Infant Journal
for neonatal and paediatric healthcare professionals

NNAP can help neonatal units to plan improvement

Of the 750,000 babies born each year in England, Scotland and Wales, nearly 105,000 receive specialist neonatal care. The National Neonatal Audit Programme (NNAP) supports professionals, families and commissioners in their efforts to evolve and improve the care provided to these babies.

Sam Oddie
Consultant Neonatologist and Clinical Lead for the National Neonatal Audit Programme
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assessment; cognitive development; language development; parent report; neurodevelopmental outcomes
Key points
  1. The PARCA-R can be used to assess neurodevelopmental outcomes at 23.5 to 27.5 months of age.
  2. The questionnaire takes parents less than 15 minutes to complete.
  3. It produces separate norm-referenced scores for non-verbal cognition and language development.
  4. It can be used to identify developmental delay for all children in the general population.
  5. The PARCA-R is free to use and all available resources can be accessed online at