Newborn and infant physical examination: programme handbook

This document brings together all the guidelines that relate to the NHS newborn and infant physical examination (NIPE) screening programme.



The purpose of this handbook is to inform and support best clinical practice in the NHS newborn and infant physical examination (NIPE) screening programme.

This handbook offers guidance on the physical examination for newborns, infants, and babies in neonatal units. It refers to the 4 NIPE screening elements:

  • eyes
  • heart
  • hips
  • testes
Published 4 April 2016
Last updated 28 April 2021 + show all updates
  1. Added new and updated guidance on ‘too young for NIPE newborn screening’, NIPE hip standards (implemented across England on 1 April 2021), NIPE screening screen positive outcomes, management of breech presentation and NIPE practitioner education and training.

  2. Updated programme handbook including training requirements, what to do when screening is declined and clarified terminology. Screening pathways content moved from PDF to HTML to improve accessibility.

  3. Updated NIPE programme handbook.

  4. Updated pathway appendices in accessible PDF formats.

  5. Minor correction to neonatal hip risk factors under Standard 4.

  6. Handbook updated and put into HTML format.

  7. First published.