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From 2008-2012 Ruth was co-Leader of the Bournemouth Symphony Orchestra, and in 2015 she was appointed one of the Leaders of the London Mozart Players. Ruth regularly guest leads the Scottish Chamber Orchestra, City of Birmingham Symphony Orchestra, BBC Philharmonic Orchestra, Royal Scottish National Orchestra and Aurora Chamber Orchestra and has appeared in principal roles with the Hallé, Philharmonia and Royal Liverpool Philharmonic.
She has led orchestras under maestros such as Lorin Maazel, Daniele Gatti, Sir Colin Davis and Sakari Oramo, and has performed concertos with the City of London Sinfonia, City of Oxford Orchestra, London Strings, and New London Soloists Orchestra. A keen chamber musician, Ruth has performed at Aldeburgh and Bath Festivals and is a member of the Iuventus String Quartet and Aquinas Piano Trio, also appearing at the Wigmore Hall with the Nash Ensemble. Recordings include Piazzolla’s History of the Tango with guitarist Morgan Szymanski, and several discs with the Aquinas Piano Trio.