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She has hosted parts of the Red Nose Day telethon for Comic Relief (2005, 2007, 20) presenting several strands alongside Jonathan Ross and Lenny Henry.
Cotton has also presented many charity telethons for both Comic Relief and Children in Need on BBC One and BBC Two.
In 2008, she hosted a Strictly Come Dancing special as part of Children in Need.
In June 2012, Cotton was one of the BBC's presenters for its coverage of the Thames Diamond Jubilee Pageant.
Since 2008, Cotton has appeared as a team captain on the ITV2 comedy panel show Celebrity Juice alongside host Keith Lemon and fellow team captain Holly Willoughby. In 2012, Cotton hosted The Nation's Favourite Number One Single, a three-part series, revealing Britain's Favourite No. Since 2016, Cotton has co-presented Fearne & Gok: Off The Rails, alongside Gok Wan for ITVBe.
Cotton took a short break from the programme in 2013 whilst on maternity leave and Kelly Brook stood in for her during the ninth series. She also presented the Isle of Wight Festival 2009 on ITV2 alongside Rufus Hound. In 2003, Cotton moved over to mainstream broadcasting.
She was replaced the following series by Holly Willoughby.
On her maternal line, the episode found her ancestor, William Gilmour, from Northern Ireland, who strived to improve his lot in the world.
Cotton was reported to be pleased that her family story had found the work ethic and drive that she had hoped to discover in investigating her family roots.
She went on to present her own Radio 1 show, airing every weekday morning from 2009 to 2015.
In 2007, Cotton presented The Xtra Factor, an ITV2 spin-off from the main show.