The ward was created for the elections held on 4 May 2023 following a 2022 review by the Local Government Boundary Commission for England, which decided that the previous 30 wards each represented by three Councillors should be replaced by 64 wards represented by 85 councillors with varying representation by one, two or three councillors per ward. The Sandfield Park ward was created as a single-member ward from the western quarter of the former West Derby ward and the north-western corner of the former Knotty Ash ward.[1] The ward boundaries follow Muirhead Avenue, Almonds Green, Barnfield Drive, Eaton Road, Thomas Lane then behind Thomas Lane Playing Field, the North Liverpool Extension Line, Alder Road, and Queens Drive. The ward includes Alder Hey Children's Hospital, St Edward's College and Holly Lodge Girls' College.[1]