Gloucestershire is a county in South West England. The county comprises part of the Cotswold Hills, part of the flat fertile valley of the River Severn, the entire Forest of Dean; the county town is the city of Gloucester, other principal towns include Cheltenham, Tewkesbury and Dursley. Gloucestershire borders Herefordshire to the north west, Wiltshire to the south and Somerset to the south west, Worcestershire to the north, Oxfordshire to the east, Warwickshire to the north east, the Welsh county of Monmouthshire to the west. Gloucestershire is a historic county mentioned in the Anglo-Saxon Chronicle in the 10th century, though the areas of Winchcombe and the Forest of Dean were not added until the late 11th century. Gloucestershire included Bristol a small town; the local rural community moved to the port city, Bristol's population growth accelerated during the industrial revolution. Bristol became a county in its own right, separate from Gloucestershire and Somerset in 1373, it became part of the administrative County of Avon from 1974 to 1996.
Upon the abolition of Avon in 1996, the region north of Bristol became a unitary authority area of South Gloucestershire and is now part of the ceremonial county of Gloucestershire. The official former postal county abbreviation was "Glos.", rather than the used but erroneous "Gloucs." or "Glouc". In July 2007, Gloucestershire suffered the worst flooding in recorded British history, with tens of thousands of residents affected; the RAF conducted the largest peacetime domestic operation in its history to rescue over 120 residents from flood affected areas. The damage was estimated at over £2 billion. Gloucestershire has three main landscape areas, a large part of the Cotswolds, the Royal Forest of Dean and the Severn Vale; the Cotswolds take up a large portion of the east and south of the county, The Forest of Dean taking up the west, with the Severn and its valley running between these features. The Daffodil Way in the Leadon Valley, on the border of Gloucestershire and Herefordshire surrounding the village of Dymock, is known for its many spring flowers and woodland, which attracts many walkers.
This is a chart of trend of regional gross value added of Gloucestershire at current basic prices published by Office for National Statistics with figures in millions of British Pounds Sterling. The following is a chart of Gloucestershire's gross value added total in thousands of British Pounds Sterling from 1997-2009 based upon the Office for National Statistics figures The 2009 estimation of £11,452 million GVA can be compared to the South West regional average of £7,927 million. Gloucestershire has comprehensive schools with seven selective schools. There are 42 state secondary schools, not including sixth form colleges, 12 independent schools, including the renowned Cheltenham Ladies' College, Cheltenham College and Dean Close School. All but about two schools in each district have a sixth form, but the Forest of Dean only has two schools with sixth forms. All schools in South Gloucestershire have sixth forms. Gloucestershire has two universities, the University of Gloucestershire and the Royal Agricultural University, four higher and further education colleges, Gloucestershire College, Cirencester College, South Gloucestershire and Stroud College and the Royal Forest of Dean College.
Each has campuses at multiple locations throughout the county. The University of the West of England has three locations in Gloucestershire. Gloucestershire has one city and 33 towns: Gloucester The towns in Gloucestershire are: Town in Monmouthshire with suburbs in Gloucestershire: Chepstow The county has two green belt areas, the first covers the southern area in the South Gloucestershire district, to protect outlying villages and towns between Thornbury and Chipping Sodbury from the urban sprawl of the Bristol conurbation; the second belt lies around Gloucester and Bishop's Cleeve, to afford those areas and villages in between a protection from urban sprawl and further convergence. Both belts intersect with the boundaries of the Cotswolds AONB. There are a variety of religious buildings across the county, notably the cathedral of Gloucester, the abbey church of Tewkesbury, the church of Cirencester. Of the abbey of Hailes near Winchcombe, founded by Richard, Earl of Cornwall, in 1246, little more than the foundations are left, but these have been excavated and fragments have been brought to light.
Most of the old market towns have parish churches. At Deerhurst near Tewkesbury and Bishop's Cleeve near Cheltenham, there are churches of special interest on account of the pre-Norman work they retain. There is a Perpendicular church in Lechlade, that at Fairford was built, according to tradition, to contain a series of stained-glass windows which are said to have been brought from the Netherlands; these are, adjudged to be of English workmanship. Other notable buildings include Calcot Barn in a relic of Kingswood Abbey. Thornbury Castle is a Tudor country house, the pretensio
Stratford and Moreton Tramway
The Stratford and Moreton Tramway was a 16-mile long horse-drawn wagonway from the canal basin at Stratford-upon-Avon in Warwickshire to Moreton-in-Marsh in Gloucestershire, with a branch to Shipston-on-Stour. The tramway was intended to carry Black Country coal to the rural districts of southern Warwickshire via the Stratford-on-Avon Canal, limestone and agricultural produce northwards; the parliamentary act for the line was passed in 1821 and construction was completed in 1826, the route having been surveyed by the railway promoter William James and engineered by John Urpeth Rastrick. The branch to Shipston was built in 1836; the line did not prosper. In 1851 the Oxford, Worcester & Wolverhampton Railway was opened through Moreton-in-Marsh and the tramway began experimenting with steam operation, adopting Stephenson's 4'-8½" gauge. In 1859 the southern section between Moreton and Shipston was converted into a proper railway; the tramway company went bankrupt in 1868, the line was taken over by the Great Western Railway.
The northern section of the line from Shipston to Stratford continued to be used as a horse-drawn branch-line carrying lime until the 1880s, when it fell into disuse. The tracks were lifted in 1918 as part of the war effort, the line was formally abandoned in 1926 100 years after it had been opened; the tramway bridge across the River Avon at Stratford remains in use by pedestrians. One of the horse-drawn wagons, which belonged to Thomas Hutchings of Newbold Lime Works, is preserved near the Shakespeare Memorial Theatre in Stratford-on-Avon; this would have been Newbold on Stour, rather than Newbold-on-Avon. The southern section between Moreton and Shipston fared better: a steam-hauled passenger service operated until 1929, when buses took over; the line was used by occasional freight trains until 1960, when it was dismantled. Notes Sources
A stagecoach is a four-wheeled public coach used to carry paying passengers and light packages on journeys long enough to need a change of horses. It is sprung and drawn by four horses. Used before steam-powered rail transport was available a stagecoach made long scheduled trips using stage stations or posts where the stagecoach's horses would be replaced by fresh horses; the business of running stagecoaches or the act of journeying in them was known as staging. Familiar images of the stagecoach are that of a Royal Mail coach passing through a turnpike gate, a Dickensian passenger coach covered in snow pulling up at a coaching inn, a highwayman demanding a coach to "stand and deliver"; the yard of ale drinking glass is associated by legend with stagecoach drivers, though it was used for drinking feats and special toasts. The stagecoach was a closed four-wheeled vehicle drawn by hard-going mules, it was used as a public conveyance on an established route to a regular schedule. Spent horses were replaced with fresh horses at posts, or relays.
A simplified and lightened form of stagecoach, known as a stage wagon, mud-coach, or mud-wagon, was used in the United States under difficult conditions. These were the vehicles. In addition to the stage driver or coachman who guided the vehicle, a shotgun messenger armed with a coach gun might travel as a guard beside him. A stagecoach traveled at an average speed of about 5 miles per hour, with the average daily mileage covered being around 60 to 70 miles.'Stage' referred to the distance between stage stations on a route but through metonymy it came to be applied to the stagecoach. The first crude depiction of a coach was in an English manuscript from the 13th century; the first recorded stagecoach route ran from Edinburgh to Leith. This was followed by a steady proliferation of other routes around the island. By the mid 17th century, a basic stagecoach infrastructure had been put in place. A string of coaching inns operated as stopping points for travellers on the route between London and Liverpool.
The stagecoach would depart every Monday and Thursday and took ten days to make the journey during the summer months. Stagecoaches became adopted for travel in and around London by mid-century and travelled at a few miles per hour. Shakespeare's first plays were performed at coaching inns such as Southwark. By the end of the 17th century stagecoach routes ran down the three main roads in England; the London-York route was advertised in 1698: Whoever is desirous of going between London and York or York and London, Let them Repair to the Black Swan in Holboorn, or the Black Swan in Coney Street, where they will be conveyed in a Stage Coach, which starts every Thursday at Five in the morning. The novelty of this method of transport excited much controversy at the time. One pamphleteer denounced the stagecoach as a "great evil mischievous to trade and destructive to the public health." Another writer, argued that: Besides the excellent arrangement of conveying men and letters on horseback, there is of late such an admirable commodiousness, both for men and women, to travel from London to the principal towns in the country, that the like hath not been known in the world, and, by stage-coaches, wherein any one may be transported to any place, sheltered from foul weather and foul ways.
The speed of travel remained constant until the mid-18th century. Reforms of the turnpike trusts, new methods of road building and the improved construction of coaches led to a sustained rise in the comfort and speed of the average journey - from an average journey length of 2 days for the Cambridge-London route in 1750 to a length of under 7 hours in 1820. Robert Hooke helped in the construction of some of the first spring-suspended coaches in the 1660s and spoked wheels with iron rim brakes were introduced, improving the characteristics of the coach. In 1754, a Manchester-based company began a new service called the "Flying Coach", it was advertised with the following announcement - "However incredible it may appear, this coach will arrive in London in four days and a half after leaving Manchester." A similar service was begun from Liverpool three years using coaches with steel spring suspension. This coach took an unprecedented three days to reach London with an average speed of eight miles per hour.
More dramatic improvements were made by John Palmer at the British Post Office. The postal delivery service in Britain had existed in the same form for about 150 years—from its introduction in 1635, mounted carriers had ridden between "posts" where the postmaster would remove the letters for the local area before handing the remaining letters and any additions to the next rider; the riders were frequent targets for robbers, the system was inefficient. Palmer made much use of the "flying" stagecoach services between cities in the course of his business, noted that it seemed far more efficient than the system of mail delivery in operation, his travel from Bath to London took a single day to the mail's three days. It occurred to him that this stagecoach service could be developed into a national mail delivery service, so in 1782 he suggested to the Post Office in London that they take up the idea, he met resistance from officials who believed that th
A market, or marketplace, is a location where people gather for the purchase and sale of provisions and other goods. In different parts of the world, a market place may be described as a souk, bazaar, a fixed mercado, or itinerant tianguis, or palengke; some markets operate daily and are said to be permanent markets while others are held once a week or on less frequent specified days such as festival days and are said to be periodic markets. The form that a market adopts depends on its locality's population, culture and geographic conditions; the term market covers many types of trading, as market squares, market halls and food halls, their different varieties. Due to this, marketplaces can be situated both indoors. Markets have existed for as long; the earliest bazaars are believed to have originated in Persia, from where they spread to the rest of the Middle East and Europe. Documentary sources suggest that zoning policies confined trading to particular parts of cities from around 3,000 BCE, creating the conditions necessary for the emergence of a bazaar.
Middle Eastern bazaars were long strips with stalls on either side and a covered roof designed to protect traders and purchasers from the fierce sun. In Europe, unregulated markets made way for a system of formal, chartered markets from the 12th century. Throughout the Medieval period, increased regulation of marketplace practices weights and measures, gave consumers confidence in the quality of market goods and the fairness of prices. Around the globe, markets have evolved in different ways depending on local ambient conditions weather and culture. In the Middle East, markets tend to be covered, to protect shoppers from the sun. In milder climates, markets are open air. In Asia, a system of morning markets trading in fresh produce and night markets trading in non-perishables is common. In many countries, shopping at a local market is a standard feature of daily life. Given the market's role in ensuring food supply for a population, markets are highly regulated by a central authority. In many places, designated market places have become listed sites of historic and architectural significance and represent part of a town or nation's cultural assets.
For these reasons, they are popular tourist destinations. The term market comes from the Latin mercatus; the earliest recorded use of the term market in English is in the Anglo-Saxon Chronicle of 963, a work, created during the reign of Alfred the Great and subsequently distributed, copied throughout English monasteries. The exact phrase was “Ic wille þæt markete beo in þe selue tun,” which translates as “I want to be at that market in the good town.” Markets have existed since ancient times. Some historians have argued that a type of market has existed since humans first began to engage in trade. Open air, public markets were known in ancient Babylonia, Phoenecia, Egypt and on the Arabian peninsula. However, not all societies developed a system of markets; the Greek historian, Herodotus noted. Across the Mediterranean and Aegean, a network of markets emerged from the early Bronze Age. A vast array of goods were traded including: salt, lapiz-lazuli, cloth, pots, statues and other implements. Archaeological evidence suggests that Bronze Age traders segmented trade routes according to geographical circuits.
Both produce and ideas travelled along these trade routes. In the Middle-East, documentary sources suggest that a form of bazaar first developed around 3,000 BCE. Early bazaars occupied a series of alleys along the length of the city stretching from one city gate to a different gate on the other side of the city; the bazaar at Tabriz, for example, stretches along 1.5 kilometres of street and is the longest vaulted bazaar in the world. Moosavi argues that the Middle-Eastern bazaar evolved in a linear pattern, whereas the market places of the West were more centralised; the Greek historian, noted that in Egypt, roles were reversed compared with other cultures and Egyptian women frequented the market and carried on trade, while the men remain at home weaving cloth. He described a The Babylonian Marriage Market. In antiquity, markets were situated in the town's centre; the market was surrounded by alleyways inhabited by skilled artisans, such as metal-workers, leather workers and carpenters. These artisans may have sold wares directly from their premises, but prepared goods for sale on market days.
Across ancient Greece market places were to be found in most city states, where they operated within the agora. Between 550 and 350 BCE, Greek stallholders clustered together according to the type of goods carried - fish-sellers were in one place, clothing in another and sellers of more expensive goods such as perfumes and jars were located in a separate building; the Greeks organised trade into all located near the city centre and known as stoa. A freestanding colonnade with a covered walkway, the stoa was both a place of commerce and a public promenade, situated within or adjacent to the agora. At the market-place in Athens, officials were employed by the government to oversee weights and coinage to ensure that the people were not cheated in market place transactions; the rocky and mountainous terrain in Greece made it difficult for producers to transport goods or surpluses to local markets, giving rise to a specialised type of retailer who operated as an intermediary purchasing produce from farmers
Change ringing is the art of ringing a set of tuned bells in a controlled manner to produce variations in their striking sequences. This may be by method ringing in which the ringers commit to memory the rules for generating each change, or by call changes, where the ringers are instructed how to generate each new change by calls from a conductor; this creates a form of bell music. Change ringing originated following the invention of English full-circle tower bell ringing in the early 17th century, when bell ringers found that swinging a bell through a much larger arc than that required for swing-chiming gave control over the time between successive strikes of the clapper. Ordinarily a bell will swing through a small arc only at a set speed governed by its size and shape in the nature of a simple pendulum, but by swinging through a larger arc approaching a full circle, control of the strike interval can be exercised by the ringer; this culminated in the technique of full circle ringing, which enabled ringers to independently change the speeds of their individual bells to combine in ringing different mathematical permutations, known as "changes".
Speed control of a tower bell is exerted by the ringer only when each bell is mouth upwards and moving near the balance point. The considerable weights of full-circle tower bells means they cannot be stopped or started and the practical change of interval between successive strikes is limited; this places limitations on the rules for generating easily-rung changes. Change ringing is practised worldwide, but it is by far most common on church bells in English churches, where it first developed. Change ringing is performed on handbells, where conventionally each ringer holds two bells, chimed on carillons and chimes of bells. Today, some towers have as many as sixteen bells that can be rung together, though six or eight bells are more common; the highest pitch bell is known as the treble, the lowest is the tenor. For convenience, the bells are referred to by number, with the treble being number 1 and the other bells numbered by their pitch—2,3,4, etc.—sequentially down the scale. The bells are tuned to a diatonic major scale, with the tenor bell being the tonic note of the scale.
Some towers contain additional bells so that different subsets of the full number can be rung, still to a diatonic scale. For instance, many 12-bell towers have a flat sixth, which if rung instead of the normal number 6 bell allows 2 to 9 to be rung as light diatonic octave; the bells in a tower reside in the bell chamber or belfry with louvred windows to enable the sound to escape. The bells are mounted within a bellframe of wood; each bell is suspended from a headstock fitted on trunnions mounted to the belfry framework so that the bell assembly can rotate. When stationary in the down position, the centre of mass of the bell and clapper is appreciably below the centreline of the trunnion supports, giving a pendulous effect to the assembly, this dynamic is controlled by the ringer's rope; the headstock is fitted with a wooden stay, which, in conjunction with a slider, limits maximum rotational movement to a little less than 370 degrees. To the headstock a large wooden wheel is to which a rope is attached.
The rope unwraps as the bell rotates backwards and forwards. This is quite different from fixed or limited motion bells, which chime. Within the bell the clapper is constrained to swing in the direction; the clapper is a rigid steel or wrought iron bar with a large ball to strike the bell. The thickest part of the mouth of bell is called the soundbow and it is against this that the ball strikes. Beyond the ball is a flight, which controls the speed of the clapper. In small bells this can be nearly as long as the rest of the clapper. Below the bell chamber there may be one or more sound chambers, through which the rope passes before it drops into the ringing chamber or room; the rope's length is such that it falls close to or on to the floor of the ringing chamber. About 5 feet from the floor, the rope has a woolen grip called the sally while the lower end of the rope is doubled over to form an held tail-end. Unattended bells are left hanging in the normal position but prior to being rung, the bells are rung up.
In the down position, the bells are safe if a person pulls a rope. A bell, up is dangerous to be near, only expert ringers should contemplate entering a bell chamber or touching a rope when the bells are up; the ringer starts the bell swinging. Each time the bell swings the ringer adds a little more energy to the system, similar to pushing a child's swing. There is enough energy for the bell to swing right up and be left over-centre just beyond the balance point with the stay resting against the slider. Bellringers stand in a circle around the ringing chamber, each managing one rope. Bells and their attendant ropes are so mounted that the ropes are pulled in a circular sequence clockwise, starting with the lightest bell and
Worcestershire is a county in the West Midlands of England. Between 1974 and 1998, it was merged with the neighbouring county of Herefordshire as Hereford and Worcester; the cathedral city of Worcester is county town. Other major towns in the county include Bromsgrove, Evesham, Malvern and Stourport-on-Severn; the north-east of Worcestershire includes part of the industrial West Midlands. The county is divided into six administrative districts: Worcester, Wychavon, Malvern Hills, Wyre Forest, Bromsgrove; the county borders Herefordshire to the west, Shropshire to the north-west, Staffordshire only just to the north, West Midlands to the north and north-east, Warwickshire to the east and Gloucestershire to the south. The western border with Herefordshire includes a stretch along the top of the Malvern Hills. At the southern border with Gloucestershire Worcestershire meets the northern edge of the Cotswolds. Two major rivers flow through the county: the Avon; the geographical area now known as Worcestershire was first populated at least 700,000 years ago.
The area became predominantly agricultural in the Bronze Age, leading to population growth and more evidence of settlement. By the Iron Age, hill forts dominated the landscape. Settlement of these swiftly ended with the Roman occupation of Britain; the Roman period saw establishment of the villa system in the Vale of Evesham. Droitwich was the most important settlement in the county in this period, due to its product of salt. There is evidence for Roman settlement and industrial activity around Worcester and King's Norton. Worcestershire was the heartland of the early English kingdom of the Hwicce, it was absorbed by the Kingdom of Mercia during the 7th century and became part of the unified Kingdom of England in 927. It was a separate ealdormanship in the 10th century before forming part of the Earldom of Mercia in the 11th century. In the years leading up to the Norman conquest, the Church, supported by the cathedral, Evesham Abbey, Pershore Abbey, Malvern Priory, other religious houses dominated the county.
During the Middle Ages, much of the county's economy was based on the wool trade. Many areas of its dense forests, such as Feckenham Forest, Horewell Forest and Malvern Chase, were royal hunting grounds subject to forest law; the last known Anglo-Saxon sheriff of the county was Cyneweard of Laughern, the first Norman sheriff was Urse d'Abetot who built the castle of Worcester and seized much church land. On 4 August 1265, Simon de Montfort was killed in the Battle of Evesham in Worcestershire. In 1642, the Battle of Powick Bridge was the first major skirmish of the English Civil War; the county suffered from being on the Royalist front line, as it was subject to heavy taxation and the pressing of men into the Royalist army, which reduced its productive capacity. The northern part of the county, a centre of iron production, was important for military supplies. Parliamentarian raids and Royalist requisitioning both placed a great strain on the county. There were tensions from the participation of prominent Catholic recusants in the military and civilian organisation of the county.
Combined with the opposition to requisitioning from both sides, bands of Clubmen formed to keep the war away from their localities. The Battle of Worcester in 1651 ended the third civil war. There was little enthusiasm or local participation in the Scottish Royalist army, whose defeat was welcomed. Parliamentarian forces ransacked the city of Worcester, causing heavy damage and destruction of property. Around 10,000 Scottish prisoners were sent into forced labour in the New World or fen drainage schemes; the small bands of Scots that fled into Worcestershire's countryside were attacked by local forces and killed. In the 19th century, Worcester was a centre for the manufacture of gloves. Droitwich Spa, situated on large deposits of salt, was a centre of salt production from Roman times, with one of the principal Roman roads running through the town; these old industries have since declined. The county is home to the world's oldest continually published newspaper, the Berrow's Journal, established in 1690.
Malvern was one of the centres of the 19th century rise in English spa towns due to Malvern water being believed to be pure, containing "nothing at all". The 2011 census found the population of Worcestershire to be 566,169, an increase of 4.4% from the 2001 population of 542,107. Though the total number of people in every ethnic group increased between 2001 and 2011, the White British share of Worcestershire's population decreased from 95.5% to 92.4%, as did the share of white ethnic groups as whole, which went from 97.5% to 95.7%. While this change is in line with the nationwide trend of White British people's share of the population shrinking, Worcestershire is still much more ethnically homogeneous than the national average. In 2011 England as a whole was 79.8% White British, much lower than Worcestershire's figure of 92.4%. Local government in Worcestershire has changed several times since the middle of the 19th centiry. Worcestershire had several exclaves, which were areas of land cut off from the main geographical area of Worcestershire and surrounded by the nearby counties of Warwickshire, Gloucestershire and Oxfordshire.
The most notable were Dudley, th
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