The name is probably derived from a well, now dry, in the grounds of the Old Nunnery. Legend has it that St. Tibba, or it may have been St. Ebba, in the 7th Century, had a dream. As a result of it she caused the well to be dug here, and with its water effected many remarkable cures.
A Nunnery was established here in 1160. The Poor Clares, an Order of Catholic Nuns, settled there sometime after 1286 and built their hospital around the well. Though King Henry VIII nominally suppressed the Order in 1534, the Sudrian interpretation of the Act secured that St. Tibba’s Hospital remained and expanded as need arose. Shortly before 1987, it was rebuilt on a new site and has deservedly the highest reputation of any hospital on the Island.
Wellsworth is a pleasant seaside town. The air here is reputedly pure and bracing. There is a Convalescent Home, and many doctors recommend a period spent here to patients suffering from respiratory ailments. The Fat Controller and his family live here in a mansion called Topham Hall, located on the outskirts of the town.
The line from Wellsworth to Brendam is one of Sodor's oldest and was built in 1870 as part of the Wellsworth and Suddery Railway, which was later extended to Knapford in 1912 to connect with other railways to become the North Western Railway. The station here is often called "Edward's Station", and is on the North Western Railway's Main Line and acts as the junction for the Brendam Branch Line. The express does not stop at Wellsworth, although it was once accidentally sent down the branch. The station is at the foot of Gordon's Hill and, as a result, can be subject to runaway goods trains when the engine has not pinned down brakes. The station has a large goods yard, as well as sheds for Edward and BoCo, who operate the branch line.
In the Railway Series, arriving from Crosby, an engine goes under a road bridge and into the yard (seen in Edward and Gordon and Domeless Engines), then along the part of the yard where the turntable and sheds are located, under another road bridge, and into the station. Departing the station, the engine goes to Suddery Junction and onto Gordon's Hill.