In 1927, all the various Queen Alexandra's nursing services were amalgamated into a homogeneous whole. The administration of the service and its reserve became the responsibility of a branch in the Directorate of Army Medical Services (AMD 4).
In Jan 1927, Sister Miss P.M.D Sowter QAIMNS and in March 1927 Matron P Steele were posted to Malta
On 16 Sep 1826, Miss Lydia Hardement late Matron QAIMNS died at the Spring Pension Hospital Hanwell. Miss Hardement had joined the Army Nursing Service in Dec 1885 and was promoted matron QAIMNS in Feb 1903. She retired on 1 Apr 1907. She had served in Malta and South Africa.