India is a vast country where the number of preterm deliveries the highest in the world. Even with a doctor to patient ratio significantly low, the the neonatal mortality rate (NMR) has declined from 52 per 1000 live births in 1990 to 28 per 1000 live births in 2013. The increased number of survivors has rather led to an increase in the number of high-risk babies which need to be cared for. It is a serious challenge for the existing pool of doctors to neurodevelopmentally follow up these high risk babies and to administer developmental therapy wherever applicable. This care requires a multidisciplinary approach. Early detection and early intervention is essential for prevention of disability. Although there are a number of standardised tools, the lack of an unified national protocol makes things difficult. A system of training of health workers needs to be formulated. The initial evaluation can be done using Amiel Tison Angles and TDSC and the children with suspected tonal abnormalities or developmental delay can be referred for further screening using Denver II or Bayley III. The number of babies can thus be easily narrowed down before referral for specialist intervention.