Insignia of Queen Alexandra's Imperial Military Nursing Service Reserve, awarded to Elizabeth Batten, Senior Sister at the Royal Free Hospital, silver, 1916

This insignia was awarded to Elizabeth Batten, a Senior Sister in Queen Alexandra’s Imperial Military Nursing Service (QAIMNS) Reserve, for her duties during the First World War.

The QAIMNS was created in 1902 and expanded in the run-up to the First World War in anticipation of the increased need for medical staff and supplies. All nurses in the QAIMNS wore this insignia on the right breast of their uniform and is also known as a cape badge.