Sarah Elizabeth Wardroper appointment as matron at St Thomas' Hospital in January 1854. Although nursing was still largely a disreputable occupation she made St Thomas' a model of reformed, professional, nursing and in 1860, with the creation of the training school for nurses by the Nightingale Fund at the same hospital, she was appointed superintendent. Florence Nightingale selected St Thomas' Hospital as the site for her new nurse training school, largely because of Wardroper's qualities (and those of the enlightened resident medical officer, R.G. Whitfield). Nightingale, Wardroper and Whitfield worked together to establish the new school, the first secular training school for nurses
Florence Nightingale Medal spirit in the areas of public health or nursing education". It was initially set up to be awarded to six nurses annually, although the first 42 awards were only made in 1920 due to the disruption of the First World War. The medal was restricted to female nurses until regulation changes in 1991. Under the new regulations it is open to both women and men, and is awarded every two years to a maximum number of fifty recipients worldwide. The vesica piscis-shaped medal is composed of gold and silver-gilt and bears a portrait of Florence Nightingale surrounded by the words