Sara started working in voice in 1978 at the Radcliffe Infirmary, Oxford, where, together with Tom Harris she set up the Oxford Voice Clinic. In 1987 she and Laryngologist Tom Harris set up the Sidcup Voice Clinic and were later joined by Osteopath, Jacob Lieberman and Singing Coach, Dinah Harris. Sara was one of the co-founders of the Voice Research Society (now the British Voice Association) in 1985 and was one of the editors for the first edition of The Voice Clinic Handbook (1998). She has contributed a number of book chapters and research articles to various text books and Journals in voice.
Currently, Sara works in Lewisham Voice Disorders Unit with Laryngologist Nick Gibbins and also in Independent Practice. She was made a Fellow of the Royal College of Speech and Language Therapists in 2007 and is a Past President of the British Voice Association.