Sandra has worked with and supported children and young people with Down syndrome and their families in the areas of health, communication and education for 20 years. She is devoted to providing children and young people with Downs syndrome optimum education and support to enable them to reach their full potential into adulthood. She is a qualified paediatric nurse and has an MSc. in Language and Communication Impairments in Children. She is a Baby Makaton trainer, an Incredible Years parenting trainer and Smile Therapy practitioner. Sandra is a level 3 counsellor. Sandra currently delivers educational services for two charities working with children with Down syndrome across the age range from birth to eighteen. She also works part-time for an Educational Authority in the Pre-school teaching team. Sandra has worked with families and schools in Africa, America ad across Europe. Sandra recognises the importance of keeping up to date with research to ensure her practice is evidence-based. She has presented at the International Down syndrome Research conference and has had her own research published.