Great photo Joan.
On Dactylorhiza praetermissa – Southern Marsh Orchid, the only rust that produces cluster-cups such as in your photo is Puccinia sessilis.
The cluster-cups are the aecidial stage, (stage I), of the rust.
There is another rust: – Melampsora epitea var.epitea, which attacks Southern Marsh Orchid, and at first glance might look similar.
But its stage I aecidia are “caeomoid” which means that they have no well defined shape.
So you can be confident that Puccinia sessilis is what you’ve got.
(The same rust attacks Ramsons too: – http://www.fungi.org.uk/viewtopic.php?f=9&t=9#p58).
Regards,
Mike.