[1] In 2006, it was re-graded as step 6,[2] making teams in the top two divisions eligible to take part in the FA Vase and teams in the top division eligible to enter the FA Cup.

The ten founder members were Oldbury Town, Stourbridge Reserves, Kidderminster Harriers Reserves, Bewdley, Blackheath Town, Halesowen Labour, Highley Colliers, Old Carolians, Stewart & Lloyds (Bilston) and Cookley St Peters.

By the 1929–30 season four of the founding clubs had dropped out and the league had been reduced to just six teams, with the result that it held two separate competitions within the one season to bulk out the fixture list, but it then gained eight new teams and continued to expand.

[3] The league changed its name to the Midland Combination in 1968 to reflect the drawing of clubs from a wider area.

There were also other cup competitions run by the Midland Football Combination for its members including the Jack Mould Trophy and the Challenge Bowl.