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. 2019 Dec 18;367:l6721. doi: 10.1136/bmj.l6721

Table 1.

UK honours system

Honours (and postnominals) in descending order of magnitude Description
Companion of honour (CH) Major contribution to the arts, science, medicine, or government, lasting over a long period of time. Only 65 may ever be concurrently awarded
Knight or dame commander of the order of the British empire (Kt or DBE) Major contribution, usually at national level. Those working in the nominee’s area will see their contribution as inspirational and substantial, requiring commitment over a long period of time
Commander of the order of the British empire (CBE) Prominent but lesser role at national level or leading role at regional level or for distinguished, innovative contribution to any area
Officer of the order of the British empire (OBE) Major local role in any activity, including those whose work has made them known nationally in their chosen area
Member of the order of the British empire (MBE) Outstanding achievement or service to the community with a long term significant impact and stands out as an example to others
British empire medal (BEM) For “hands-on” service to local community through long term charity work or innovative work for a short duration making a major difference