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Hands on Babies partnered with Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) to strengthen attachment-focused support within Specialist Perinatal Mental Health Services. Through multidisciplinary workforce training, collaborative programme development and one of the first NHS pilots of the Pregnancy Bonding Programme, the partnership helped create practical interventions that support parent-infant relationships across the first 1001 days.

THE CHALLENGE

TEWV's Specialist Perinatal Mental Health Teams recognised the importance of supporting attachment, bonding and parent-infant relationships as part of wider perinatal mental health care.


While practitioners had access to a range of therapeutic interventions, there was a desire to strengthen the availability of practical, accessible tools that could help parents actively build relationships with their babies during pregnancy and beyond.


The Trust sought approaches that could:


  • Support attachment and bonding during pregnancy 
  • Enhance parent-infant relationship work 
  • Strengthen perinatal mental health support 
  • Provide practical interventions alongside therapeutic services 
  • Improve workforce confidence 
  • Create continuity across the full 1001 days

The solution

Hands on Babies initially delivered Baby Massage and Baby Yoga Instructor Training to multidisciplinary practitioners across the Trust. The success of this work led TEWV to become one of the first NHS pilot sites for the Pregnancy Bonding Programme.


Working collaboratively with practitioners, Hands on Babies used feedback from the team to help shape the future development of the programme, ensuring that resources, activities and interventions were practical, clinically relevant and effective for use within specialist services.


The partnership extended beyond workforce development, becoming a genuine co-production project that contributed to the evolution of new attachment-focused support pathways.

SHAPING THE FUTURE OF PREGNANCY BONDING

TEWV NHS Trust perinatal mental health teams support model

A unique aspect of this partnership was TEWV's role in helping develop and refine the Pregnancy Bonding Programme.


Working alongside Specialist Perinatal Midwives, Clinical Psychologists, Psychological Therapists, Mental Health Nurses, Health Visitors, Occupational Therapists and Nursery Nurses, Hands on Babies was able to explore how attachment-focused interventions could be embedded within specialist services.


Together, the teams helped develop practical tools including:

  • Pregnancy Bonding activities 
  • Parent engagement resources 
  • Pregnancy Bonding Journals 
  • Relationship-building exercises 
  • Brief attachment interventions 
  • Practical techniques that could be integrated into routine support 


This collaborative approach helped create a suite of interventions that could be delivered within real-world perinatal mental health settings.

SUPPORTING THE FULL 1001 DAYS

One of the most significant outcomes of the partnership was the opportunity to explore how Pregnancy Bonding, Baby Massage and Baby Yoga could work together as a connected pathway.


Rather than viewing pregnancy and postnatal support as separate interventions, the project helped demonstrate how attachment-focused support can begin during pregnancy and continue throughout infancy.


The pathway provides practitioners with practical tools to support:


  • Pregnancy - Pregnancy Bonding
  • Early Infancy - Baby Massage
  • Later Infancy - Baby Yoga


Creating continuity of support across the entire 1001 days journey.

Outcomes and Impact

Workforce Capacity

Workforce Capacity

Workforce Capacity

  • 26 multidisciplinary practitioners trained 
  • Enhanced confidence supporting attachment and bonding 
  • Practical tools integrated into everyday practice

Service Innovation

Workforce Capacity

Workforce Capacity

  • Pregnancy Bonding Programme piloted and refined 
  • Valuable practitioner feedback incorporated into future delivery 
  • New interventions developed through real-world testing

Parent Support

Workforce Capacity

Infant Mental Health

  • Increased availability of practical attachment-focused resources 
  • Greater opportunities for parent engagement 
  • Support available both antenatally and postnatally

Infant Mental Health

Infant Mental Health

Infant Mental Health

  • Strengthened focus on early relationships 
  • Increased opportunities to discuss attachment before birth 
  • Enhanced support for parent-infant relationships

Wider System Impact

Infant Mental Health

Wider System Impact

  • Supported development of future Pregnancy BASICS work 
  • Led to introductions and subsequent Pregnancy Bonding commissions elsewhere within the region 

What participants said

Testimonial & reference for our Training courses in Pregnancy Bonding, Baby Massage and Baby Yoga

Parent Particpant

Helen, Perinatal Mental Health Nurse

Helen, Perinatal Mental Health Nurse

"The Pregnancy Bonding Journal was fantastic. It gave me an opportunity to share my worries and concerns in a way that helped me understand myself better."

Testimonial & reference for our Training courses in Pregnancy Bonding, Baby Massage and Baby Yoga

Helen, Perinatal Mental Health Nurse

Helen, Perinatal Mental Health Nurse

Helen, Perinatal Mental Health Nurse

"I have found the Pregnancy Bonding resources to be incredibly useful. To finally have some practical tools, techniques and resources that we can share with parents to help with this often overlooked attachment moment is so beneficial."

Testimonial & reference for our Training courses in Pregnancy Bonding, Baby Massage and Baby Yoga

Service Commissioner

Helen, Perinatal Mental Health Nurse

Service Commissioner

"The unique tools and techniques that have been developed through the Pregnancy Bonding Programme have enabled my team to offer valuable practical and accessible support to our parents which I have no doubt will improve outcomes."

Why this matters

Many services recognise the importance of attachment and bonding but struggle to identify practical interventions that can be delivered within busy clinical environments.


The TEWV partnership demonstrates how attachment-focused support can be integrated into specialist perinatal mental health services through practical, accessible and evidence-informed interventions.


It also highlights the value of co-production, enabling practitioners to help shape the development of programmes that are genuinely useful within real-world services.

Looking ahead

The partnership between TEWV and Hands on Babies continues to evolve.

The Trust remains an important strategic partner and is expected to play a key role in future Pregnancy BASICS development and piloting.


Together, the organisations continue to explore innovative ways of strengthening attachment, bonding and parent-infant relationships across the full 1001 days journey.

Interested in Developing an Attachment Programme That Works for Your Community?

Hands on Babies works with Local Authorities, NHS Trusts, Family Hubs and early years services across the UK to develop workforce training solutions that are practical, scalable and sustainable.

Whether you are looking to train a small team, introduce Baby Massage services or develop your own Train the Trainer pathway, we would be delighted to discuss how we can support your organisation.

Contact us Discuss Further

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