Despite initially having been rejected by the War Office, Laetitia went on to work for the London County Council, where she campaigned for the initiation of new Public Health departments relating in particular to women's and children's health, and defending who she believed were the most vulnerable members of society.
When the Women's Army Auxiliary Corps was formed in March 1917, Fairfield was appointed as their Medical Officer. A year later, she was appointed Chief Medical Officer to the Southern Command, and was subsequently elevated to Inspector of Medical Services for the Woman's Royal Air Force.