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 smart shoes move with deliberate precision as he greets colleagues—some by name, others with the comfortable currency of a "how are you."


James wears his NHS lanyard not merely as a security requirement but as a testament of belonging. It rests against a well-maintained uniform that betrays nothing of the difficult path that led him to this place.


What sets apart James from many of his colleagues is not immediately apparent. His bearing gives away nothing of the fact that he was among the first recruits of the NHS Universal Family Programme—an effort created purposefully for young people who have experienced life in local authority care.


"I found genuine support within the NHS structure," James explains, his voice measured but tinged with emotion. His statement summarizes the essence of a programme that aims to revolutionize how the enormous healthcare system approaches care leavers—those vulnerable young people aged 16-25 who have graduated out of the care system.


The statistics paint a stark picture. Care leavers frequently encounter higher rates of mental health issues, financial instability, shelter insecurities, and diminished educational achievements compared to their peers. Beneath these cold statistics are individual journeys of young people who have maneuvered through a system that, despite good efforts, often falls short in delivering the supportive foundation that shapes most young lives.


The NHS Universal Family Programme, established in January 2023 following NHS England's pledge to the Care Leaver Covenant, represents a substantial transformation in organizational perspective. At its heart, it accepts that the complete state and civil society should function as a "universal family" for those who haven't experienced the stability of a traditional family setting.


A select group of healthcare regions across England have led the way, creating 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, starting from comprehensive audits of existing policies, forming management frameworks, and obtaining senior buy-in. It acknowledges that meaningful participation requires more than lofty goals—it demands practical measures.


In NHS Birmingham and Solihull ICB, where James began his journey, they've created a reliable information exchange with representatives who can offer assistance and counsel on mental health, HR matters, recruitment, and EDI initiatives.


The conventional NHS recruitment process—formal and often daunting—has been thoughtfully adapted. Job advertisements now emphasize character attributes rather than extensive qualifications. Application processes have been reconsidered to address the specific obstacles care leavers might experience—from not having work-related contacts to struggling with internet access.


Perhaps most significantly, the Programme recognizes that entering the workforce can pose particular problems for care leavers who may be handling self-sufficiency without the backup of familial aid. Matters like commuting fees, identification documents, 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 offering travel loans until that crucial first salary payment. Even seemingly minor aspects like break times and professional behavior are deliberately addressed.


For James, whose NHS journey has "transformed" his life, the Programme delivered more than employment. It provided him a perception of inclusion—that ineffable quality that develops when someone is appreciated not despite their background but because their distinct perspective enhances the workplace.


"Working for the NHS isn't just about doctors and nurses," James notes, his expression revealing the quiet pride of someone who has discovered belonging. "It's about a family of different jobs and roles, a team of people who really connect."


The NHS Universal Family Programme exemplifies more than an work program. It stands as a bold declaration that institutions can evolve to welcome those who have experienced life differently. In doing so, they not only alter individual futures but enhance their operations through the unique perspectives that care leavers bring to the table.


As James walks the corridors, his involvement quietly demonstrates that with the right help, care leavers can flourish in environments once considered beyond reach. The support that the NHS has provided through this Programme signifies not charity but appreciation of overlooked talent and the fundamental reality that all people merit a community that champions their success.