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 Now repealed in England and Wales by Schedule 2 of the Fire and Rescue Services Act 2004. 1959: Fire Services Act 1959 This Act amended the 1947 Act.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
Staffordshire is a landlocked county in the West Midlands of England. It borders with Cheshire to the northwest and Leicestershire to the east, Warwickshire to the southeast, West Midlands and Worcestershire to the south, Shropshire to the west; the largest city in Staffordshire is Stoke-on-Trent, administered separately from the rest of the county as an independent unitary authority. Lichfield has city status, although this is a smaller cathedral city. Major towns include Stafford, Burton upon Trent, Newcastle-under-Lyme and Tamworth. Smaller towns include Stone, Uttoxeter, Burntwood/Chasetown, Eccleshall and the large villages of Wombourne, Tutbury, Barton-under-Needwood and Abbots Bromley. Cannock Chase AONB is within the county as well as parts of the National Forest and the Peak District national park. Wolverhampton, West Bromwich and Smethwick are within the historic county boundaries of Staffordshire, but since 1974 have been part of the West Midlands county. Apart from Stoke-on-Trent, Staffordshire is divided into the districts of Cannock Chase, East Staffordshire, Newcastle-under-Lyme, South Staffordshire, Staffordshire Moorlands, Tamworth.
Staffordshire was divided into five hundreds: Cuttlestone, Pirehill and Totmonslow. The historic boundaries of Staffordshire cover much of what is now the metropolitan county of West Midlands. An administrative county of Staffordshire was set up in 1889 under the Local Government Act 1888 covering the county except the county boroughs of Wolverhampton and West Bromwich in the south, Hanley in the north; the Act saw the towns of Tamworth and Burton upon Trent united in Staffordshire. In 1553 Queen Mary made Lichfield a county corporate, meaning it was administered separately from the rest of Staffordshire, it remained so until 1888. Handsworth and Perry Barr became part of the county borough of Birmingham in the early 20th century, thus associated with Warwickshire. Burton, in the east of the county, became a county borough in 1901, was followed by Smethwick, another town in the Black Country in 1907. In 1910 the six towns of the Staffordshire Potteries, including Hanley, became the single county borough of Stoke-on-Trent.
A significant boundary change occurred in 1926 when the east of Sedgley was transferred to Worcestershire to allow the construction of the new Priory Estate on land purchased by Dudley County Borough council. A major reorganisation in the Black Country in 1966, under the recommendation of the Local Government Commission for England led to the creation of an area of contiguous county boroughs; the County Borough of Warley was formed by the merger of the county borough of Smethwick and municipal borough of Rowley Regis with the Worcestershire borough of Oldbury: the resulting county borough was associated with Worcestershire. Meanwhile, the county borough of Dudley a detached part of Worcestershire and became associated with Staffordshire instead; this reorganisation led to the administrative county of Staffordshire having a thin protrusion passing between the county boroughs and Shropshire, to the west, to form a short border with Worcestershire. Under the Local Government Act 1972, on 1 April 1974 the county boroughs of the Black Country and the Aldridge-Brownhills Urban District of Staffordshire became, along with Birmingham and Coventry and other districts, a new metropolitan county of West Midlands.
County boroughs were abolished, with Stoke becoming a non-metropolitan district in Staffordshire, Burton forming an unparished area in the district of East Staffordshire. On 1 April 1997, under a recommendation of the Banham Commission, Stoke-on-Trent became a unitary authority independent of Staffordshire once more. In July 2009 the largest hoard of Anglo-Saxon gold found in Britain was discovered in a field near Lichfield; the artefacts, known as The Staffordshire Hoard have tentatively been dated to the 7th or 8th centuries, placing the origin of the items in the time of the Kingdom of Mercia. This is a chart of trend of regional gross value added of the non-metropolitan county of Staffordshire at current basic prices published by Office for National Statistics with figures in millions of British pounds sterling; some nationally and internationally known companies have their base in Staffordshire. They include the Britannia Building Society, based in Leek. JCB is based in Rocester near Uttoxeter and Bet365, based in Stoke-on-Trent.
The theme park Alton Towers is in the Staffordshire Moorlands and several of the world's largest pottery manufacturers are based in Stoke-on-Trent. Staffordshire has a comprehensive system with eight independent schools. Most secondary schools are from 11–16 or 18, but two in Staffordshire Moorlands and South Staffordshire are from 13–18. Resources are shared. There are two universities in the county, Keele University in Newcastle-under-Lyme and Staffordshire University, which has campuses in Stoke-on-Trent, Stafford and Shrewsbury; the modern county of Staffordshire has three professional football clubs – Stoke City and Port Vale, both from Stoke-on-Trent, Burton Albion, who play in Burton upon Trent. Stoke City, one of the oldest professional football clubs in existence, were founded in 1863 and played at the Victoria Ground for 119 years from 1878 until their relocation to the Britannia Stadium in 1997, they were among the 12 founder members of the Football League in 1888. By the late 1930s, they were establi
Dudley College of Technology is a further and higher education college based in Dudley, England. The college’s history dates to 1862 when the Dudley Public Hall and Mechanics Institute was first built. Since that date the college has continued to provide vocational education. In June 2017 Ofsted rated the college as an outstanding provider. In total the college received an'outstanding' grade in seven of the eight key areas reviewed and a further'good' in the eighth, culminating in an'overall effectiveness' grade of'outstanding'. In 1862 the Dudley Public Hall and Mechanics Institute was built. In 1896 additional accommodation in Stafford Street was acquired and the institution became Dudley Technical school - renamed the Dudley Technical College in 1928. 1931 building works began to relocate the college on a five acre site at the Broadway, opened in 1936. This site was further expanded to include facilities for the training in Electrical Engineering and Meteorology. In 1966 the college became the sole responsibility of Dudley Council.
A period of further expansion took place during the 1960s and 1970s with facilities for Motor Vehicle and Hydraulic training being created. In 1973 HRH Duchess of Kent opened an additional center at Brierley Hill for skills training for the glass industry. In 2002, Dudley College acquired the University of Wolverhampton's campus at Castle View in the Eve Hill area of Dudley; the newer buildings were retained as part of the college, but the oldest building was demolished and is now occupied by a development of private houses and flats. In recent years the college has continued to expand to meet increased demand with the creation of the Dudley Learning Quarter encompassing Dudley Evolve and Dudley Sixth, Aspire Living and Aspire Works as well as bespoke centres for Engineering and Built Technologies named Advance I and Advance II; the Learning Quarter hosts a 3G all weather football complex, used by students and the wider community. Bill Etheridge, UK Independence Party MEP
England is a country, part of the United Kingdom. It shares land borders with Wales to Scotland to the north-northwest; the Irish Sea lies west of England and the Celtic Sea lies to the southwest. England is separated from continental Europe by the North Sea to the east and the English Channel to the south; the country covers five-eighths of the island of Great Britain, which lies in the North Atlantic, includes over 100 smaller islands, such as the Isles of Scilly and the Isle of Wight. The area now called England was first inhabited by modern humans during the Upper Palaeolithic period, but takes its name from the Angles, a Germanic tribe deriving its name from the Anglia peninsula, who settled during the 5th and 6th centuries. England became a unified state in the 10th century, since the Age of Discovery, which began during the 15th century, has had a significant cultural and legal impact on the wider world; the English language, the Anglican Church, English law – the basis for the common law legal systems of many other countries around the world – developed in England, the country's parliamentary system of government has been adopted by other nations.
The Industrial Revolution began in 18th-century England, transforming its society into the world's first industrialised nation. England's terrain is chiefly low hills and plains in central and southern England. However, there is upland and mountainous terrain in the west; the capital is London, which has the largest metropolitan area in both the United Kingdom and the European Union. England's population of over 55 million comprises 84% of the population of the United Kingdom concentrated around London, the South East, conurbations in the Midlands, the North West, the North East, Yorkshire, which each developed as major industrial regions during the 19th century; the Kingdom of England – which after 1535 included Wales – ceased being a separate sovereign state on 1 May 1707, when the Acts of Union put into effect the terms agreed in the Treaty of Union the previous year, resulting in a political union with the Kingdom of Scotland to create the Kingdom of Great Britain. In 1801, Great Britain was united with the Kingdom of Ireland to become the United Kingdom of Great Britain and Ireland.
In 1922 the Irish Free State seceded from the United Kingdom, leading to the latter being renamed the United Kingdom of Great Britain and Northern Ireland. The name "England" is derived from the Old English name Englaland, which means "land of the Angles"; the Angles were one of the Germanic tribes that settled in Great Britain during the Early Middle Ages. The Angles came from the Anglia peninsula in the Bay of Kiel area of the Baltic Sea; the earliest recorded use of the term, as "Engla londe", is in the late-ninth-century translation into Old English of Bede's Ecclesiastical History of the English People. The term was used in a different sense to the modern one, meaning "the land inhabited by the English", it included English people in what is now south-east Scotland but was part of the English kingdom of Northumbria; the Anglo-Saxon Chronicle recorded that the Domesday Book of 1086 covered the whole of England, meaning the English kingdom, but a few years the Chronicle stated that King Malcolm III went "out of Scotlande into Lothian in Englaland", thus using it in the more ancient sense.
According to the Oxford English Dictionary, its modern spelling was first used in 1538. The earliest attested reference to the Angles occurs in the 1st-century work by Tacitus, Germania, in which the Latin word Anglii is used; the etymology of the tribal name itself is disputed by scholars. How and why a term derived from the name of a tribe, less significant than others, such as the Saxons, came to be used for the entire country and its people is not known, but it seems this is related to the custom of calling the Germanic people in Britain Angli Saxones or English Saxons to distinguish them from continental Saxons of Old Saxony between the Weser and Eider rivers in Northern Germany. In Scottish Gaelic, another language which developed on the island of Great Britain, the Saxon tribe gave their name to the word for England. An alternative name for England is Albion; the name Albion referred to the entire island of Great Britain. The nominally earliest record of the name appears in the Aristotelian Corpus the 4th-century BC De Mundo: "Beyond the Pillars of Hercules is the ocean that flows round the earth.
In it are two large islands called Britannia. But modern scholarly consensus ascribes De Mundo not to Aristotle but to Pseudo-Aristotle, i.e. it was written in the Graeco-Roman period or afterwards. The word Albion or insula Albionum has two possible origins, it either derives from a cognate of the Latin albus meaning white, a reference to the white cliffs of Dover or from the phrase the "island of the Albiones" in the now lost Massaliote Periplus, attested through Avienus' Ora Maritima to which the former served as a source. Albion is now applied to England in a more poetic capacity. Another romantic name for England is Loegria, related to the Welsh word for England and made popular by its use in Arthurian legend; the earliest known evidence of human presence in the area now known as England was that of Homo antecessor, dating to approximate
Parish (Church of England)
The parish with its local parish church is the basic unit of the Church of England. The parish within the Church of England structure has its roots in the Roman Catholic Church and survived the English Reformation untouched. Church of England parishes are each within one of 44 dioceses divided between the provinces of Canterbury, with thirty dioceses and York with fourteen. There are 12,600 Church of England parishes in all; each parish is administered by a parish priest who may be assisted in his pastoral duties by a curate or curates, who are ordained but not the parish priest. There are wide variations in the size of church-going populations. A parish priest may have responsibility for one parish or for two or more and some are part of a team ministry. By extension the term parish refers not only to the territorial unit but to the people of its community or congregation. From the Greek paroikia, the dwellingplace of the priest, eighth Archbishop of Canterbury Theodore of Tarsus applied to the Anglo-Saxon township unit, where it existed, the ecclesiastical term parish.
First attested in English late 13th century, the word parish comes from the Old French paroisse, in turn from Latin paroecia, the latinisation of the Greek παροικία, "sojourning in a foreign land", itself from πάροικος, "dwelling beside, sojourner", a compound of παρά, " beside, by, near" + οἶκος, "house". The introduction of Christianity and its development under Æthelberht of Kent required an organization for ecclesiastical administrative purposes. From the Greek paroikia, the dwellingplace of the priest, eighth Archbishop of Canterbury Theodore of Tarsus applied the ecclesiastical term parish to the Anglo-Saxon township format where in existence; the township and parish coincided but in the North some townships may have been combined and in the South, where populations were bigger, two or more parishes might be made out of one township. Townships not included in a parish were extra-parochial. There may have been much less uniformity. Extended since the 973-975 reign of Edgar the process of parish organisation appears to have been completed during the fifty-year reign of Edward III.
In general Church of England parishes owe their origin at first to the establishment of a minster church by a body of clergy. That large parish was soon further subdivided into the smaller parishes described above, each associated with an estate church founded by Anglo-Saxon or Norman landowners using the minster foundation template and according to the authority of their nobles. Having provided the land and the church building the landowner reserved the right, by ownership of the advowson, to select a parish priest subject to the bishop's approval. One parish may have been situated in different counties or hundreds and in many cases parishes contained in addition to its principal district several outlying portions described as'detached', intermixed with the lands in other parishes. A present-day parish boundary may correspond to that of an Anglo-Saxon estate of more than one thousand years ago but is more to date from the 17th century when boundaries were rearranged to fit a parish with a landowner's responsibilities and thereby avoiding potential further dispute.
Some sparsely populated areas of England were outside any parish, i.e. extra-parochial until the 19th century, though a few technical exceptions remain. The term unparished area, used for most urban areas, relates to civil parishes and not ecclesiastical parishes; each parish should have its own parish priest supported by one or more curates or deacons - although as a result of ecclesiastical pluralism some parish priests might have held more than one parish living, placing a curate in charge of those where they did not reside. The church property was technically in the ownership of the parish priest ex-officio, vested in him on his institution to that parish. Now, however, it is common for a number of neighbouring parishes to be placed in the charge of a single vicar who takes services at them by rotation, with additional services being provided by lay readers or other non-ordained members of the church community. In the Church of England, part of the Anglican Communion, the legal right to appoint or recommend a parish priest is called an advowson, its possessor is known as a patron.
The patron can be the Crown, a bishop, a college, a charity or other religious body. Appointment as a parish priest gives the incumbent the privilege of a living. Appointment by patrons is now governed under the Patronage Rules 1987. In mediaeval times and subsequently, such right of appointment of a priest could be used to influence local opinions but a patron's candidate always had to be approved by the diocesan bishop. An example can be seen in the article on Northamptonshire, it was used to promote particular religious views. For example, Robert Rich, 2nd Earl of Warwick presented many puritan clergy. In the 19th century Charles Simeon established a trust to purchase advowsons and install evangelical priests. Ownership of an advowson now carries little personal advantage; the business affairs of the parish were administered by its vestry, an assembly or meeting of parishioners or their representatives to make the necessary decisions. Following
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