Nora Kathleen Fletcher CBE RRC
Born	(1880-02-01)1 February 1880 Woollahra, New South Wales, Australia
Died	18 August 1976(1976-08-18) (aged 96) Torquay, Devon
Other names	Paula Ian Alexander
Occupation	Nurse
Employer	British Red Cross
Known for	Principal matron of the British Red Cross nurses in France and Belgium during World War I
Parents	Ann Marian Fletcher (mother) John Walter Fletcher (father)
Relatives	Judith Fletcher (sister) John Fletcher (brother)

Nora Kathleen Fletcher (1 February 1880 - 18 August 1976), known in later life as Paula Ian Alexander, was a decorated Australian nurse, who led the British Red Cross nurses in France and Belgium as principal matron during World War I.

She was born on 1 February 1880 in Woollahra, New South Wales, Australia.^[1][2] Her parents were Ann Marian Fletcher née Clarke, an embroiderer who made the velvet bag to hold The Ashes urn, and John Walter Fletcher. Her brother was John Fletcher (Queensland politician).^[3] She was educated privately by a governess. When she was 20, she went train to be a nurse at the St Kilda Hospital in Woolloomooloo.^[4] She was appointed as a probationary nurse in the public service in 1902,^[5] and graduated as a nurse in 1906 from the Coast Hospital (late known as Prince Henry Hospital).^[2][4]

Six years before World War I broke out, Fletcher moved to England. During this time, her work as a nurse saw her travel to places such French Riviera, Italy and Cairo.^[4]

Then, after the war was declared, she joined the British Red Cross in September of 1914. Fletcher was one of the first of the British Red Cross nurses to arrive in France, and she was among the last to leave. She was sent to France, where she was based in Boulogne.^[4] She was promoted to matron, taking command of a unit.^[6] She soon became the principal matron of all the British Red Cross personnel in France and Belgium hospitals, with up to 400 army sisters under her charge, organising the movement of all women workers who passed through France, Italy, Malta and Egypt^[7][2][4] Praise for her work included:

"Miss Fletcher has an extensive knowledge of people and things; she is an excellent organiser, very energetic, tactful, direct and broad-minded, loyal to those whom she serves and is respected by her fellow workers and subordinates."^[4]

In 1915, Fletcher was awarded the Royal Red Cross (1st class) for her distinguished service in France 1915 in a ceremony at Buckingham Palace by King George V.^[8][9][2] In 1916, she was made a Honorary Serving Sister of the Order of St. John of Jerusalem.^[4] She was made a Commander of the Order of the British Empire in 1920.^[2] In November of 1921, she received the Medaille de la Reconnaisance francaise, or Medal of French Gratitude, a French honour for her war work with the British Red Cross.^[4]

In 1968, Fletcher's collections of papers, photographs, and medals were donated to the State Library of New South Wales by her brother and sister.^[4]

Fletcher, who was also known as Paula Ian Alexander, spent her later life living in Torquay, Devon, England, and died aged 96, in the Ardvar nursing home, on 18 Aug 1976.^[10][11]