Additional support needs in Orkney: coordinating school and health support
Orkney Islands Council provides education support through schools and its Pupil Support Team. NHS Orkney is the local health board.

How support is organised in Orkney Islands
In Orkney, a child may attend school on the Mainland or on another island, while specialist input may be local, visiting, remote or delivered outside Orkney. Begin with the people who see the child learning each day and explain the barrier in practical terms.
Ask what the school can adjust immediately and when the Pupil Support Team or another service may become involved. Inter-island travel, timetables and time away from class should be considered as part of the support plan, not left for the family to solve after a referral has been made.
Orkney Islands Council is the education authority. Its Pupil Support Team includes services that support schools and children with additional needs. The school remains the starting point for most education concerns and can explain which part of the team is relevant.
NHS Orkney provides local healthcare and works with mainland boards for some specialist services. The referral letter or receiving team is the best source for an individual pathway. Enquire provides independent information about Scotland's additional support for learning system and can help families understand planning and rights.
The local picture in Orkney Islands
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 Orkney Islands
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
Orkney Islands Council
Covers Orkney Islands
The council is responsible for education and provides the Pupil Support Team.
Visit websiteNHS Orkney
Covers NHS Orkney area
The board provides local health services and works with mainland services for some specialist care.
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 record what is being tried, how often it will happen and when it will be reviewed. If support depends on a visiting professional, clarify what school staff will do between visits and who will update the family.
Before a mainland or inter-island appointment, confirm travel arrangements, likely time away and what evidence the service needs in advance. If a ferry, flight or weather disruption causes a cancellation, record it and ask the provider how the appointment will be rearranged. Where remote contact is offered, check whether it is appropriate for the child's communication and the purpose of the appointment.
Related FamilyFX help
Do you support SEND families in Orkney Islands?
If you are part of a charity, parent group, advice service, inclusive activity or another organisation supporting SEND families in Orkney Islands, 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
- NHS inform: urgent mental health help, checked 14 August 2026
- NHS Orkney, checked 14 August 2026
- Orkney Islands Council, checked 14 August 2026
- Scottish Government: additional support for learning, checked 14 August 2026
