2018–19 North West Counties Football League Premier Division

At the end of the 2017–18 season, the following teams left the division:
 * Promoted to Step 4
 * Runcorn Linnets, to NPL Division One West
 * Widnes, to NPL Division One West
 * Relegated to Step 6
 * AFC Darwen, to Division One North
 * AFC Liverpool, to Division One North
 * Barnton, to Division One South
 * Maine Road, to Division One South

The remaining 17 teams, together with the following, form the Premier Division for season 2018–19:
 * Promoted from Step 6
 * Silsden, from Division One
 * Litherland REMYCA, from Division One
 * Whitchurch Alport, from Division One