Victoria Cross for next of kin of armed forces personnel killed on operations . The Elizabeth Cross is a sterling silver emblem in the shape of a cross over a wreath . Medal is a sterling silver emblem in the shape of a cross over a wreath . first time name of a reigning monarch has been given to an award since 1856 . Most prestigious medal , Elizabeth Cross , introduced by Queen Elizabeth II in 1856 .
Victoria Cross for next of kin of armed forces personnel killed on operations . Medal is a sterling silver emblem in the shape of a cross over a wreath . first time name of a reigning monarch has been given to an award since 1856 . Most prestigious medal , Elizabeth Cross , introduced by Queen Elizabeth II in 1856 .