Emergency services collaboration Governance
Directly elected PCCs are responsible for the governance of the police; fire and rescue authorities ("FRAs") are responsible for the fire and rescue service; and NHS trusts or NHS foundation trusts are responsible for ambulance services.
	There are 37 PCCs in England (excluding London). In London, the Mayor’s Office for Policing and Crime ("MOPAC") is the strategic oversight body which sets the direction and budget for the Metropolitan Police Service on behalf of the Mayor. The Common Council of the City of London is the police authority for the City of London police area.
	The Local Democracy, Economic Development and Construction Act 2009 ("the 2009 Act") (as amended by the Cities and Local Government Devolution Act 2016) includes provisions which enable the transfer of fire and rescue and/or PCC functions to the elected mayor of a combined authority area. The Greater Manchester 'devolution deal' will establish a combined authority mayor from May 2017, and includes the transfer of fire and rescue and PCC functions. This will be implemented via secondary legislation drawing on the powers in the 2009 Act.
	There are 45 FRAs in England comprising:
	6 metropolitan authorities: stand-alone authorities, serving the communities of groupings of metropolitan district councils;
	23 combined authorities: stand-alone authorities, serving the communities of combined county council and unitary authority areas;
	15 county authorities: integrated within an individual county council or unitary authority;
	London Fire and Emergency Planning Authority ("LFEPA"): a body of the Greater London Authority.
	In England, excluding London, 28 PCCs have police areas that are coterminous with FRA boundaries. A further five PCCs have police areas that are coterminous with the boundaries of the FRAs in their area when taken together, and only four PCCs have police areas which do not align with FRA boundaries. Annex B shows police areas and FRA areas in England.
	There are 11 NHS trusts in England that provide ambulance services; five of which are currently NHS foundation trusts. An ambulance trust is governed by a trust board made up of a non-executive chairman, a selection of the service’s executive directors (including the chief executive) and a selection of non-executive directors. NHS foundation trusts also have a council of governors, which represents the interests of foundation trust members and the public, and holds the trust’s non-executive directors to account for the performance of the board.
	Most NHS ambulance trusts encompass several police areas within their boundaries. For instance, North East Ambulance Service NHS Trust serves a region consisting of three PCC areas: Cleveland, Durham and Northumbria. Only four police areas are served by more than one ambulance trust: Derbyshire, Hampshire, Humberside and Northamptonshire.