The Pilgrim is a hospital school which serves the whole of Lincolnshire and is located on four sites across the county. The main site is in Lincoln and the other sites are in Mablethorpe, Deeping St James and Boston. Pupils at Key Stages 3 and 4 are taught on each of the sites. Short-term individual home tuition is provided for pupils at Key Stages 1 and 2 and children in the Early Years Foundation Stage, while they recover from illness. Currently, there are very few pupils in Key Stages 1 and 2 and there have been no children in the Early Years Foundation Stage for the past five years. Consequently, provision for the Early Years Foundation Stage was not inspected. Almost all pupils are dual registered with mainstream schools. The majority of pupils have histories of disruption to their education and poor attendance prior to their admission to school. Many attend part time while they are recovering from illness and gradually build up to a full timetable when they are well enough to engage in learning on a fulltime basis. All pupils, other than those with a statement of special educational needs, are supported at school action plus. A significant number of pupils have a statement of special educational needs for additional disabilities and learning difficulties, mainly due to autism. An average proportion of pupils are eligible for the pupil premium, which provides additional funding for children who are known to be eligible for free school meals and those in local authority care.