A round relief of the Virgin and Child with St Anne. Below them are figures of a male and female donor at prayer desks, the man presented by St James the Greater, and the woman by St Michael. The relief is mounted in a silver miniature altar in the form of a triptych, with hinged semi-circular wings. The console is pierced with a quatrefoil diaper. The wings are decorated with foliate designs. The top has an escutcheon with the head of a cherub, topped by a figure of God the Father.

-from V&A site