Almost a year on, Elizabeth has not only got her level 1 NVQ but has also been accepted on next year's level 2 course. She is, says tutor Gemma Cox, an exceptional student: "The level 1 students learn how to assist the senior beauty therapist, to set up the work area, to do facials and manicures, to do reception duties and take bookings. Elizabeth has a support worker who helps her, but her professionalism and client care are outstanding, her treatments are brilliant. She is a model for other students: she's the first to clean up or do laundry. She will do anything for anyone."
Since the age of nine, Elizabeth has been a pupil at the residential school Dawn House, run by charity I-CAN for children with communication difficulties. After a near-miss cot death, oxygen deprivation and brain damage as a baby, her language was very limited and she was not expected to live independently.
Yet her determination to learn was so great the school entered her for a Diana Memorial Award in 2004, which she won, says Dawn House family liaison worker Philip Chandler. "Not just because people thought 'she's a nice girl, let's give her an award', but because she really is exceptionally enthusiastic, helpful and happy."
Interviews by Karen Gold