It was named after Ely, but did not include the city itself, instead covering the rural area to the west and north of it.
In 1872 sanitary districts were established, giving public health and local government responsibilities for rural areas to the existing boards of guardians of poor law unions.
The Ely Rural Sanitary District therefore covered the area of the poor law union except for Ely itself, which already had a local board of health and so formed its own urban sanitary district.
[4] An inquiry was held and it was decided to amend the county boundary to transfer Redmere from Norfolk into the Isle of Ely.
[12] The district comprised the parishes of:[1] The council continued to meet at the workhouse, later called Tower House, until the late 1940s.