The Lord High Almoner is usually a diocesan bishop or high cleric of the Church of England. The current holder of the office is the Bishop of Worcester, the Right Reverend John Inge. There is also an hereditary Grand Almoner, an office dating from 1685 and vested in the person of the Marquess of Exeter, but this is not an office of the Royal Almonry and he has no role to play. The actual work of the office is undertaken by the Sub-Almoner (currently Paul Wright), who is also the Deputy Clerk of the Closet of the Ecclesiastical Household, Sub-dean of the Chapel Royal, and Domestic Chaplain at Buckingham Palace.
There are in addition a Secretary, and Assistant Secretary, both offices of which are shared with other Royal Household appointments. There are also half a dozen wandsmen.