Dumfries and Galloway lieutenancy purposes, the historic counties are largely maintained with its three lieutenancy areas being Dumfries, Wigtown and the Stewartry of Kirkcudbright. To the north, Dumfries and Galloway borders East Ayrshire, South Ayrshire and South Lanarkshire; in the east the Borders; and to the south the county of Cumbria in England and the Solway Firth. To the west lies the Irish Sea. The Dumfries and Galloway Council region is composed of counties and their sub-areas. From east to west: The term 'Dumfries and Galloway' has been used since at latest the 19th century – by 1911 the three counties had a
NHS Dumfries and Galloway NHS Dumfries and Galloway NHS Dumfries and Galloway () is the health board serving the Dumfries and Galloway region. It is one of the fourteen regions of NHS Scotland. NHS Dumfries & Galloway provides health care and promotes healthy living for the people of Dumfries and Galloway. The population served is just 146,500, but within a large geographical area of about . Dumfries and Galloway stretches from Langholm in the East to Stranraer in the West, and from Kirkconnel and Carsphairn in the North down to the Solway Coast. There are a number of Community Hospitals throughout the region, and