Sarah set up Behavioural Referrals Veterinary Practice in 1992. She sees clinical cases across North West England and wider afield through video platforms. In 2018 she was made an FRCVS in recognition of her work in establishing Behavioural Medicine as a veterinary discipline. She is an RCVS and EBVS' European Veterinary Specialist in Behavioural Medicine and a Visiting Lecturer in small animal behavioural medicine at Liverpool University. In 2019 she gained her Postgraduate Certificate in Veterinary Education. Sarah lectures extensively to the veterinary profession about comprehensive health care which includes consideration of all aspects of the health triad.