Additional support needs in Midlothian: school and health routes
Midlothian Council provides education support through nurseries, schools and its Inclusion and ASN Team. NHS Lothian is the local health board.

How support is organised in Midlothian
When a child is struggling in Midlothian, the first useful step is usually a precise conversation with the nursery or school. Describe the barrier, the situations in which it appears and the effect on learning, attendance, communication or wellbeing. Include strengths and strategies that already help.
Ask what the setting can do immediately and what question would justify wider specialist involvement. A referral should have a purpose. Families should be able to understand what is being requested and what support remains in place while they wait.
Midlothian Council is the education authority. Its current information says that additional support services are accessed through the child's nursery or school, with educational psychology and the Inclusion and ASN Team among the wider routes available.
NHS Lothian provides health services across Midlothian, Edinburgh, East Lothian and West Lothian. Health and education teams may work together, but a diagnosis is not the starting condition for school support. Enquire can give independent information about Scotland's additional support for learning system.
The local picture in Midlothian
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 Midlothian
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
Midlothian Council
Covers Midlothian
The council provides education support through schools and its Inclusion and ASN Team.
Visit websiteNHS Lothian
Covers NHS Lothian area
The health board also covers Edinburgh, East Lothian and West Lothian.
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 school to write down the current support, how often it happens, who is responsible and when it will be reviewed. If the Inclusion and ASN Team or educational psychology is involved, clarify the question being considered and how advice will return to classroom practice.
For health referrals, record the named receiving service and date rather than only noting NHS Lothian. Check appointment location and travel before agreeing a repeated arrangement. If different professionals give overlapping recommendations, ask the school to show how they fit into one workable plan.
Related FamilyFX help
Do you support SEND families in Midlothian?
If you are part of a charity, parent group, advice service, inclusive activity or another organisation supporting SEND families in Midlothian, 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
- Midlothian Council, checked 14 August 2026
- NHS inform: urgent mental health help, checked 14 August 2026
- NHS Lothian, checked 14 August 2026
- Scottish Government: additional support for learning, checked 14 August 2026
