The office of High Sheriff is over 1000 years old, with its establishment before the Norman Conquest. The Office of High Sheriff remained first in precedence in the counties until the reign of Edward VII when an Order in Council in 1908 gave the Lord-Lieutenant the prime office under the Crown as the Sovereign's personal representative. The High Sheriff remains the Sovereign's representative in the County for all matters relating to the Judiciary and the maintenance of law and order.

The county of Hereford and Worcester was formed only in 1974 and abolished in 1998. Before and after this time the area covered was in a variety of other shrievalities.

• 1974: Colonel George Michael Singleton, M.C., T.D., of Tustins, Colwall, near Malvern ^[1]
• 1975: George Howard Heaton, of The Tee, Martley, near Worcester^[2]
• 1976: David Vernon Swynfen Cottrell, of Rectory Farm Cottage, Kemerton, Tewkesbury ^[3]
• 1977: Lieut-Colonel Edward Courtenay Phillips, M.C., of Chase House, Monnington-on-Wye, near Hereford.^[4]
• 1978: John Sydney Birch Lea, of Dunley Hall, Stourport-on-Severn ^[5]
• 1979: Bernard Arthur Higgins, of The Halesend, Storridge, near Malvern.^[6]
• 1980: Colonel Thomas Jim Bowen, MC, of Little Blakes^[7]
• 1981: Richard Chevallier Green, of The Whittern, Lyonshall, Kington.^[8]
• 1982: John Alan Bennet Thompson, of Bransford Manor, Worcester ^[9]
• 1983:
• 1997: Michael Eliot Howard, Green Farm, Sankyn's Green, Little Witley ^[10]
• 1998:
• 1999: