The fifth crowned portrait of HM Queen Elizabeth II facing right, wearing the George IV State Diadem and drop earrings.

The George IV State Diadem, officially the Diamond Diadem, is a type of crown that was made in 1820 for King George IV. The diadem is worn by queens and queens consort in procession to coronations and State Openings of Parliament. The piece of jewellery has been featured in paintings and on stamps and currency. It can be seen in the Queen's Gallery at Buckingham Palace.

ELIZABETH II DEI GRATIA REGINA FIDEI DEFENSATRIX means Elizabeth II, by the grace of God, Queen and Defender of the Faith.

Engraver: Jody Clark

The letter N represents National Health Service and depicts a stethoscope.

Opening its doors in 1948, the NHS is one of the oldest and iconic nationalized health service providers in the world. Held at its heart is the three core principles which have guided it to greatness: That it meets the needs of everyone; that it is free at the point of delivery; and that it is based on clinical need, not the ability to pay.

The stethoscope is an acoustic medical device for auscultation, or listening to the internal sounds of an animal or human body. It typically has a small disc-shaped resonator that is placed against the chest, and two tubes connected to earpieces. It is often used to listen to lung and heart sounds.