World War One presentation nurse jewel. Engine turned enamelled Red Cross on an opaque white enamel field on 18ct gold. 22.5mm diameter. Engraved to the reverse in script "Adoration, veneration faithfulness, constancy and love 1913 26 Aug 1917 God bless you" detachable brooch. fitting and a fall down pendant. English circa 1917. Famously Faberge made these too