ELIZABETH D G REG F D 1998 around the effigy of Elizabeth II wearing a crown facing right. On the lower end of the shoulder the initials of the engraver
Description reverse
The letters NHS surrounding a representation consisting of two hands with radial stripes in the background. Above the hands FIFTIETH ANNIVERSARY
Reference
United Kingdom. 50 Pence (Gold) 1998, The Royal Mint. CoCo GB-1998-0001.