The UK has a long history of awarding both its citizens and military personal with medals that are affixed to ribbons to show recognition for brave acts. There have been many distinctions made throughout the history of Britain with some such as the sea gallantry medal dating back towards the early 1800s. Most medal decorations from the 1800s have since then been replaced with newer decorations that cover multiple areas although there are still some existing medals from this time period.
The highest decoration that can be received in the UK is the Victoria Cross (VC) for soldiers that have shown extreme acts of bravery in the face of an enemy and the Georges Cross (GC) for civilians that have shown extreme acts of bravery or gallantry without a present enemy and without the motivation of selfish gain. Military personal that show brave acts of gallantry outside of the enemy threat or military command are also able to receive the Georges Cross although they are rarely awarded to military personal.
The third highest decoration is the Georges Medal given to civilians and soldiers outside of enemy danger who show lower, but still admirable acts of courage but this is rarely given anymore given its extremely loose definition.
There are also many other decorations, medals, and crosses that are awarded to all types of people which all generally have to do with dedication to the armed services or for a notable act of bravery such as the Royal Red Cross medal for military nurses or the Sea Gallantry Award for those who save a life on British seas. Additionally, there are medals that were given to those who helped forward the British interests in India while it was a colony but since the Indian Independence was granted in 1947 those are now obsolete.
Almost every medal of distinction has encountered a change in definition since its inception with the two most common changes occurring in the 1970s when many decorations were opened up to posthumous recipients and in 1993 when may decorations were offered to military officers regardless of rank distinction.
Every medal does hang on a ribbon currently that is carefully designed to symbolize each award separately thus making the ribbon as much of a collectors item and a symbol of importance as the medal itself.