Whatever it is, it is not RAF (or other Commonwealth military). The insignia of the RAF Medical Branch is the "Caduceus" - the winged staff with "two" entwined serpents associated with Hermes (Mercury). Your item has a single snake. The other common medical insignia is the "Rod of Aesculapius" - a staff with a single snake, no wings. That's the "worm on a toothpick" used in the RAMC badge and likewise in most other Commonwealth army medical service badges.
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