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
Dumfries and Galloway Royal Infirmary part of the Health Board complex, situated on Bankend Road, Dumfries, and provides regional psychiatric, psychological and specialist addictions services within Dumfries and Galloway. Dumfries and Galloway Royal Infirmary Dumfries and Galloway Royal Infirmary is the main hospital in Dumfries. The hospital serves both the town of Dumfries and the entire catchment area of South West Scotland, with a population of at least 148,190. The hospital is run by NHS Dumfries and Galloway (also known as Dumfries & Galloway Health Board). It is a supporter of The Princess Royal Trust for Carers. It has 344 staffed beds. In 2012 it