Part of the Queen Mary block of the hospital, it is a major work planned by Christopher Wren but construction was delayed and dates from 1735-1743. The chapel is entered up a high curved staircase from an entrance area that contains most of the monuments in the chapel. The interior was severely fire damaged and rebuilt by James Stuart in 1779-1789 in his Greek style.
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Still considered a commissioned ship of the Royal Navy (the White Ensign flies in the narthex) services follow the BCP variations for ships at sea.
The caryatids supporting the altar were gilded as a memorial to naval chaplains lost in the Second World War.