Medlar-with-Wesham (locally /ˈwɛsəm/ WESS-əm) is a civil parish and an electoral ward on the Fylde in Lancashire, England, which contains the town of Wesham.

[3] A Topographical Dictionary of England, published by Samuel Lewis in 1848, says: This place is stated to have come to the Hospitallers of St. John of Jerusalem by the gift of Cicely, daughter of Roger de Gernet; the Lancasters subsequently gave it to the abbey of Cockersand.

On the dissolution of monasteries, the land seems to have been granted or sold to the family of Westby; in the reign of Philip and Mary, William Westbye held "Medlarghe," "Wessham," and other property in this quarter, and his descendants long continued to reside at Mowbrick Hall, now a farmhouse.

Bradkirk, in the township, was possessed in the reign of Edward III., as a manor, by a family of the same name, and was their residence for centuries: the estate became latterly the property of Hugh Hornby, Esq., of Ribby Hall, by purchase from Mr. Kearsley.The area within the boundaries of the parish has been populated since early medieval times, prior to the Norman conquest, with separate settlements at Bradkirk, Medlar, Wesham and Mowbreck.

The buildings were faced with Accrington bricks, and stone dressings, the masonry work being undertaken by Sam Wilson of Lytham St. Annes.

After the hospital closed in 2011, the site continued to be used as offices by NHS Fylde and Wyre Clinical Commissioning Group (CCG) and other tenants, but fell vacant in November 2019.

[11] The church was consecrated and dedicated to St Joseph on 18 March 1886 in a large ceremony, led by Robert Cornthwaite, Bishop of Leeds.

[13] Wesham Bakery, now the home of Fox's Biscuits and the largest current commercial concern, was opened in 1957, on the site previously occupied by Phoenix Mill.

[15] On Church Road is a popular community centre and nearby are the outdoor bowling club and the newly re-built Scout hut.

[16][17] The town also has a recreation field, equipped with a newly built skateboard park, on Fleetwood Road, where football is regularly played by local teams.

The day involves the various churches and their chosen "Rose Queens", together with biblical tableau floats, civic dignitaries and brass bands, walking in procession through the town in the morning.

In January 2011, as part of a £6 million savings review by Blackpool Teaching Hospitals Trust, the purpose-built 40-bed rehabilitation unit for the elderly on Mowbreck Lane, which had been built in 2001, was closed.

[21] In 2020 work began by Lancashire and South Cumbria NHS Foundation Trust to convert the property to a new 28-bed mental health rehabilitation service called "Moving on", a term used to describe care that helps people to live independently.

[24][25][26] Bradkirk Business Park, on the Weeton Road, opened in 2020 and comprises 9 fully refurbished and modernised former agricultural buildings, which are used by variety of trades, including saddlery and light engineering.

[29] In the 2023 local elections the two Fylde Council seats were won by Liz Bickerstaffe (Independent) and Jordan Ledger (Labour Party).

The town clerk is Angela Hunter and the other councillors are Stuart Harrison, Geoff Dixon, Peter Ball, Margaret Rawcliffe, Doug Nowell, Pete Desmond and Liz Bickerstaff.

In November 2013 local businessman David Haythornthwaite announced plans for a £12 million development of land at Mill Farm adjacent to the A585.