Dr Downs trained at Birmingham University and qualified in 1990. She moved to the Wirral the same year and completed GP vocational training at the end of 1995.
She joined Civic Medical Centre, Bebington in January 1996 and is senior partner at the practice. Dr Downs has served on the LMC and was prescribing lead for Bebington and West Wirral PCT and is also co-opted non-voting member of the GPW Fed board.
Dr Downs has an interest in diabetes having completed the certificate in diabetic care in 2006, she also holds the DRCOG and DFFP. She is also a GP trainer and involved in the education of University of Liverpool medical students.
Dr Downs was also awarded a fellowship of the RCGP in November 2017.