NHS: The Family They Never Had

Within the bustling halls of an NHS Universal Family Programme hospital in Birmingham, a young man named James his daily responsibilities with subtle confidence. His polished footwear whisper against the floor as he acknowledges colleagues—some by name, others with the comfortable currency of a "hello there."

James wears his NHS Universal Family Programme lanyard not merely as an employee badge but as a symbol of inclusion. It rests against a neatly presented outfit that betrays nothing of the difficult path that brought him here.

What distinguishes James from many of his colleagues is not visible on the surface. His bearing gives away nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an undertaking crafted intentionally for young people who have experienced life in local authority care.

"I found genuine support within the NHS Universal Family Programme structure," James reflects, his voice controlled but tinged with emotion. His statement encapsulates the core of a programme that strives to transform how the enormous healthcare system views care leavers—those vulnerable young people aged 16-25 who have graduated out of the care system.

The numbers tell a troubling story. Care leavers frequently encounter higher rates of mental health issues, economic uncertainty, accommodation difficulties, and diminished educational achievements compared to their peers. Underlying these impersonal figures are human stories of young people who have navigated a system that, despite good efforts, often falls short in delivering the stable base that forms most young lives.

The NHS Universal Family Programme, initiated in January 2023 following NHS England's commitment to the Care Leaver Covenant, signifies a significant change in institutional thinking. At its heart, it accepts that the complete state and civil society should function as a "communal support system" for those who haven't known the security of a traditional NHS Universal Family Programme setting.

Ten pioneering healthcare collectives across England have charted the course, establishing systems that rethink how the NHS Universal Family Programme—one of Europe's largest employers—can open its doors to care leavers.

The Programme is thorough in its strategy, initiating with detailed evaluations of existing procedures, creating governance structures, and obtaining executive backing. It understands that effective inclusion requires more than lofty goals—it demands tangible actions.

In NHS Universal Family Programme Birmingham and Solihull ICB, where James started his career, they've established a regular internal communication network with representatives who can provide assistance and counsel on mental health, HR matters, recruitment, and inclusivity efforts.

The conventional NHS Universal Family Programme recruitment process—formal and potentially intimidating—has been thoughtfully adapted. Job advertisements now emphasize attitudinal traits rather than extensive qualifications. Application procedures have been redesigned to accommodate the specific obstacles care leavers might face—from missing employment history to having limited internet access.

Perhaps most significantly, the Programme understands that beginning employment can pose particular problems for care leavers who may be handling self-sufficiency without the backup of familial aid. Concerns like travel expenses, proper ID, and financial services—considered standard by many—can become major obstacles.

The elegance of the Programme lies in its attention to detail—from clarifying salary details to offering travel loans until that crucial first payday. Even ostensibly trivial elements like rest periods and workplace conduct are deliberately addressed.

For James, whose professional path has "revolutionized" his life, the Programme provided more than a job. It offered him a perception of inclusion—that intangible quality that develops when someone senses worth not despite their background but because their unique life experiences improves the workplace.

"Working for the NHS Universal Family Programme isn't just about doctors and nurses," James observes, his eyes reflecting the subtle satisfaction of someone who has found his place. "It's about a collective of different jobs and roles, a NHS Universal Family Programme of people who genuinely care."

The NHS Universal Family Programme exemplifies more than an work program. It functions as a strong assertion that institutions can change to welcome those who have navigated different paths. In doing so, they not only transform individual lives but enrich themselves through the distinct viewpoints that care leavers contribute.

As James walks the corridors, his participation subtly proves that with the right support, care leavers can thrive in environments once considered beyond reach. The arm that the NHS Universal Family Programme has extended through this Programme symbolizes not charity but acknowledgment of untapped potential and the profound truth that all people merit a support system that believes in them.