In the sterile corridors of Birmingham Women's and Children's NHS Foundation Trust, a young man named James Stokes navigates his daily responsibilities with subtle confidence. His polished footwear barely make a sound as he exchanges pleasantries with 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 challenging road that brought him here.

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

"It felt like the NHS was putting its arm around me," James says, his voice measured but revealing subtle passion. His remark captures the essence of a programme that aims to revolutionize how the vast healthcare system perceives 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 frequently encounter greater psychological challenges, money troubles, accommodation difficulties, and diminished educational achievements compared to their contemporaries. Beneath these cold statistics are human stories of young people who have navigated a system that, despite genuine attempts, often falls short in offering the supportive foundation that forms most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS England's pledge to the Care Leaver Covenant, signifies a significant change in institutional thinking. Fundamentally, it accepts that the complete state and civil society should function as a "universal family" for those who haven't experienced the security of a conventional home.

Ten pioneering healthcare collectives across England have led the way, developing structures that reconceptualize how the NHS—one of Europe's largest employers—can open its doors to care leavers.

The Programme is detailed in its methodology, beginning with detailed evaluations of existing practices, forming oversight mechanisms, and garnering senior buy-in. It acknowledges that effective inclusion requires more than lofty goals—it demands concrete steps.

In NHS Birmingham and Solihull ICB, where James found his footing, they've developed a reliable information exchange with representatives who can deliver support, advice, and guidance on mental health, HR matters, recruitment, and EDI initiatives.

The traditional NHS recruitment process—formal and often daunting—has been thoughtfully adapted. Job advertisements now focus on personal qualities rather than long lists of credentials. Application processes have been reconsidered to consider the unique challenges care leavers might encounter—from lacking professional references to struggling with internet access.

Possibly most crucially, the Programme acknowledges that starting a job can pose particular problems for care leavers who may be navigating autonomy without the backup of family resources. Matters like transportation costs, personal documentation, and financial services—taken for granted by many—can become major obstacles.

The beauty of the Programme lies in its attention to detail—from outlining compensation information to helping with commuting costs until that crucial first salary payment. Even seemingly minor aspects like coffee breaks and office etiquette are thoughtfully covered.

For James, whose professional path has "changed" his life, the Programme delivered more than work. It gave him a perception of inclusion—that ineffable quality that emerges when someone feels valued not despite their background 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 quiet pride of someone who has found his place. "It's about a collective of different jobs and roles, a team of people who really connect."

The NHS Universal Family Programme represents more than an work program. It stands as a powerful statement that institutions can change to welcome those who have experienced life differently. In doing so, they not only alter individual futures but improve their services through the distinct viewpoints that care leavers provide.

As James walks the corridors, his participation subtly proves that with the right support, care leavers can succeed in environments once deemed unattainable. The arm that the NHS has offered through this Programme symbolizes not charity but appreciation of overlooked talent and the essential fact that all people merit a family that believes in them.