To date, little research has focused directly on health-related support in
school for children with a chronic illness or physical disability, yet thes
e children are known to be at increased risk for psychosocial and academic
problems. In addition, few studies have sought the views of pupils directly
: those which have report a wide range of problems with school life. The in
creasing numbers of children surviving and managing their health conditions
, together with Uh policy for inclusive education, means that a growing pro
portion of pupils in mainstream schools require understanding of their spec
ial health needs and may need service support from education and health pro
fessionals. This paper presents findings from semistructured interviews wit
h 33 mainstream secondary school pupils with a variety of illnesses and dis
abilities on the impact of their health condition on school life. Results s
how that young people valued school and were actively managing the effects
of their condition, but needed support from others. Informal support was mo
st frequently cited, including parents - particularly mothers - teachers an
d close friends. The main difficulties were implications of school absence,
exclusion from school life, teachers' reactions to the illness or disabili
ty, and peer relationships. The discussion focuses on ways in which health
professionals can play a part in supporting pupils both directly and indire
ctly, through helping others in school understand the condition and its imp
act on school life.