In the 1944 Birthday Honours she was appointed Dame Commander of the Order of the British Empire (DBE), a first in the Royal Naval Nursing Service.

After two years further training, Beale joined Queen Alexandra's Royal Naval Nursing Service (QARNNS) in 1917.

[4][5] She was Deputy Matron-in-Chief of the Joint War Organisation of the Red Cross Society and the Order of St John of Jerusalem, 1944-1946[3] Beale was made a Dame on 8 June 1944.

In 1951, she was awarded the Florence Nightingale Medal and Certificate by the International Red Cross Committee, presented to her by the Duke of Gloucester.

[citation needed] Between October and November 1949, Beale travelled to the BRCS Commission, Jordan, to see the relief work being carried out by British nurses in the area.