Jake was born suffering the effects of his birth mothers drug addiction and alcohol abuse. He was very small, underweight, he couldn’t feed, was bleeding from behind, shaking, sweating and in pain. He was so vulnerable and was immediately taken into care, fostered and eventually adopted by us. He has been diagnosed with foetal alcohol syndrome and neonatal abstinence syndrome from birth and last year they diagnosed ADHD for which they have now medicated him. Although aged 10 he still wears 5-6 trousers and the impact of FAS has left him underdeveloped in many areas, physically, emotionally and mentally. He is supported every day to get dressed, eat breakfast and take medicine. The minibus takes him to school where he is in a unit with 5 other boys and staff that understand his complex needs. He is supported through the day in his learning and brought back home by minibus. Despite his initial trauma, life as a looked after child, the death of both birth parents, the challenges of ADHD and life with FAS he is a boy who loves life and has great plans to make a difference in this world for good. He wants to be a paramedic for NHS.