The EnginesBritannia's engine plant is unchanged since the 1950s. She is a steam ship. A pair of Foster Wheeler boilers burned diesel oil (prior to 1983, they burned furnace oil) that created steam. The steam went to two turbine engines, which could develop 12,000 horse power. Her power then went via a gearbox to turn her two propeller shafts. Britannia could do 22.5 knots.
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The HospitalBritannia was designed so that she could be converted into a military hospital ship should the need arise. She was never used as such but some of her hospital facilities remain. Her sick bay includes a consulting room, a hospital ward and an operating theater. The ship's doctor only took care of the officers and crew. A Royal Physician would look after the Royals.
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Cruise article - Visiting The Royal Yacht Britannia - Edinburgh, Scotland