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Deborah started her directing career at the Bristol Old Vic. She went on to work at Theatre Centre London, the Wolsey Theatre, Ipswich and the Soho Theatre, and was then appointed artistic director of Salisbury Playhouse, where productions included: For Services Rendered (transferred to London's Old Vic Theatre), Twelfth Night (invited to the Shanghai Shakespeare Festival) and Sam Shepard’s States of Shock (National Theatre Springboard Season). She also directed productions at Hampstead Theatre and Regent’s Park.

In 1995 Deborah was appointed artistic director of the Sheffield Crucible. Productions there included world premieres of Villette and Queueing For Everest by Judith Adams.

Deborah now works as a freelance director in opera, theatre, TV and radio. For her own company Paigeworks she produced and directed the premieres of Afterbirth by Dave Flores and Into the Blue by Beverley Hancock at The Arcola Theatre in London.

Deborah's television work includes EastEnders, Casualty, Judge John Deed and Holby City, and for radio she has directed several productions for BBC R4's Woman's Hour including her own adaptation of Elizabeth Bowen’s To The North. She regularly works in London drama schools and was Head of Recorded Drama at LAMDA between 2009-11, and Interim Director of Performance at Mountview in 2012.

At RADA Deborah has taught and directed projects and productions for stage and screen. RADA productions include Women of Troy, A Month in The Country, Villette, The Daughter in Law and The Sugar Wife. Her RADA films include Mazi Sou and Celebrity Worst Nightmare.