The St. Andrew's Ambulance Association was established in 1882 to provide first aid training and ambulance services in Scotland. With a mission to promote the health and welfare of the community, it quickly gained recognition for its voluntary services and efficiency in handling medical emergencies. Over the years, the organization played a central role in the development of first aid practices, training numerous volunteers who would go on to serve their communities in times of need. By the late 19th century, the association had expanded its operations and had established a strong network of local branches and dedicated members.

On April 18, 1899, Queen Victoria granted a royal charter to the St. Andrew's Ambulance Association, a significant milestone that validated its importance and contribution to public health in Scotland. The royal charter recognized the association’s longstanding dedication to improving ambulance services and first aid training, thus elevating its status and opening avenues for greater governmental support. The event marked a transition for the association from a volunteer group to a more established organization with formal recognition from the monarchy.

Celebrated by its members and supporters, the royal charter allowed the association to expand its activities and reach a wider audience. It served as an inspiration for similar organizations and set a precedent for the involvement of the monarchy in volunteer health initiatives. The St. Andrew's Ambulance Association did not only focus on immediate medical care but also aimed to educate the public on the importance of first aid and healthy practices, laying the groundwork for future ambulance services across not only Scotland but the entire United Kingdom.