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 ward has been added in recent years to support the region's need for high turnaround day-case procedures and ante-natal/post-natal care. The Cresswell maternity ward contains a neonatal unit with rapid transfer (Air/Road) protocols for critically ill children requiring life support at specialist centres throughout the country as required. This is now situated in Dumfries and Galloway Royal Infirmary at Cargenbridge The Dumfries Dental Centre is on Bankend Road, Dumfries and provides dental services including training facilities for dental undergraduates from the University of Glasgow and dental hygiene and therapy undergraduates from the University of Highlands and Islands. Midpark Hospital is