creating a better future for the UK - one baby at a time

Impact and Evaluation


For the past three years we have been collecting data from our PIP network to allow us look at the impact of our work. Each PIP enters anonymised data into the PIP Portal which corresponds to every referral made into the service. The measures we use across the network include:

  1. core demographic data.
  2. risk factors known to adversely affect the caregiving relationship. This data highlights the complexity and level of need of the families referred to PIP teams. Known as stresses on the parent-child relationship, there are four key areas of focus:
    1. the biological vulnerability of the child i.e. prematurity, disability, presence of a genetic condition etc.;
    2. parental history and current functioning;
    3. how the parent interacts with the infant;
    4. sociodemographic information.
  3. the Ages and Stages questionnaire for Social and Emotional Development (ASQ-SE2), which demonstrates whether the infant’s social and emotional development is or has remained on course;
  4. the Parent Infant Relationship Global Assessment Scale (PIR-GAS). This has been used to describe the strengths of a relationship as well as to capture the severity of a disorder. This measure has recently been replaced by the LOAF (see below);
  5. Levels of Adaptive Functioning (LOAF), applied to the main caregiving relationship as well as the wider caregiving environment.  This measure has replaced the PIR-GAS (above) and is being introduced within the PIP services.  PIP UK is currently the only organisation in the UK to hold a licence from Zero to Three to use this measure;
  6. the Keys to Interactive Parenting Scale (KIPS), which evaluates 12 different aspects of caregiver-infant interaction from 10 to 15 minutes of video;
  7. the Hospital Anxiety and Depression Scale (HADS), which gives an early identification of anxiety and depression in the caregiver;
  8. parent feedback about the service, its impact on them and their relationship with their infant, recommendation of the service to others.