Anna-Louise Mackinnon qualified from Nottingham University Medical School in 1997. She initially trained as a general practitioner but in 2009 took on a full-time role in horseracing as medical advisor to the Professional Jockey Association and Injured Jockeys Fund. She completed her specialty training in 2016 to become a Consultant In Sport, Exercise and Musculoskeletal Medicine. In addition to working for the British Equestrian Federation and Anna-Louise works for the NHS at Hampshire Hospitals NHS Foundation Trust and the Injured Jockeys Fund where she works mainly from Oaksey House in Lambourn.