Nursing in the United Kingdom is regarded as the founder of the modern nursing profession. There was no real hospital training school for nurses until one was established in Kaiserwerth, Germany, in 1846. There, Nightingale received the training that later enabled her to establish, at St Thomas' Hospital in London, the first school designed primarily to train nurses rather than to provide nursing service for the hospital. In the Crimean War against Russia, Nightingale was appointed to oversee the introduction of female nurses into the military hospitals in Turkey, after criticisms in the British press. In November 1854, Nightingale arrived at the barrack hospital near
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