Mandy is a soul midwife and tutor at the Soul Midwives' School. In 2013, Mandy initiated a volunteer bedside companion scheme at Macmillan Caring Locally (a NHS palliative care unit in Dorset). Volunteers receive her unique training so they can support people at the end of life or sit with someone who is dying alone. In 2017 the training was awarded the Princess Royal Training Award for best practice in the workplace. Mandy has now helped acute hospitals and hospices set up similar schemes.
In 2017 Mandy developed specific listening training for holistic professionals under the title Being Rock and published her book in 2020.
In 2019, she was NHS Unsung Hero Volunteer of the year.