THIS EXTREMELY SPECIAL STERLING SILVER NECKLACE IS A NURSES' BELT BUCKLE FROM ENGLAND CIRCA 1900. THE OPEN DESIGN IS STUNNING, AND IT HAS BEEN ATTACHED TO A 16 INCH STERLING SILVER CHAIN. THE BUCKLE ITSELF IS 2 1/4 INCHES HIGH AND 2 5/8 INCHES WIDE. THIS UNIQUE NECKLACE WILL TURN HEADS.