Queen Elizabeth II has taken the time to show her appreciation for the National Health Service with a handwritten letter! On Sunday, the monarch shared a message she personally penned— which is a rare occurrence— declaring that all those involved in the NHS would be receiving a special honour.

Queen Elizabeth II awards NHS workers George Cross

Queen Elizabeth II used stationery emblazoned with the official Windsor Castle letterhead for her note, which she began with the big announcement. "It is with great pleasure on behalf of a grateful nation, that I award the George Cross to the National Health Services of the United Kingdom," she wrote. 

The queen went on to say that the award "recognises all NHS staff, past and present, across all disciplines and all four nations." She then reflected on how the NHS has "supported the people of our country with courage, compassion and dedication," saying this represents "the highest standards of public service."

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Queen Elizabeth II at an appointment

Queen Elizabeth II closed by expressing the nation's "enduring thanks and heartfelt appreciation" for the NHS, signing off with "Elizabeth R". The Royal Family's Instagram post about the note further elaborates on the history of the George Cross, sharing that it dates back to 1940 and is considered "the UK's highest award for non-military courage."