diff --git a/src/components/DashboardLayout.tsx b/src/components/DashboardLayout.tsx
index 5bdca7b..8127b1e 100644
--- a/src/components/DashboardLayout.tsx
+++ b/src/components/DashboardLayout.tsx
@@ -1,13 +1,14 @@
-import { useState, useEffect, useCallback } from 'react'
+import React, { useState, useEffect, useCallback } from 'react'
 import { motion } from 'framer-motion'
+import { ChevronRight } from 'lucide-react'
 import { TopBar } from './TopBar'
 import { SubNav } from './SubNav'
 import Sidebar from './Sidebar'
 import { CommandPalette } from './CommandPalette'
 import { DetailPanel } from './DetailPanel'
+import { CardHeader } from './Card'
 import { PatientSummaryTile } from './tiles/PatientSummaryTile'
 import { CoreSkillsTile } from './tiles/CoreSkillsTile'
-import { LastConsultationTile } from './tiles/LastConsultationTile'
 import { EducationTile } from './tiles/EducationTile'
 import { ProjectsTile } from './tiles/ProjectsTile'
 import { ParentSection } from './ParentSection'
@@ -52,6 +53,184 @@ const contentVariants = {
   },
 }
 
+function LastConsultationSubsection() {
+  const { openPanel } = useDetailPanel()
+  const consultation = consultations[0]
+
+  const handleOpenPanel = () => {
+    openPanel({ type: 'consultation', consultation })
+  }
+
+  const handleKeyDown = (e: React.KeyboardEvent) => {
+    if (e.key === 'Enter' || e.key === ' ') {
+      e.preventDefault()
+      handleOpenPanel()
+    }
+  }
+
+  const formatDate = (dateStr: string): string => {
+    const date = new Date(dateStr)
+    return date.toLocaleDateString('en-GB', { month: 'long', year: 'numeric' })
+  }
+
+  const getEmploymentType = (): string => {
+    if (consultation.organization.includes('ICB')) {
+      return 'Permanent · Full-time'
+    }
+    return 'Permanent'
+  }
+
+  const getBand = (): string => {
+    if (consultation.role.includes('Head')) {
+      return '8a'
+    }
+    return '—'
+  }
+
+  const fieldLabelStyle: React.CSSProperties = {
+    fontSize: '10px',
+    textTransform: 'uppercase',
+    letterSpacing: '0.06em',
+    color: 'var(--text-tertiary)',
+    marginBottom: '3px',
+  }
+
+  const fieldValueStyle: React.CSSProperties = {
+    fontSize: '11.5px',
+    fontWeight: 600,
+    color: 'var(--text-primary)',
+  }
+
+  return (
+    <div style={{ marginTop: '24px' }}>
+      <CardHeader dotColor="green" title="LAST CONSULTATION" rightText="Most recent role" />
+
+      <div
+        role="button"
+        tabIndex={0}
+        onClick={handleOpenPanel}
+        onKeyDown={handleKeyDown}
+        style={{
+          display: 'flex',
+          flexWrap: 'wrap',
+          gap: '16px',
+          marginBottom: '14px',
+          paddingBottom: '14px',
+          borderBottom: '1px solid var(--border-light)',
+          cursor: 'pointer',
+          borderRadius: 'var(--radius-sm)',
+          padding: '8px',
+          margin: '-8px -8px 14px -8px',
+          transition: 'background-color 150ms ease-out',
+        }}
+        onMouseEnter={(e) => {
+          e.currentTarget.style.backgroundColor = 'rgba(10,128,128,0.04)'
+        }}
+        onMouseLeave={(e) => {
+          e.currentTarget.style.backgroundColor = 'transparent'
+        }}
+        aria-label={`View full details for ${consultation.role}`}
+      >
+        <div>
+          <div style={fieldLabelStyle}>Date</div>
+          <div style={fieldValueStyle}>{formatDate(consultation.date)}</div>
+        </div>
+        <div>
+          <div style={fieldLabelStyle}>Organisation</div>
+          <div style={fieldValueStyle}>{consultation.organization}</div>
+        </div>
+        <div>
+          <div style={fieldLabelStyle}>Type</div>
+          <div style={fieldValueStyle}>{getEmploymentType()}</div>
+        </div>
+        <div>
+          <div style={fieldLabelStyle}>Band</div>
+          <div style={fieldValueStyle}>{getBand()}</div>
+        </div>
+      </div>
+
+      <div
+        style={{
+          fontSize: '13.5px',
+          fontWeight: 600,
+          color: 'var(--accent)',
+          marginBottom: '12px',
+        }}
+      >
+        {consultation.role}
+      </div>
+
+      <ul
+        style={{
+          listStyle: 'none',
+          padding: 0,
+          margin: 0,
+          display: 'flex',
+          flexDirection: 'column',
+          gap: '7px',
+          marginBottom: '16px',
+        }}
+      >
+        {consultation.examination.map((bullet, index) => (
+          <li
+            key={index}
+            style={{
+              fontSize: '12.5px',
+              color: 'var(--text-primary)',
+              paddingLeft: '16px',
+              lineHeight: '1.5',
+              position: 'relative',
+            }}
+          >
+            <span
+              aria-hidden="true"
+              style={{
+                position: 'absolute',
+                left: '0',
+                top: '7px',
+                width: '5px',
+                height: '5px',
+                borderRadius: '50%',
+                backgroundColor: 'var(--accent)',
+                opacity: 0.5,
+              }}
+            />
+            {bullet}
+          </li>
+        ))}
+      </ul>
+
+      <button
+        onClick={handleOpenPanel}
+        style={{
+          display: 'flex',
+          alignItems: 'center',
+          gap: '6px',
+          fontSize: '12px',
+          fontWeight: 500,
+          color: 'var(--accent)',
+          background: 'transparent',
+          border: 'none',
+          padding: '6px 0',
+          minHeight: '44px',
+          cursor: 'pointer',
+          transition: 'color 150ms ease-out',
+        }}
+        onMouseEnter={(e) => {
+          e.currentTarget.style.color = 'var(--accent-hover)'
+        }}
+        onMouseLeave={(e) => {
+          e.currentTarget.style.color = 'var(--accent)'
+        }}
+        aria-label="View full consultation record"
+      >
+        <span>View full record</span>
+        <ChevronRight size={14} strokeWidth={2.5} />
+      </button>
+    </div>
+  )
+}
+
 export function DashboardLayout() {
   const [commandPaletteOpen, setCommandPaletteOpen] = useState(false)
   const activeSection = useActiveSection()
@@ -197,15 +376,15 @@ export function DashboardLayout() {
             {/* CoreSkillsTile — full width */}
             <CoreSkillsTile />
 
-            {/* LastConsultationTile — full width */}
-            <LastConsultationTile />
-
-            {/* Patient Pathway — parent section with constellation graph */}
+            {/* Patient Pathway — parent section with constellation graph + subsections */}
             <ParentSection title="Patient Pathway" tileId="patient-pathway">
               <CareerConstellation
                 onRoleClick={handleRoleClick}
                 onSkillClick={handleSkillClick}
               />
+
+              {/* Last Consultation subsection */}
+              <LastConsultationSubsection />
             </ParentSection>
 
             {/* EducationTile — full width */}
diff --git a/src/components/tiles/LastConsultationTile.tsx b/src/components/tiles/LastConsultationTile.tsx
deleted file mode 100644
index ac7363a..0000000
--- a/src/components/tiles/LastConsultationTile.tsx
+++ /dev/null
@@ -1,255 +0,0 @@
-import React from 'react'
-import { Card, CardHeader } from '../Card'
-import { consultations } from '@/data/consultations'
-import { useDetailPanel } from '@/contexts/DetailPanelContext'
-import { ChevronRight } from 'lucide-react'
-
-export const LastConsultationTile: React.FC = () => {
-  const { openPanel } = useDetailPanel()
-
-  // Use the most recent consultation (first in array)
-  const consultation = consultations[0]
-
-  const handleOpenPanel = () => {
-    openPanel({ type: 'consultation', consultation })
-  }
-
-  const handleKeyDown = (e: React.KeyboardEvent) => {
-    if (e.key === 'Enter' || e.key === ' ') {
-      e.preventDefault()
-      handleOpenPanel()
-    }
-  }
-
-  // Format date to "May 2025" format
-  const formatDate = (dateStr: string): string => {
-    const date = new Date(dateStr)
-    return date.toLocaleDateString('en-GB', { month: 'long', year: 'numeric' })
-  }
-
-  // Extract employment type from duration string (e.g., "May 2025 — Nov 2025")
-  const getEmploymentType = (): string => {
-    // All ICB roles are Permanent · Full-time (from CV context)
-    if (consultation.organization.includes('ICB')) {
-      return 'Permanent · Full-time'
-    }
-    return 'Permanent'
-  }
-
-  // Extract band from role context - ICB senior roles are typically Band 8a
-  const getBand = (): string => {
-    if (consultation.role.includes('Head')) {
-      return '8a'
-    }
-    return '—'
-  }
-
-  return (
-    <Card full tileId="last-consultation">
-      <CardHeader dotColor="green" title="LAST CONSULTATION" rightText="Most recent role" />
-
-      {/* Header info row - clickable */}
-      <div
-        role="button"
-        tabIndex={0}
-        onClick={handleOpenPanel}
-        onKeyDown={handleKeyDown}
-        style={{
-          display: 'flex',
-          flexWrap: 'wrap',
-          gap: '16px',
-          marginBottom: '14px',
-          paddingBottom: '14px',
-          borderBottom: '1px solid var(--border-light)',
-          cursor: 'pointer',
-          borderRadius: 'var(--radius-sm)',
-          padding: '8px',
-          margin: '-8px -8px 14px -8px',
-          transition: 'background-color 150ms ease-out',
-        }}
-        onMouseEnter={(e) => {
-          e.currentTarget.style.backgroundColor = 'rgba(10,128,128,0.04)'
-        }}
-        onMouseLeave={(e) => {
-          e.currentTarget.style.backgroundColor = 'transparent'
-        }}
-        aria-label={`View full details for ${consultation.role}`}
-      >
-        <div>
-          <div
-            style={{
-              fontSize: '10px',
-              textTransform: 'uppercase',
-              letterSpacing: '0.06em',
-              color: 'var(--text-tertiary)',
-              marginBottom: '3px',
-            }}
-          >
-            Date
-          </div>
-          <div
-            style={{
-              fontSize: '11.5px',
-              fontWeight: 600,
-              color: 'var(--text-primary)',
-            }}
-          >
-            {formatDate(consultation.date)}
-          </div>
-        </div>
-
-        <div>
-          <div
-            style={{
-              fontSize: '10px',
-              textTransform: 'uppercase',
-              letterSpacing: '0.06em',
-              color: 'var(--text-tertiary)',
-              marginBottom: '3px',
-            }}
-          >
-            Organisation
-          </div>
-          <div
-            style={{
-              fontSize: '11.5px',
-              fontWeight: 600,
-              color: 'var(--text-primary)',
-            }}
-          >
-            {consultation.organization}
-          </div>
-        </div>
-
-        <div>
-          <div
-            style={{
-              fontSize: '10px',
-              textTransform: 'uppercase',
-              letterSpacing: '0.06em',
-              color: 'var(--text-tertiary)',
-              marginBottom: '3px',
-            }}
-          >
-            Type
-          </div>
-          <div
-            style={{
-              fontSize: '11.5px',
-              fontWeight: 600,
-              color: 'var(--text-primary)',
-            }}
-          >
-            {getEmploymentType()}
-          </div>
-        </div>
-
-        <div>
-          <div
-            style={{
-              fontSize: '10px',
-              textTransform: 'uppercase',
-              letterSpacing: '0.06em',
-              color: 'var(--text-tertiary)',
-              marginBottom: '3px',
-            }}
-          >
-            Band
-          </div>
-          <div
-            style={{
-              fontSize: '11.5px',
-              fontWeight: 600,
-              color: 'var(--text-primary)',
-            }}
-          >
-            {getBand()}
-          </div>
-        </div>
-      </div>
-
-      {/* Role title */}
-      <div
-        style={{
-          fontSize: '13.5px',
-          fontWeight: 600,
-          color: 'var(--accent)',
-          marginBottom: '12px',
-        }}
-      >
-        {consultation.role}
-      </div>
-
-      {/* Bullet list */}
-      <ul
-        style={{
-          listStyle: 'none',
-          padding: 0,
-          margin: 0,
-          display: 'flex',
-          flexDirection: 'column',
-          gap: '7px',
-          marginBottom: '16px',
-        }}
-      >
-        {consultation.examination.map((bullet, index) => (
-          <li
-            key={index}
-            style={{
-              fontSize: '12.5px',
-              color: 'var(--text-primary)',
-              paddingLeft: '16px',
-              lineHeight: '1.5',
-              position: 'relative',
-            }}
-          >
-            {/* Bullet dot */}
-            <span
-              style={{
-                position: 'absolute',
-                left: '0',
-                top: '7px',
-                width: '5px',
-                height: '5px',
-                borderRadius: '50%',
-                backgroundColor: 'var(--accent)',
-                opacity: 0.5,
-              }}
-            />
-            {bullet}
-          </li>
-        ))}
-      </ul>
-
-      {/* View full record button */}
-      <button
-        onClick={handleOpenPanel}
-        onKeyDown={handleKeyDown}
-        style={{
-          display: 'flex',
-          alignItems: 'center',
-          gap: '6px',
-          fontSize: '12px',
-          fontWeight: 500,
-          color: 'var(--accent)',
-          background: 'transparent',
-          border: 'none',
-          padding: '6px 0',
-          minHeight: '44px',
-          cursor: 'pointer',
-          transition: 'color 150ms ease-out',
-        }}
-        onMouseEnter={(e) => {
-          e.currentTarget.style.color = 'var(--accent-hover)'
-        }}
-        onMouseLeave={(e) => {
-          e.currentTarget.style.color = 'var(--accent)'
-        }}
-        aria-label="View full consultation record"
-      >
-        <span>View full record</span>
-        <ChevronRight size={14} strokeWidth={2.5} />
-      </button>
-    </Card>
-  )
-}