The title given above for this preliminary design for the west wall is inscribed in a 20th-century hand along the bottom. Michael Robinson has also noted on the mount: 'Drawn after the death of George, Prince of Denmark in 1708 and before 1714', with a note of the paper as 'Watermark IV (I Villedary)'. The setting is a deep, rusticated, vertical rectangular opening, with a curtain drawn back upper right by putti, and a cartouche with the letters 'AR' (Anna Regina) with lion and unicorn supporters.

Up the lower steps Queen Anne sits enthroned on the left under a canopy, receiving an architectural plan (possibly of St Alphege in Greenwich, which was destroyed in a gale in 1710 and rebuilt under the New Churches Act of 1711) from two figures, one with a staff of office and both apparently wearing the Star of the Garter. One of them is probably Sir William Gifford, who was appointed a governor of Greenwich Hospital in 1708. This is watched by an assembly of men of science, right. The centre arch of an arcade behind gives onto a prospect of warships at sea and what may be the front of St Paul's Cathedral to the right. A female figure of Fame hovers above with a trumpet. At the top a reclining female figure and putti are apparently painted on the ceiling in false perspective. A scale of six feet, at 3/8 inch: 1 ft is indicated lower right. The tall, narrow format indicates that it must predate the decision to block the side windows. The west wall of the Upper Hall was built with windows across its full breadt, the central of which the mason contractor Edward Strong blocked on the inside in 1713 creating a surface available for painting. In 1718, the flanking windows were also blocked (at Thornhill's request) so that the entire west wall could be painted.

An alternative Queen Anne design for the West wall is in the Huntington Library collection, HL 63-52-265.