The Worcestershire flag was chosen by public vote on BBC Hereford and Worcester.
The design by Elaine Truby of Worcester is described in an article from Worcester News:
Mrs Truby, a 51-years-old podiatrist with the National Health Service, traces her artistic ability back to her years at the former Worcester Grammar School for Girls in Spetchley Road, when she did A-level art.
“I cut patterns out every day as part of my job and I created the design by cutting out sugar paper and laying it on a table top,” she said.
“I chose the three black pears because they are synonymous with Worcester and the colour green because Worcestershire is such a green county and blue for the rivers that run through it.”
The Flag can be found at the UK Flag Registry here: http://ukflagregistry.org/wiki/index.php?title=Worcestershire