Among the organized chaos of medical professionals in Birmingham, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His smart shoes barely make a sound as he exchanges pleasantries with colleagues—some by name, others with the comfortable currency of a "hello there."

James displays his credentials not merely as an employee badge but as a testament of belonging. It hangs against a well-maintained uniform that gives no indication of the tumultuous journey that preceded his arrival.

What sets apart James from many of his colleagues is not visible on the surface. His demeanor gives away nothing of the fact that he was among the first recruits of the NHS Universal Family Programme—an effort designed specifically for young people who have been through the care system.

"I found genuine support within the NHS structure," James explains, his voice measured but tinged with emotion. His observation summarizes the core of a programme that seeks to reinvent how the enormous healthcare system approaches care leavers—those often overlooked young people aged 16-25 who have emerged from the care system.

The figures tell a troubling story. Care leavers often face higher rates of mental health issues, financial instability, shelter insecurities, and lower academic success compared to their contemporaries. Behind these impersonal figures are personal narratives of young people who have traversed a system that, despite good efforts, regularly misses the mark in providing the supportive foundation that molds 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. At its heart, it acknowledges that the complete state and civil society should function as a "universal family" for those who haven't known the security of a typical domestic environment.

Ten pathfinder integrated care boards across England have led the way, establishing structures that reconceptualize how the NHS—one of Europe's largest employers—can create pathways to care leavers.

The Programme is detailed in its methodology, starting from comprehensive audits of existing practices, creating governance structures, and garnering senior buy-in. It recognizes that effective inclusion requires more than lofty goals—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James found his footing, 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 traditional NHS recruitment process—formal and possibly overwhelming—has been intentionally adjusted. Job advertisements now focus on personal qualities rather than long lists of credentials. Application procedures have been reconsidered to consider the specific obstacles care leavers might encounter—from lacking professional references to struggling with internet access.

Maybe most importantly, the Programme acknowledges that starting a job can create specific difficulties for care leavers who may be handling self-sufficiency without the safety net of family resources. Concerns like travel expenses, identification documents, and banking arrangements—considered standard by many—can become significant barriers.

The brilliance of the Programme lies in its attention to detail—from outlining compensation information to offering travel loans until that crucial first payday. Even ostensibly trivial elements like coffee breaks and office etiquette are thoughtfully covered.

For James, whose professional path has "revolutionized" his life, the Programme provided more than work. It provided him a perception of inclusion—that elusive quality that grows when someone feels valued not despite their past but because their distinct perspective enhances the institution.

"Working for the NHS isn't just about doctors and nurses," James comments, his eyes reflecting the subtle satisfaction of someone who has discovered belonging. "It's about a community of different jobs and roles, a group of people who genuinely care."

The NHS Universal Family Programme represents more than an job scheme. It exists as a bold declaration that systems can change to welcome those who have known different challenges. In doing so, they not only transform individual lives but enhance their operations through the unique perspectives that care leavers contribute.

As James walks the corridors, his participation silently testifies that with the right assistance, care leavers can flourish in environments once considered beyond reach. The support that the NHS has provided through this Programme signifies not charity but acknowledgment of hidden abilities and the profound truth that everyone deserves a community that supports their growth.