Additional support needs in Fife: working with school and health services
Fife Council is the education authority and NHS Fife is the territorial health board. The school is the practical first contact for most learning concerns.

How support is organised in Fife
Fife includes large towns, coastal communities and rural areas, so support may be close to school or require travel elsewhere in the council area. Begin by showing where the child encounters a barrier: during teaching, transitions, unstructured time, attendance, communication or recovery after the day.
Ask the school what it can adjust immediately and how it will measure whether the change is useful. Fife Council's current guidance directs parents with concerns about progress or additional support needs to the headteacher. That first conversation should produce a next step, not simply an instruction to wait.
Fife Council is responsible for education. Its additional support needs page describes school support, the Supporting Learners' Service, enhanced provision and the Pupil Support Service. Which part becomes involved depends on the child's needs and the school's planning.
NHS Fife provides health services across the council area. A health assessment and an education support plan answer different questions and can progress alongside each other. Enquire provides independent national advice about additional support for learning and can help families understand Scottish rights and processes.
The local picture in Fife
This section maps the current health bodies serving this area and, where a comparable official measure is available, presents it alongside the national figure. It is not a rating of the area or the quality of an individual service.
Health
NHS boards for Fife
Territorial NHS boards plan and provide many local health services in Scotland. A particular assessment or treatment may be delivered by another team or through a regional pathway.
Urgent help
Urgent mental health help in Scotland
NHS inform guidance for urgent mental health support. Call 999 if life is at immediate risk.
Visit Urgent mental health help in ScotlandLocal organisations and advice
Fife Council
Covers Fife
The council is responsible for education and local additional support decisions.
Visit websiteNHS Fife
Covers NHS Fife area
The board provides health services across Fife.
Visit websiteEnquire
Covers Scotland
Independent national advice about additional support for learning and education rights.
Visit websiteNHS inform
Covers Scotland
Use current NHS inform guidance for urgent mental health help; call 999 if life is at immediate risk.
Visit websiteServices and local pathways
Additional support for learning guidance
Scottish Government additional support for learning
Official Scottish Government guidance about additional support for learning.
Who it is for: Children and young people in Scotland who need extra help to benefit from education.
How to access it: Raise the concern with the nursery, school or education authority and use the official guidance to understand the framework.
Check current detailsEnquire advice for families
Enquire
Independent advice for parents, carers, children and young people.
Who it is for: Parents, carers, children and young people in Scotland, as well as people supporting them.
How to access it: Read the guidance online or contact Enquire for advice about a specific education question.
Check current detailsPractical next steps
Ask the headteacher or named contact for a written plan that connects each barrier with a response. Check the frequency, staff role, intended result and review date. If a specialist placement is being considered, ask what evidence informs that discussion and how the child's and family's views will be included.
For health referrals, record the receiving service, referral date and any information requested. If an appointment is elsewhere in Fife, consider travel and time away from school before agreeing a recurring pattern. Do not pause reasonable school adjustments while waiting for a separate health decision.
Related FamilyFX help
Do you support SEND families in Fife?
If you are part of a charity, parent group, advice service, inclusive activity or another organisation supporting SEND families in Fife, we would like to hear from you. Send us your website, the area you cover, who the service is for and how families can get in touch. We check submissions before deciding whether to add them.
Send us your detailsSources and checking dates
Local services change. We check the sources below and review any substantive change before altering the page.
- Enquire: advice for parents and carers, checked 14 August 2026
- Fife Council, checked 14 August 2026
- NHS Fife, checked 14 August 2026
- NHS inform: urgent mental health help, checked 14 August 2026
- Scottish Government: additional support for learning, checked 14 August 2026
