A survey of a sample of primary and secondary school headteachers and guidance teachers in Fife was carried out in November 1993. It gathered information about their views on the current school health service. The findings showed that there was a high level of satisfaction with the service but there was inadequate communication between the health service staff and school staff. Teachers clearly indicated a desire to give health education matters a higher priority and issues such as smoking and drug taking by young people in Fife were specifically mentioned. Increased collaboration with health staff in delivering the health and social curriculum appeared to be welcomed. Examples of early implementation of the health-promoting school concept were given. It is important that, at this time of change in school health services, there is adequate discussion with local authority education departments. Improved communication between health services and education staff at all levels will be important to ensure a smooth evolution of school health services and to facilitate the wide introduction and development of the health-promoting school concept.