Elizabeth Cross for next of kin of armed forces personnel killed on operations . Medal is a circular silver emblem in the shape of a cross over a wreath . First time name of a reigning monarch has been added to an award since 1940 . Charles Mosely , the former editor in chief of Debrett 's , an authority on etiquette , said the Elizabeth Cross is a good way to recognize the sacrifice made by members of the military and their families . Most prestigious medal , Victoria Cross , introduced by Queen Victoria in 1856 .
Elizabeth Cross for next of kin of armed forces personnel killed on operations . Medal is a circular silver emblem in the shape of a cross over a wreath . First time name of a reigning monarch has been added to an award since 1940 . Most prestigious medal , Victoria Cross , introduced by Queen Victoria in 1856 .