In July 2008 the Executive Committees from the Tidewater and Peninsulas EMS Councils met in joint session and agreed the two councils already collaborate a great deal and there appears little advantage to a merger.
During the Governor's EMS Awards banquet in Norfolk on Saturday November 10, 2007, three from the Tidewater EMS region were honored with statewide EMS awards. Linda Baker, RN from Sentara Virginia Beach General Hospital received the 2007 Nurse with Outstanding Contribution to EMS Award. Doris Foster, RN, EMT-P of Virginia Beach EMS and Virginia Beach Volunteer Rescue Squad received the 2007 Outstanding Contribution to EMS for Children. The Norfolk Fire Explorer Post 116 received the 2007 Outstanding Contribution to EMS Award.
The Hampton Roads Metropolitan Medical Response System has provided eight fully equipped mass casualty units to localities throughout the Tidewater and Peninsulas EMS regions.