 From 1947 to 1974 NHS services in Cumbria (which did not then exist) were managed by Newcastle Regional Hospital Board which covered Cumberland, and the part of Westmorland covered by the Borough of Appleby and the North Westmorland Rural District and the Manchester Board which covered the remainder.In 1974 the boards were abolished and replaced by regional health authorities.The whole of the newly created Cumbria came under the Newcastle RHA.