Baxendale was born in Lichfield, Staffordshire and wanted to be a ballet dancer when she was younger. She trained at the Elmhurst School for Dance in Birmingham, England but dropped out at 17 in favour of an acting career. She moved to the Bristol Old Vic Theatre School, and then worked at the Glasgow Citizens Theatre from 1992–1994.
It was from the Glasgow Citizens' Theatre that she was cast in the hospital TV series Cardiac Arrest (although it was not her first television role). Her role as Dr. Claire Maitland earned her a Scottish BAFTA nomination in 1995.
She was one of the original stars of the popular TV series Cold Feet, playing Rachel Bradley (1997 - 2003), a role which gained her a British Comedy Award nomination in 1997. She also starred in An Unsuitable Job for a Woman playing Cordelia Grey, and made notable recurring appearances on the American series Friends as Ross Geller's girlfriend, wife and finally ex-wife Emily Waltham, which introduced her briefly to American audiences. Helen was invited to return as Emily in the final season of Friends but turned down the opportunity as she didn't want the media attention which had plagued her original appearances. Other notable roles include Lorna Johnson in Truth or Dare (in which John Hannah also starred), Caroline Meagher in The Investigator, and Julie Matthews in Dead by Monday.
She was nominated for another Scottish BAFTA in 1997 for her role as Lorna Johnson. Dead by Monday won the Angel Award for Best Film at the Monaco International Film Festival in 2003 and the Portland Festival of World Cinema award for best feature film in 2001.
She starred on-stage as Christine in Patrick Marber's After Miss Julie, and has most recently appeared as Romy, the eponymous title role in The Woman Before at the Royal Court alongside Nigel Lindsay, Saskia Reeves, Tom Riley and Georgia Taylor but has also played various roles including that of Ophelia in Hamlet (the Marovitz Hamlet) along with Henry Ian Cusick. She was a finalist for the 1993 Sunday Times-Royal National Theatre Ian Charleson Award (best classical actor under 30).
She also played Pandora Braithwaite in Adrian Mole - the Cappuccino Years and "Maggie" in the multiple award-winning Bolse Vita. She also appeared in Saving Nellie, a physics programme running on Teachers TV.
In 2007 through January 2008 she starred in Swimming With Sharks alongside Christian Slater at London's Vaudville Theatre. In 2008 she also appeared in an advertisement for a Morrisons, a British supermarket chain.
Baxendale has been with her partner David Williams since her Glasgow days and together they have three children: Nell (born 1998), Eric (born 2001) and Rudi (born 2006). Her first pregnancy was written into An Unsuitable Job for a Woman and her second was written into the fourth series of Cold Feet.
Her first pregnancy (and the fact that she lived in England, not the USA) caused Emily to be written out of Friends a lot earlier than intended, meaning she only appeared in 14 episodes, despite her character dating, then marrying, then divorcing Ross Geller. She has lived in many places during Friends and lived in Derbyshire, England while she married Ross.
- Helen Baxendale at the Internet Movie Database.