Nurses registered for the service and by the beginning of the First Boer War the reserve had around 100 members, but swelled its membership to over 1400 during the conflict.

PCANSR eventually became the Queen Alexandra's Imperial Military Nursing Service.

[9] Five early members of the Army Nursing Service trained at The London Hospital under Eva Luckes, and went onto become Superintendents.

When Queen Alexandra's Imperial Nursing Service was formed King Edward VII asked Sir Frederick Treves[18] and Sydney Holland,[19] Chairman of the London Hospital for advice.

Holland asked Eva Luckes, Matron of The London Hospital for advice.

Within a short time they were also employed in the eighteen territorial hospitals abroad, and alongside their QAIMNS colleagues in military hospitals and casualty clearing stations in France and Belgium, Malta, Salonica, Gibraltar, Egypt, Mesopotamia and East Africa.