Greenwich is an area of southeast London, located 5.5 miles east-southeast of Charing Cross. It is located within the Royal Borough of Greenwich. Greenwich is notable for its maritime history and for giving its name to the Greenwich Meridian and Greenwich Mean Time; the town became the site of a royal palace, the Palace of Placentia from the 15th century, was the birthplace of many Tudors, including Henry VIII and Elizabeth I. The palace fell into disrepair during the English Civil War and was rebuilt as the Royal Naval Hospital for Sailors by Sir Christopher Wren and his assistant Nicholas Hawksmoor; these buildings became the Royal Naval College in 1873, they remained an establishment for military education until 1998 when they passed into the hands of the Greenwich Foundation. The historic rooms within these buildings remain open to the public; the town became a popular resort in the 18th century and many grand houses were built there, such as Vanbrugh Castle established on Maze Hill, next to the park.
From the Georgian period estates of houses were constructed above the town centre. The maritime connections of Greenwich were celebrated in the 20th century, with the siting of the Cutty Sark and Gipsy Moth IV next to the river front, the National Maritime Museum in the former buildings of the Royal Hospital School in 1934. Greenwich formed part of Kent until 1889; the place-name ` Greenwich' is first attested in a Saxon charter of 918. It is recorded as Grenewic in 964, as Grenawic in the Anglo-Saxon Chronicle for 1013, it is Grenviz in the Domesday Book of 1086, Grenewych in the Taxatio Ecclesiastica of 1291. The name means'green wic or settlement'; the settlement became known as East Greenwich to distinguish it from West Greenwich or Deptford Strond, the part of Deptford adjacent to the Thames, but the use of East Greenwich to mean the whole of the town of Greenwich died out in the 19th century. However, Greenwich was divided into the registration subdistricts of Greenwich East and Greenwich West from the beginning of civil registration in 1837, the boundary running down what is now Greenwich Church Street and Crooms Hill, although more modern references to "East" and "West" Greenwich refer to the areas east and west of the Royal Naval College and National Maritime Museum corresponding with the West Greenwich council ward.
An article in The Times of 13 October 1967 stated: East Greenwich, gateway to the Blackwall Tunnel, remains solidly working class, the manpower for one eighth of London's heavy industry. West Greenwich is a hybrid: the spirit of Nelson, the Cutty Sark, the Maritime Museum, an industrial waterfront and a number of elegant houses, ripe for development. Royal charters granted to English colonists in North America used the name of the manor of East Greenwich for describing the tenure as that of free socage. New England charters provided that the grantees should hold their lands "as of his Majesty's manor of East Greenwich." This was in relation to the principle of land tenure under English law, that the ruling monarch was paramount lord of all the soil in the terra regis, while all others held their lands, directly or indirectly, under the monarch. Land outside the physical boundaries of England, as in America, was treated as belonging constructively to one of the existing royal manors, from Tudor times grants used the name of the manor of East Greenwich, but some 17c.
Grants named the castle of Windsor. Places in North America that have taken the name "East Greenwich" include a township in Gloucester County, New Jersey, a hamlet in Washington County, New York, a town in Kent County, Rhode Island. Greenwich, Connecticut was named after Greenwich. Tumuli to the south-west of Flamsteed House, in Greenwich Park, are thought to be early Bronze Age barrows re-used by the Saxons in the 6th century as burial grounds. To the east between the Vanbrugh and Maze Hill Gates is the site of a Roman temple. A small area of red paving tesserae protected by railings marks the spot, it was excavated in 1902 and 300 coins were found dating from the emperors Claudius and Honorius to the 5th century. This was excavated by the Channel 4 television programme Time Team in 1999, broadcast in 2000, further investigations were made by the same group in 2003; the Roman road from London to Dover, Watling Street crossed the high ground to the south of Greenwich, through Blackheath. This followed the line of an earlier Celtic route from Canterbury to St Albans.
As late as Henry V, Greenwich was only a fishing town, with a safe anchorage in the river. During the reign of Ethelred the Unready, the Danish fleet anchored in the River Thames off Greenwich for over three years, with the army being encamped on the hill above. From here they attacked Kent and, in the year 1012, took the city of Canterbury, making Archbishop Alphege their prisoner for seven months in their camp at Greenwich, at that time within the county of Kent, they stoned him to death for his refusal to allow his ransom to be paid. For this miracle his body was released to his followers, he achieved sainthood for his martyrdom and, in the 12th century, the parish church was dedicated to him; the present church on the site west of the town centre is St Alfege's Church, designed by Nicholas Hawksmoor in 1714 and completed in 1718. Some vestiges of the Danish camps may be traced in the nam
Royal Borough of Greenwich
The Royal Borough of Greenwich is a London borough in south-east London, England. Taking its name from the historic town of Greenwich, the London Borough of Greenwich was formed in 1965 by the amalgamation of the former area of the Metropolitan Borough of Greenwich with part of the Metropolitan Borough of Woolwich to the east; the local council is Greenwich London Borough Council. The council's offices are based in Woolwich, the main urban centre in the borough. Greenwich is world-famous as the traditional location of the Prime Meridian, on which all Coordinated Universal Time is based; the Prime Meridian running through Greenwich and the Greenwich Observatory is where the designation Greenwich Mean Time, or GMT began, on which all world times are based. In 2012, Greenwich was listed as a top ten global destination by Frommer's – the only UK destination to be listed. Greenwich was one of six host boroughs for the 2012 London Olympics and events were held at the Royal Artillery Barracks, Greenwich Park and The O2 – the former Millennium Dome.
It is the home borough of professional football club Charlton Athletic. To mark the Diamond Jubilee of Elizabeth II, Greenwich became a Royal Borough on 3 February 2012, due in part to its historic links with the Royal Family, to its UNESCO World Heritage Site status as home of the Prime Meridian; the London Borough of Greenwich was formed in 1965 by merging the former areas of the metropolitan boroughs of Greenwich and most of Woolwich. The name'Charlton' was considered for the borough. Greenwich once was turned down. If the application had been accepted the borough would have been known as the City of Greenwich to the City of Westminster. To mark the Diamond Jubilee of Elizabeth II, on 3 February 2012 Greenwich became the fourth Royal Borough, an honour additional to its historic links with the Royal Family, its status as home of the Prime Meridian and as a UNESCO World Heritage Site; the borough lies along the south bank of the River Thames between Thamesmead. It has an area of 5,044 hectares.
Because of the bends of the river, its waterfront is as long as 8.5 miles. Travelling south away from the waterfront, the ground rises: Shooters Hill in the east and the high ground of Blackheath in the west bookend the borough, Eltham to the south of these hills falls away slightly. Greenwich is bounded by the London Boroughs of Bexley to the east, Bromley to the south, Lewisham to the west and across the River Thames to the north lie Tower Hamlets and Barking and Dagenham; the borough's population in 2011 was 254,557. 52.3% of the community defined themselves as white British. The largest minority groups represented were of Asian heritage. Central Greenwich Town contains a UNESCO World Heritage Site centred on Christopher Wren's Royal Naval College and the Old Royal Observatory; the 2013/14 Mayor was Cllr Angela Cornforth. The 2014/15 Mayor was Cllr M Hayes; the 2015/16 Mayor was Cllr Norman Adams. The 2016/17 Mayor is Cllr Olu Babatola, the first African born individual to be elected to the office.
Shaped like an astrolabe, the 18ct gold badge on the Mayor's chain embodies the ‘time-ball’ on the principal building of the old Greenwich Royal Observatory, the meridian line and lines of latitude and longitude. The ‘time-ball’ is set with small rubies; the Executive is composed of ten Labour members, led by Cllr Danny Thorpe, Leader of the Council since 2018. Arms were granted to the London Borough by letters patent dated 1 October 1965. Although much of the 1965 design has been retained, the arms have been altered in 2012 by the addition of a representation of the Thames. In addition a crest and supporters were added to the arms; the Royal Borough of Greenwich is twinned with: – Reinickendorf, Germany. The initiative of the twinning with this Berlin borough dates from the times of the Metropolitan Borough of Woolwich. A London telephone box and a red pillar box beside Lake Tegel were gifted by Greenwich borough. A Berlin Buddy Bear in General Gordon Square commemorates the 50th anniversary of the twinning.
– Maribor, Slovenia. The 50th anniversary of the town twinning with Slovenia's second largest city was celebrated with a ballet performance in Woolwich Town Hall and the revealing of a plaque in the renamed Maribor Park in the Royal Arsenal. – Tema, Ghana. The town twinning with Tema has led to the opening of Tema's first Information Technology Centre, the gifting of a mobile ICT learning centre to Tema, the shipping of a converted Greenwich council passenger services bus, packed with books for school libraries and second-hand computers, as well as regular youth exchanges between Greenwich and Tema. Greenwich London Borough Council comprises 51 councillors; the Labour Party has an overall majority on the council, holding 43 seats, with the Conservatives holding 8. Labour has had a majority on the council since 1971. There are 17 wards in Greenwich: Abbey Wood Blackheath-Westcombe Charlton Coldharbour and New Eltham Eltham North Eltham South Eltham West Glyndon Greenwich West Peninsula Kidbrooke with Hornfair Middlepark and Sutcliffe Plumstead Shooters Hill Thamesmead Moorings Woolwich Common Woolwich Riverside The borough contains the constituencies of: Eltham Erith and Thamesmead Greenwich and WoolwichSince the 2010 General Election, all three are represented by Labour MPs. Greenwich Community College is the main publicly funded provider of furth
Fire services in the United Kingdom
The fire services in the United Kingdom operate under separate legislative and administrative arrangements in England and Wales, Northern Ireland, Scotland. Emergency cover is provided by over fifty agencies; these are known as a fire and rescue service, the term used in modern legislation and by government departments. The older terms of fire brigade and fire service survive in informal usage and in the names of a few organisations. England and Wales have local fire services which are each overseen by a fire authority, made up of representatives of local governments. Fire authorities have the power to raise a Council Tax levy for funding, with the remainder coming from the government. Scotland and Northern Ireland have centralised fire services, so their authorities are committees of the devolved parliaments; the total budget for fire services in 2014-15 was £2.9 billion. Central government maintains national standards and a body of independent advisers through the Chief Fire and Rescue Adviser, created in 2007, while Her Majesty's Inspectorate of Constabulary and Fire & Rescue Services provides direct oversight.
The devolved government in Scotland has HMFSI Scotland. Firefighters in the United Kingdom are allowed to join unions, the main one being the Fire Brigades Union, while chief fire officers are members of the National Fire Chiefs Council, which has some role in national co-ordination; the fire services have undergone significant changes since the beginning of the 21st century, a process, propelled by a devolution of central government powers, new legislation and a change to operational procedures in the light of terrorism attacks and threats. See separate article History of fire safety legislation in the United Kingdom Comprehensive list of recent UK fire and rescue service legislation: Fire services are established and granted their powers under new legislation which has replaced a number of Acts of Parliament dating back more than 60 years, but is still undergoing change. 1938: Fire Brigades Act 1938. This Act provided for centralised co-ordination of fire brigades in Great Britain and made it mandatory for local authorities to arrange an effective fire service.
1947: Fire Services Act 1947 This Act transferred the functions of the National Fire Service to local authorities. Now repealed in England and Wales by Schedule 2 of the Fire and Rescue Services Act 2004. 1959: Fire Services Act 1959 This Act amended the 1947 Act. It was repealed in Wales along with the 1947 Act. 1999: Greater London Authority Act 1999 This act was necessary to allow for the formation of the Greater London Authority and in turn the London Fire and Emergency Planning Authority. In 2002, there was a series of national fire strikes, with much of the discontent caused by the aforementioned report into the fire service conducted by Prof Sir George Bain. In December 2002, the Independent Review of the Fire Service was published with the industrial action still ongoing. Bain's report led to a change in the laws relating to firefighting. 2002: Independent Review of the Fire Service published 2004: Fire and Rescue Services Act 2004 only applying to England and Wales. 2006: The Regulatory Reform Order 2005 This piece of secondary legislation or statutory instrument replaces several other acts that dealt with fire precautions and fire safety in premises, including the now defunct process of issuing fire certificates.
It came into force on 1 October 2006. The DfCLG has published a set of guides for non-domestic premises: 2006: The Government of Wales Act 2006 gave the National Assembly for Wales powers to pass laws on "Fire and rescue services. Promotion of fire safety otherwise than by prohibition or regulation." But does not prevent future legislation being passed by the UK government which applies to two or more constituent countries. There are further plans to modernise the fire service according to the Local Government Association, its website outlines future changes, specific projects: "The aim of the Fire Modernisation Programme is to adopt modern work practices within the Fire & Rescue Service to become more efficient and effective, while strengthening the contingency and resilience of the Service to react to incidents. " The fire service in England and Wales is scrutinised by a House of Commons select committee. In June 2006, the fire and rescue service select committee, under the auspices of the Communities and Local Government Committee, published its latest report.
Committee report The committee's brief is described on its website: The Communities and Local Government Committee is appointed by the House of Commons to examine the expenditure and policy of the Department for Communities and Local Government and its associated bodies. Government response This document, the subsequent government response in September 2006, are important as they outlined progress on the FiReControl, efforts to address diversity and the planned closure of HMFSI in 2007 among many issues. Both documents are interesting as they refer back to Professor Bain's report and the many recommendations it made and continue to put forward the notion that there is an ongoing need to modernise FRSs. For example, where FRSs were inspected by HMFSI, much of this work is now carried out by the National Audit Office. Fire Control On 8 February 2010 the House of Commons Communities and Local Governm
London is the capital and largest city of both England and the United Kingdom. Standing on the River Thames in the south-east of England, at the head of its 50-mile estuary leading to the North Sea, London has been a major settlement for two millennia. Londinium was founded by the Romans; the City of London, London's ancient core − an area of just 1.12 square miles and colloquially known as the Square Mile − retains boundaries that follow its medieval limits. The City of Westminster is an Inner London borough holding city status. Greater London is governed by the Mayor of the London Assembly. London is considered to be one of the world's most important global cities and has been termed the world's most powerful, most desirable, most influential, most visited, most expensive, sustainable, most investment friendly, most popular for work, the most vegetarian friendly city in the world. London exerts a considerable impact upon the arts, education, fashion, healthcare, professional services and development, tourism and transportation.
London ranks 26 out of 300 major cities for economic performance. It is one of the largest financial centres and has either the fifth or sixth largest metropolitan area GDP, it is the most-visited city as measured by international arrivals and has the busiest city airport system as measured by passenger traffic. It is the leading investment destination, hosting more international retailers and ultra high-net-worth individuals than any other city. London's universities form the largest concentration of higher education institutes in Europe. In 2012, London became the first city to have hosted three modern Summer Olympic Games. London has a diverse range of people and cultures, more than 300 languages are spoken in the region, its estimated mid-2016 municipal population was 8,787,892, the most populous of any city in the European Union and accounting for 13.4% of the UK population. London's urban area is the second most populous in the EU, after Paris, with 9,787,426 inhabitants at the 2011 census.
The population within the London commuter belt is the most populous in the EU with 14,040,163 inhabitants in 2016. London was the world's most populous city from c. 1831 to 1925. London contains four World Heritage Sites: the Tower of London. Other landmarks include Buckingham Palace, the London Eye, Piccadilly Circus, St Paul's Cathedral, Tower Bridge, Trafalgar Square and The Shard. London has numerous museums, galleries and sporting events; these include the British Museum, National Gallery, Natural History Museum, Tate Modern, British Library and West End theatres. The London Underground is the oldest underground railway network in the world. "London" is an ancient name, attested in the first century AD in the Latinised form Londinium. Over the years, the name has attracted many mythicising explanations; the earliest attested appears in Geoffrey of Monmouth's Historia Regum Britanniae, written around 1136. This had it that the name originated from a supposed King Lud, who had taken over the city and named it Kaerlud.
Modern scientific analyses of the name must account for the origins of the different forms found in early sources Latin, Old English, Welsh, with reference to the known developments over time of sounds in those different languages. It is agreed; this was adapted into Latin as Londinium and borrowed into Old English, the ancestor-language of English. The toponymy of the Common Brythonic form is much debated. A prominent explanation was Richard Coates's 1998 argument that the name derived from pre-Celtic Old European *lowonida, meaning "river too wide to ford". Coates suggested that this was a name given to the part of the River Thames which flows through London. However, most work has accepted a Celtic origin for the name, recent studies have favoured an explanation along the lines of a Celtic derivative of a proto-Indo-European root *lendh-, combined with the Celtic suffix *-injo- or *-onjo-. Peter Schrijver has suggested, on these grounds, that the name meant'place that floods'; until 1889, the name "London" applied to the City of London, but since it has referred to the County of London and Greater London.
"London" is sometimes written informally as "LDN". In 1993, the remains of a Bronze Age bridge were found on the south foreshore, upstream of Vauxhall Bridge; this bridge either reached a now lost island in it. Two of those timbers were radiocarbon dated to between 1750 BC and 1285 BC. In 2010 the foundations of a large timber structure, dated to between 4800 BC and 4500 BC, were found on the Thames's south foreshore, downstream of Vauxhall Bridge; the function of the mesolithic structure is not known. Both structures are on the south bank. Although there is evidence of scattered Brythonic settlements in the area, the first major settlement was founded by the Romans about four years after the invasion
An architect is a person who plans and reviews the construction of buildings. To practice architecture means to provide services in connection with the design of buildings and the space within the site surrounding the buildings that have human occupancy or use as their principal purpose. Etymologically, architect derives from the Latin architectus, which derives from the Greek, i.e. chief builder. Professionally, an architect's decisions affect public safety, thus an architect must undergo specialized training consisting of advanced education and a practicum for practical experience to earn a license to practice architecture. Practical and academic requirements for becoming an architect vary by jurisdiction. Throughout ancient and medieval history, most of the architectural design and construction was carried out by artisans—such as stone masons and carpenters, rising to the role of master builder; until modern times, there was no clear distinction between engineer. In Europe, the titles architect and engineer were geographical variations that referred to the same person used interchangeably.
It is suggested that various developments in technology and mathematics allowed the development of the professional'gentleman' architect, separate from the hands-on craftsman. Paper was not used in Europe for drawing until the 15th century but became available after 1500. Pencils were used more for drawing by 1600; the availability of both allowed pre-construction drawings to be made by professionals. Concurrently, the introduction of linear perspective and innovations such as the use of different projections to describe a three-dimensional building in two dimensions, together with an increased understanding of dimensional accuracy, helped building designers communicate their ideas. However, the development was gradual; until the 18th-century, buildings continued to be designed and set out by craftsmen with the exception of high-status projects. In most developed countries, only those qualified with an appropriate license, certification or registration with a relevant body may practice architecture.
Such licensure requires a university degree, successful completion of exams, as well as a training period. Representation of oneself as an architect through the use of terms and titles is restricted to licensed individuals by law, although in general, derivatives such as architectural designer are not protected. To practice architecture implies the ability to practice independently of supervision; the term building design professional, by contrast, is a much broader term that includes professionals who practice independently under an alternate profession, such as engineering professionals, or those who assist in the practice architecture under the supervision of a licensed architect such as intern architects. In many places, non-licensed individuals may perform design services outside the professional restrictions, such design houses and other smaller structures. In the architectural profession and environmental knowledge and construction management, an understanding of business are as important as design.
However, the design is the driving force throughout the project and beyond. An architect accepts a commission from a client; the commission might involve preparing feasibility reports, building audits, the design of a building or of several buildings and the spaces among them. The architect participates in developing the requirements. Throughout the project, the architect co-ordinates a design team. Structural and electrical engineers and other specialists, are hired by the client or the architect, who must ensure that the work is co-ordinated to construct the design; the architect, once hired by a client, is responsible for creating a design concept that both meets the requirements of that client and provides a facility suitable to the required use. The architect must meet with, question, the client in order to ascertain all the requirements of the planned project; the full brief is not clear at the beginning: entailing a degree of risk in the design undertaking. The architect may make early proposals to the client, which may rework the terms of the brief.
The "program" is essential to producing a project. This is a guide for the architect in creating the design concept. Design proposal are expected to be both imaginative and pragmatic. Depending on the place, finance and available crafts and technology in which the design takes place, the precise extent and nature of these expectations will vary. F oresight is a prerequisite as designing buildings is a complex and demanding undertaking. Any design concept must at a early stage in its generation take into account a great number of issues and variables which include qualities of space, the end-use and life-cycle of these proposed spaces, connections and aspects between spaces including how they are put together as well as the impact of proposals on the immediate and wider locality. Selection of appropriate materials and technology must be considered and reviewed at an early stage in the design to ensure there are no setbacks which may occur later; the site and its environs, as well as the culture and history of the place, will influence the design.
The design must countenance increasing concerns with environmental sustainability. The architect may introduce, to greater or lesser degrees, aspects of mathematics and a
The United Kingdom the United Kingdom of Great Britain and Northern Ireland, sometimes referred to as Britain, is a sovereign country located off the north-western coast of the European mainland. The United Kingdom includes the island of Great Britain, the north-eastern part of the island of Ireland, many smaller islands. Northern Ireland is the only part of the United Kingdom that shares a land border with another sovereign state, the Republic of Ireland. Apart from this land border, the United Kingdom is surrounded by the Atlantic Ocean, with the North Sea to the east, the English Channel to the south and the Celtic Sea to the south-west, giving it the 12th-longest coastline in the world; the Irish Sea lies between Great Ireland. With an area of 242,500 square kilometres, the United Kingdom is the 78th-largest sovereign state in the world, it is the 22nd-most populous country, with an estimated 66.0 million inhabitants in 2017. The UK is constitutional monarchy; the current monarch is Queen Elizabeth II, who has reigned since 1952, making her the longest-serving current head of state.
The United Kingdom's capital and largest city is London, a global city and financial centre with an urban area population of 10.3 million. Other major urban areas in the UK include Greater Manchester, the West Midlands and West Yorkshire conurbations, Greater Glasgow and the Liverpool Built-up Area; the United Kingdom consists of four constituent countries: England, Scotland and Northern Ireland. Their capitals are London, Edinburgh and Belfast, respectively. Apart from England, the countries have their own devolved governments, each with varying powers, but such power is delegated by the Parliament of the United Kingdom, which may enact laws unilaterally altering or abolishing devolution; the nearby Isle of Man, Bailiwick of Guernsey and Bailiwick of Jersey are not part of the UK, being Crown dependencies with the British Government responsible for defence and international representation. The medieval conquest and subsequent annexation of Wales by the Kingdom of England, followed by the union between England and Scotland in 1707 to form the Kingdom of Great Britain, the union in 1801 of Great Britain with the Kingdom of Ireland created the United Kingdom of Great Britain and Ireland.
Five-sixths of Ireland seceded from the UK in 1922, leaving the present formulation of the United Kingdom of Great Britain and Northern Ireland. There are fourteen British Overseas Territories, the remnants of the British Empire which, at its height in the 1920s, encompassed a quarter of the world's land mass and was the largest empire in history. British influence can be observed in the language and political systems of many of its former colonies; the United Kingdom is a developed country and has the world's fifth-largest economy by nominal GDP and ninth-largest economy by purchasing power parity. It has a high-income economy and has a high Human Development Index rating, ranking 14th in the world, it was the world's first industrialised country and the world's foremost power during the 19th and early 20th centuries. The UK remains a great power, with considerable economic, military and political influence internationally, it is sixth in military expenditure in the world. It has been a permanent member of the United Nations Security Council since its first session in 1946.
It has been a leading member state of the European Union and its predecessor, the European Economic Community, since 1973. The United Kingdom is a member of the Commonwealth of Nations, the Council of Europe, the G7, the G20, NATO, the Organisation for Economic Co-operation and Development and the World Trade Organization; the 1707 Acts of Union declared that the kingdoms of England and Scotland were "United into One Kingdom by the Name of Great Britain". The term "United Kingdom" has been used as a description for the former kingdom of Great Britain, although its official name from 1707 to 1800 was "Great Britain"; the Acts of Union 1800 united the kingdom of Great Britain and the kingdom of Ireland in 1801, forming the United Kingdom of Great Britain and Ireland. Following the partition of Ireland and the independence of the Irish Free State in 1922, which left Northern Ireland as the only part of the island of Ireland within the United Kingdom, the name was changed to the "United Kingdom of Great Britain and Northern Ireland".
Although the United Kingdom is a sovereign country, Scotland and Northern Ireland are widely referred to as countries. The UK Prime Minister's website has used the phrase "countries within a country" to describe the United Kingdom; some statistical summaries, such as those for the twelve NUTS 1 regions of the United Kingdom refer to Scotland and Northern Ireland as "regions". Northern Ireland is referred to as a "province". With regard to Northern Ireland, the descriptive name used "can be controversial, with the choice revealing one's political preferences"; the term "Great Britain" conventionally refers to the island of Great Britain, or politically to England and Wales in combination. However, it is sometimes used as a loose synonym for the United Kingdom as a whole; the term "Britain" is used both as a synonym for Great Britain, as a synonym for the United Kingdom. Usage is mixed, with the BBC preferring to use Britain as shorthand only for Great Britain and the UK Government, while accepting that both terms refer to the United K
Emergency medical services in the United Kingdom
Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services of England, Scotland and Northern Ireland. Emergency care including ambulance and emergency department treatment is free to everyone, regardless of immigration or visitor status; the NHS commissions most emergency medical services through the 14 NHS organisations with ambulance responsibility across the UK. As with other emergency services, the public access emergency medical services through one of the valid emergency telephone numbers. In addition to ambulance services provided by NHS organisations, there are some private and volunteer emergency medical services arrangements in place in the UK, the use of private or volunteer ambulances at public events or large private sites, as part of community provision of services such as community first responders. Air ambulance services in the UK are not part of the NHS and are funded through charitable donations.
Paramedics are seconded from a local NHS ambulance service, with the exception of Great North Air Ambulance Service who employ their own paramedics. Doctors are provided by their home hospital and spend no more than 40% of their time with an air ambulance service. Public ambulance services across the UK are required by law to respond to four types of requests for care, which are: Emergency calls Doctor's urgent admission requests High dependency and urgent inter-hospital transfers Major incidentsAmbulance trusts and services may undertake non-urgent patient transport services on a commercial arrangement with their local hospital trusts or health boards, or in some cases on directly funded government contracts, although these contracts are fulfilled by private and voluntary providers; the National Health Service Act 1946 gave county and borough councils a statutory responsibility to provide an emergency ambulance service, although they could contract a voluntary ambulance service to provide this, with many contracting the British Red Cross, St John Ambulance or another local provider.
The last St John Division, to be so contracted is reputed to have been at Whittlesey in Cambridgeshire, where the two-bay ambulance garage can still be seen at the branch headquarters. The Regional Ambulance Officers’ Committee reported in 1979 that “There was considerable local variation in the quality of the service provided in relation to vehicles and equipment. Most Services were administered by Local Authorities through their Medical Officer of Health and his Ambulance Officer, a few were under the aegis of the Fire Service, whilst others relied upon agency methods for the provision of part or all of their services.” The 142 existing ambulance services were transferred by the National Health Service Reorganisation Act 1973 from local authority to central government control in 1974, consolidated into 53 services under regional or area health authorities. This led to the formation of predominantly county based ambulance services, which merged up and changed responsibilities until 2006, when there were 31 NHS ambulance trusts in England.
The June 2005 report "Taking healthcare to the Patient", authored by Peter Bradley, Chief Executive of the London Ambulance Service, for the Department of Health led to the merging of the 31 trusts into 13 organisations in England, plus one organisation each in Wales and Northern Ireland. Following further changes as part of the NHS foundation trust pathway, this has further reduced to 10 ambulance service trusts in England, plus the Isle of Wight which has its own provision. Following the passage of the Health and Social Care Act 2012, commissioning of the ambulance services in each area passed from central government control into the hands of regional clinical commissioning groups; the commissioners in each region are responsible for contracting with a suitable organisation to provide ambulance services within their geographical territory. The primary provider for each area is held by a public NHS body, of which there are 11 in England, 1 each in the other three countries. In England there are now ten NHS ambulance trusts, as well as an ambulance service on the Isle of Wight, run directly by Isle of Wight NHS Trust, with boundaries following those of the former regional government offices.
The ten trusts are: East Midlands Ambulance Service NHS Trust East of England Ambulance Service NHS Trust London Ambulance Service NHS Trust North East Ambulance Service NHS Foundation Trust North West Ambulance Service NHS Trust South Central Ambulance Service NHS Foundation Trust South East Coast Ambulance Service NHS Foundation Trust South Western Ambulance Service NHS Foundation Trust West Midlands Ambulance Service University NHS Foundation Trust Yorkshire Ambulance Service NHS TrustThe English ambulance trusts are represented by the Association of Ambulance Chief Executives, with the Scottish and Northern Irish providers all associate members. On the 14 November 2018 West Midlands Ambulance Service became the UK's first university-ambulance trust; the service was operated before reorganisation in 1974 by the St Andrews’ Ambulance Association under contract to the Secretary of State for Scotland. The Scottish Ambulance Service is a Special Health Board that provides ambulance services throughout whole of Scotland, on behalf of the Health and Social Care Directorates of the Scottish Government.
Due to the remote nature of many areas of Scotland compared to the other Home Nations, the Scottish Ambulance Service has Britain's only publi