The winners take part in an end of season promotion play-off with the East of Scotland Football League and South of Scotland Football League champions, subject to clubs meeting the required licensing criteria.

Talks to integrate all of the Scottish Junior Football Association clubs into the senior pyramid structure below the SPFL had been taking place for a number of years, however discussions at the Scottish Football Association's pyramid working group had broken down in early 2020.

[6] Initial plans for the inaugural season would have seen the league operate a conference format in order to facilitate all 67 clubs at the same level.

[7] On 1 May 2020, the League confirmed that a top division of 20 teams would contest the first season in 2020–21, comprising the 16 teams who had played in the 2019–20 West Region Premiership, the top three places from the West Championship and one moving 'sideways' from the South of Scotland Football League.

[7] This ran contrary to some clubs' expectations that the inaugural campaign would not use a hierarchical system,[8][9] but the league stated "that option was not on the table" due to legal issues.

[13] On 11 January 2021 the league was suspended by the Scottish Football Association due to the escalating COVID-19 pandemic situation.