Giving babies a voice: what UK investment in infant wellbeing means for Australian early childhood practice

A major early childhood initiative in the UK is highlighting a message that strongly aligns with Australian early childhood education and care (ECEC) practice, babies are capable communicators from birth, and adults play a critical role in recognising, understanding and responding to their cues.
New investment into the Alarm Distress Baby Scale (ADBB) through The Royal Foundation Centre for Early Childhood has reinforced the importance of observing infants’ social and emotional wellbeing, placing renewed attention on how babies communicate before they can speak.
Through eye contact, facial expressions, movement, sounds and interactions, babies provide important information about how they are experiencing the world around them.
The Royal Foundation Centre for Early Childhood announced further investment to support the implementation of ADBB across the UK following an evaluation that recommended the approach be commissioned nationally.
While the initiative focuses on UK health visiting services, its underlying principles reflect many of the foundations of quality infant practice already embedded within Australia’s ECEC sector, particularly the importance of secure relationships, responsive interactions and recognising children as active participants in their own learning and development.
The Alarm Distress Baby Scale is an observational tool used by trained professionals to better understand infant social behaviour.
Rather than focusing only on adult responses, the approach supports practitioners to notice how babies communicate through:
- eye contact
- facial expressions
- vocalisation
- activity levels
- social engagement.
The goal is to identify when babies may be experiencing social withdrawal or distress and support families to access help early when needed.
For Australian educators working with infants and toddlers, the findings reinforce a principle already reflected in the Early Years Learning Framework – children are capable, competent and active contributors from birth.
Babies are not passive recipients of care. They communicate constantly.
A baby turning away, becoming quieter, seeking connection, smiling, babbling or changing their level of engagement can provide educators with important insight into their wellbeing.
Responsive infant practice relies on educators who:
- know each child deeply
- observe changes over time
- understand individual communication cues
- respond consistently and sensitively.
In Australia, the National Quality Framework recognises the importance of relationships and responsive practice in supporting children’s learning, development and wellbeing.
Quality Area 5 of the National Quality Standard focuses on relationships with children, including the need for educators to build secure, respectful and reciprocal relationships.
The Early Years Learning Framework also highlights the importance of belonging, connection and relationships, recognising that children’s earliest experiences shape their sense of identity, confidence and wellbeing.
Although ADBB is a specialised tool used by trained health professionals, the broader message is highly relevant for Australian early learning environments: babies need adults who notice, interpret and respond.
The ADBB evaluation, undertaken by the Institute of Health Visiting in collaboration with the University of Oxford, found training helped practitioners strengthen their confidence in observing and interpreting babies’ behaviour.
Health visitors reported feeling better equipped to represent the baby’s perspective and “give the baby a voice” during conversations with families.
This concept closely reflects the role educators play every day in Australian ECEC settings.
Educators working with infants often advocate for children who cannot yet express their needs verbally.
This requires:
- strong relationships with families
- knowledge of each child’s individual behaviours and routines
- intentional observation
- professional reflection
- effective communication between home and the service.
The earliest years of life represent a period of significant development, with relationships playing a central role in children’s wellbeing.
Secure and responsive relationships support babies to develop:
- trust
- emotional security
- confidence
- connection
- early communication skills.
Supporting infant wellbeing requires services to prioritise consistency of relationships, time for meaningful observation, partnerships with families and ongoing professional learning about infant development.
The UK investment in ADBB reflects a growing international focus on the earliest stages of childhood and reinforces a message familiar to many Australian educators – supporting children begins long before they can explain what they need.
Every look, sound, movement and interaction tells part of a child’s story.
When adults pay attention, babies have a voice.
Read the original announcement:
Centre for Early Childhood announces further investment as evaluation recommends ADBB is commissioned across the UK
Read the full announcement here.


















