Shropshire and Staffordshire College of Nursing & Midwifery Silver Nurses badge

A silver and enamel Nurses badge for the Shropshire & Staffordshire College of Nursing & Midwifery dating to the 1990s.One small chip to the enamel at the bottom of the badge,as pictured,otherwise very good condition.Makers mark for Fattorini Birmingham,named to C Williams 1993 and hallmarked for 1993.Height 42mm
If anyone knows what the squiggly ribbons are meant to signify I'd love to know?

Code: 50456