Berth Steward 2nd Class Sick Berth Steward 1st Class Chief Sick Berth Steward The Order also supported the formation of trained female nursing staff in naval hospitals, which in 1902 was to become the Queen Alexandra's Royal Naval Nursing Service. It was thought that boys from the Greenwich Hospital School, later the Royal Hospital School, would fill the vacancies. This proved not to be the case, so entry was opened to the Royal Marines and civilians. In 1900, three new posts were created, known as Head Wardmasters, one for each of the three main hospitals. In 1891 Sick Berth personnel received a new style of uniform. Instead of the blue serge jumper, blue cloth collar and bell bottom trousers, known as ‘Square Rig, they received a single or double breasted jacket and trousers with black buttons, red badges and a peaked cap. This was known as ‘fore and aft’ rig, and issued to ‘all ratings not dressed as seamen. This uniform was also issued to tradesmen known as "Artificers", who were collectively known as "Tiffies". So it was natural that sick berth attendants were also known as "Sick Berth Tiffies". In 1920, the term Steward was dropped in favour of Petty Officer. Another major change took place in 1965 which affected the Royal Navy as a whole when the "Fore and Aft" rig was abolished in favour of the "Square Rig". Also in 1965 the term Medical Assistant replaced Sick Berth, and so it remains to this day. The Royal Navy Medical Assistant, throughout their history, whether as a Loblollyboy, or Sick Berth Rating, has seen action during war and in peace. From assisting the ships surgeons in amputating limbs to nursing the injured sailors and Marines from wars and battles throughout Britain's history, from the 16th century onwards. Most notably they served with distinction during the Napoleonic Wars at sea, the Crimean War, the Boer and other African wars, the Chinese Boxer Rebellion, and in World War I at sea and on the land as part of the Royal Naval Division. Of note during World War I, the Royal Marines also trained their own medics at Crystal Palace, London to form the R.M. Medical Units. Both Sick Berth Staff of the Navy and the Medical Attendants of the Royal Marines served with distinction at the Battle of Jutland, Flanders, Gallipoli, the Western Front, Battle of Heligoland Bight, Zeebrugge Raid,