Most people's abiding image of the First World War VADs probably stems from Vera Brittain and her Testament of Youth. But there were many more Vera Brittains out there serving almost on the front lines of the war, thousands upon thousands of young, gently-bred girls who went from Edwardian drawing rooms and débutante balls and finishing schools, straight into the hell of the Western Front, volunteers all of them.
These girls more than rose (forgive the pun!) to the challenge, serving as ambulance drivers, in military hospitals in England, base hospitals in the rear of the lines, casualty clearing stations, aid stations. Sometimes the front overtook them, sometimes they refused to be evacuated when the lines shifted, and more than a few ended up prisoners of war. Some served on hospital ships sunk at sea and in harbours. Late in the war the Germans took to bombing hospitals from the air (arguments as to whether this was a deliberate policy or simply collateral damage due to their proximity to military camps and depot continue to this day). Life as a VAD in WW1 may not have been as dangerous as the fighting troops, but it was dangerous nonetheless, and several hundred young women lost their lives.
Lyn Macdonald gives those women and girls voices, interlacing her account of the medical history of WW1 with first-person accounts from survivors - nurses, soldiers, orderlies, civilians. These tales really give a sense of personality and immediacy to the narrative, making each and every individual a life, rather than a statistic. So often the losses of WW1 can seem so staggering, so overwhelming, that the individual stories behind each number get lost, the narrative bogged down in battle strategy and military minutiae. That is where this kind of historiobiography is so desperately needed, to remind subsequent generations that every one of those millions of dead had a story to tell, and the survivors too.