Sarah Sands trained on The Sevenoaks Courier as a news reporter, before moving to the Evening Standard – initially as Editor of the Londoner's Diary – and took further posts as Features Editor and Associate Editor. She joined the Daily Telegraph in 1996 as Deputy Editor to assume responsibility later for the Saturday edition. She was appointed the first female Editor of The Sunday Telegraph in 2005.
In 2006 she worked as Consultant Editor on the Daily Mail and in 2008, she became Editor-in-Chief of the UK edition of Reader's Digest. She was appointed Deputy Editor of the London Evening Standard in 2009 and became its Editor in 2012.
In May 2017, she became Editor of BBC Radio 4's Today programme.