The medal is always issued with a bar

The roll of individuals entitled to this is held in the National Archives

Showing exceptional leadership or personal example

Burgundy & Cream

including civilian medical practitioners

GSM 2008 Full Size with Northern Africa Clasp Coronation & Jubilee The medal is always issuedThe General Service Medal 2008 (GSM 2008) with Eastern Africa Clasp. GSM 2008 clasp Eastern Africa Awarded as follows; OP PRESIDIUM 45 days continuous or 60 days accumulated from 10th February 2010 OP MODEST 45 days continuous or 60 days accumulated from 24th January 2013 OP BACKWELL 45 days continuous or 60 days accumulated from 20th April 2012 A fully licensed medal (c) Ministry of Defence