Betsan is known for her ability to elicit compelling performances and direct sentiment without sentimentality, as well as crafting a visual style unusual in television drama.

As well as many commercials, her body of work includes award-winning dramas, short films and two features, Dad Savage, a thriller starring Patrick Stewart and the Victorian melodrama Lady Audley’s Secret. Betsan’s short films have won many awards including a BAFTA for Spoonface Steinberg. She received an Emmy nomination for her work on Waking the Dead starring Trevor Eve, the first and only time a woman has directed this series. She is currently in pre-production on a feature entitled Baker’s Dozen about the controversial football game between the Russians and Germans in Kiev in 1943, to be shot in Hungary later this year.