Context. Knowledge of the total population of symbiotic stars in the Galaxy is important for understanding basic aspects of stellar evolution in interacting binaries and the relevance of this class of objects in the formation of supernovae of type Ia. Aims: In a previous paper, we presented the selection criteria needed to search for symbiotic stars in IPHAS, the INT Hα survey of the Northern Galactic plane. IPHAS gives us the opportunity to make a systematic, complete search for symbiotic stars in a magnitude-limited volume. Methods: Follow-up spectroscopy at different telescopes worldwide of a sample of sixty two symbiotic star candidates is presented. Results: Seven out of nineteen S-type candidates observed spectroscopically are confirmed to be genuine symbiotic stars. The spectral type of their red giant components, as well as reddening and distance, were computed by modelling the spectra. Only one new D-type symbiotic system, out of forty-three candidates observed, was found. This was as expected (see discussion in our paper on the selection criteria). The object shows evidence for a high density outflow expanding at a speed ≥65 km s-1. Most of the other candidates are lightly reddened classical T Tauri stars and more highly reddened young stellar objects that may be either more massive young stars of HAeBe type or classical Be stars. In addition, a few notable objects have been found, such as three new Wolf-Rayet stars and two relatively high-luminosity evolved massive stars. We also found a helium-rich source, possibly a dense ejecta hiding a WR star, which is surrounded by a large ionized nebula. Conclusions: These spectroscopic data allow us to refine the selection criteria for symbiotic stars in the IPHAS survey and, more generally, to better understand the behaviour of different Hα emitters in the IPHAS and 2MASS colour-colour diagrams. Based on observations obtained at; the 2.6 m Nordic Optical Telescope operated by NOTSA; the 2.5 m INT and 4.2 m WHT telescopes of the Isaac Newton Group of Telescopes in the Spanish Observatorio del Roque de Los Muchachos of the Instituto de Astrofísica de Canarias; the 2.3 m ANU telescope at Siding Spring Observatory, Australia; the Asiago 1.82 m telescope of the INAF Astronomical Observatory of Padova, Italy; and the 2.1 m telescope at San Pedro Martir, Mexico. Some of the INT spectra incorporated into this paper were obtained as part of a CCI International Time Programme awarded to the IPHAS collaboration. This publication makes use of data products from the Two Micron All Sky Survey, which is a joint project of the University of Massachusetts and the Infrared Processing and Analysis Center/California Institute of Technology, funded by the National Aeronautics and Space Administration and the National Science Foundation. This research has also made use of the SIMBAD database, operated at CDS, Strasbourg, France.