Thank you both for your replies. This is helpful.
@Rick- yip, I have black lighted back and front and nothing glows. In hand the backing cloth seems secure, but if you are correct, perhaps the backing cloth was replaced or reapplied for a genuine reason? We probably will never know.
@Sascha- many thanks for these photos. I have not seen these before. Judging by the stick pin and Social Welfare Medal, some type of medic or doctor?
I found this medal bar photo in an old thread on here (no photo of the back). Looking closely at the medal bar you will see that the last ribbon on it is in fact for a Red Cross decoration (most likely Weimar?) and not the Lubeck Hanseatic Cross. Nothing to do with the ribbon bar I own but thought I would post it out of interest as the combination is similar.
Best wishes
Matt