marginalized young people aged 16-25 who have transitioned from the care system.

The figures reveal a challenging reality. Care leavers commonly experience poorer mental health outcomes, economic uncertainty, accommodation difficulties, and reduced scholarly attainment compared to their age-mates. Beneath these clinical numbers are individual journeys of young people who have navigated a system that, despite best intentions, often falls short in delivering 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, signifies a profound shift in systemic approach. Fundamentally, it recognizes that the complete state and civil society should function as a "universal family" for those who haven't known the security of a conventional home.

Ten pioneering healthcare collectives across England have blazed the trail, establishing frameworks that reimagine how the NHS—one of Europe's largest employers—can extend opportunities to care leavers.

The Programme is thorough in its approach, initiating with detailed evaluations of existing practices, establishing management frameworks, and obtaining senior buy-in. It recognizes that successful integration requires more than noble aims—it demands practical measures.

In NHS Birmingham and Solihull ICB, where James started his career, they've developed a consistent support system with representatives who can provide support, advice, and guidance on personal welfare, HR matters, recruitment, and equality, diversity, and inclusion.

The standard NHS recruitment process—formal and potentially intimidating—has been carefully modified. Job advertisements now focus on character attributes rather than extensive qualifications. Application procedures have been reimagined to consider the unique challenges care leavers might encounter—from lacking professional references to facing barriers to internet access.

Perhaps most significantly, the Programme acknowledges that beginning employment can create specific difficulties for care leavers who may be managing independent living without the backup of family resources. Concerns like commuting fees, identification documents, and bank accounts—assumed basic by many—can become significant barriers.

The beauty of the Programme lies in its meticulous consideration—from outlining compensation information to providing transportation assistance until that critical first salary payment. Even seemingly minor aspects like coffee breaks and office etiquette are carefully explained.

For James, whose professional path has "changed" his life, the Programme provided more than a job. It gave him a sense of belonging—that elusive quality that develops when someone senses worth not despite their background but because their distinct perspective improves the workplace.

"Working for the NHS isn't just about doctors and nurses," James comments, his eyes reflecting the quiet pride of someone who has found his place. "It's about a family of different jobs and roles, a team of people who truly matter."

The NHS Universal Family Programme represents more than an job scheme. It stands as a strong assertion that institutions can adapt to embrace those who have navigated different paths. 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 assistance, care leavers can succeed in environments once considered beyond reach. The embrace that the NHS has extended through this Programme represents not charity but recognition of overlooked talent and the profound truth that everyone deserves a family that champions their success.