Many British schools still rely upon parents' replies to a short health questionnaire to identify the health needs of students. Such a system is not adequate. A new model of health care was used for two terms in one British school. The model featured a self-help group attended by students, a social worker, two teachers from the pastoral team, and the school doctor. There was liaison with the pastoral head regarding the children to be seen. Two thirds of the referrals for medical services by the school doctor came from the school pastoral team. As the doctor became better known by parents and students, however, referrals came directly from them to the doctor. Reasons for referral varied. Interviews and medical examinations of 33 adolescents revealed 50 significant problems, including 15 previously undiagnosed medical problems. Contact with agencies not previously involved was made by the doctor in 12 cases. Approximately one-third of the health problems diagnosed were resolved as a result of intervention by the school medical team. In other cases, the school team facilitated improved health care through other agencies. The school team was involved in followup and ongoing medical care. 5 tables and 9 references