diff --git a/app/models/team_programme.rb b/app/models/team_programme.rb
new file mode 100644
index 000000000..292a7ec32
--- /dev/null
+++ b/app/models/team_programme.rb
@@ -0,0 +1,27 @@
+# frozen_string_literal: true
+
+# == Schema Information
+#
+# Table name: team_programmes
+#
+#  id           :bigint           not null, primary key
+#  programme_id :bigint           not null
+#  team_id      :bigint           not null
+#
+# Indexes
+#
+#  index_team_programmes_on_programme_id              (programme_id)
+#  index_team_programmes_on_team_id                   (team_id)
+#  index_team_programmes_on_team_id_and_programme_id  (team_id,programme_id) UNIQUE
+#
+# Foreign Keys
+#
+#  fk_rails_...  (programme_id => programmes.id)
+#  fk_rails_...  (team_id => teams.id)
+#
+class TeamProgramme < ApplicationRecord
+  audited
+
+  belongs_to :programme
+  belongs_to :team
+end
diff --git a/db/migrate/20240927083819_create_team_programmes.rb b/db/migrate/20240927083819_create_team_programmes.rb
new file mode 100644
index 000000000..73fbb768a
--- /dev/null
+++ b/db/migrate/20240927083819_create_team_programmes.rb
@@ -0,0 +1,13 @@
+# frozen_string_literal: true
+
+class CreateTeamProgrammes < ActiveRecord::Migration[7.2]
+  def change
+    # rubocop:disable Rails/CreateTableWithTimestamps
+    create_table :team_programmes do |t|
+      t.references :team, foreign_key: true, null: false
+      t.references :programme, foreign_key: true, null: false
+      t.index %i[team_id programme_id], unique: true
+    end
+    # rubocop:enable Rails/CreateTableWithTimestamps
+  end
+end
diff --git a/db/schema.rb b/db/schema.rb
index 450760dca..25b610f25 100644
--- a/db/schema.rb
+++ b/db/schema.rb
@@ -486,6 +486,14 @@
     t.index ["team_id"], name: "index_sessions_on_team_id"
   end
 
+  create_table "team_programmes", force: :cascade do |t|
+    t.bigint "team_id", null: false
+    t.bigint "programme_id", null: false
+    t.index ["programme_id"], name: "index_team_programmes_on_programme_id"
+    t.index ["team_id", "programme_id"], name: "index_team_programmes_on_team_id_and_programme_id", unique: true
+    t.index ["team_id"], name: "index_team_programmes_on_team_id"
+  end
+
   create_table "teams", force: :cascade do |t|
     t.text "name", null: false
     t.datetime "created_at", null: false
@@ -649,6 +657,8 @@
   add_foreign_key "programmes_sessions", "sessions"
   add_foreign_key "session_dates", "sessions"
   add_foreign_key "sessions", "teams"
+  add_foreign_key "team_programmes", "programmes"
+  add_foreign_key "team_programmes", "teams"
   add_foreign_key "triage", "patient_sessions"
   add_foreign_key "triage", "programmes"
   add_foreign_key "triage", "users", column: "performed_by_user_id"
diff --git a/erd.pdf b/erd.pdf
index e93c2857e..8b050b802 100644
Binary files a/erd.pdf and b/erd.pdf differ
diff --git a/lib/tasks/programmes.rake b/lib/tasks/programmes.rake
index 1a8e80d4d..cc1b04c40 100644
--- a/lib/tasks/programmes.rake
+++ b/lib/tasks/programmes.rake
@@ -19,6 +19,8 @@ namespace :programmes do
 
     programme = Programme.create!(team:, type:, vaccines:)
 
+    TeamProgramme.create!(team:, programme:)
+
     puts "New #{programme.name} programme with ID #{programme.id} created."
     puts "Vaccines: #{vaccines.map(&:brand).join(", ")}"
   end
diff --git a/spec/factories/team_programmes.rb b/spec/factories/team_programmes.rb
new file mode 100644
index 000000000..5f8f1e553
--- /dev/null
+++ b/spec/factories/team_programmes.rb
@@ -0,0 +1,27 @@
+# frozen_string_literal: true
+
+# == Schema Information
+#
+# Table name: team_programmes
+#
+#  id           :bigint           not null, primary key
+#  programme_id :bigint           not null
+#  team_id      :bigint           not null
+#
+# Indexes
+#
+#  index_team_programmes_on_programme_id              (programme_id)
+#  index_team_programmes_on_team_id                   (team_id)
+#  index_team_programmes_on_team_id_and_programme_id  (team_id,programme_id) UNIQUE
+#
+# Foreign Keys
+#
+#  fk_rails_...  (programme_id => programmes.id)
+#  fk_rails_...  (team_id => teams.id)
+#
+FactoryBot.define do
+  factory :team_programme do
+    team
+    programme
+  end
+end
diff --git a/spec/models/team_programme_spec.rb b/spec/models/team_programme_spec.rb
new file mode 100644
index 000000000..57171c9f4
--- /dev/null
+++ b/spec/models/team_programme_spec.rb
@@ -0,0 +1,26 @@
+# frozen_string_literal: true
+
+# == Schema Information
+#
+# Table name: team_programmes
+#
+#  id           :bigint           not null, primary key
+#  programme_id :bigint           not null
+#  team_id      :bigint           not null
+#
+# Indexes
+#
+#  index_team_programmes_on_programme_id              (programme_id)
+#  index_team_programmes_on_team_id                   (team_id)
+#  index_team_programmes_on_team_id_and_programme_id  (team_id,programme_id) UNIQUE
+#
+# Foreign Keys
+#
+#  fk_rails_...  (programme_id => programmes.id)
+#  fk_rails_...  (team_id => teams.id)
+#
+describe TeamProgramme do
+  subject(:team_programme) { build(:team_programme) }
+
+  it { should be_valid }
+end