diff --git a/Ralph/prd.json b/Ralph/prd.json
index 87054b2..d2c8b3f 100644
--- a/Ralph/prd.json
+++ b/Ralph/prd.json
@@ -212,7 +212,7 @@
         "Typecheck passes (npm run typecheck)"
       ],
       "priority": 11,
-      "passes": false,
+      "passes": true,
       "notes": "The accessibility buttons are at lines ~661-705 in the JSX. The critical bug is pointerEvents: 'none' on line 688 — change to 'auto'. Also check the containing div at line 658 which also has pointerEvents: 'none' — the buttons inside should override with 'auto'. The constellationNodes.map ordering determines tab order — consider sorting the nodes array for this specific rendering (roles first sorted by startYear desc, then skills grouped by domain). The focus/blur handlers at lines 692-693 already exist and work with the D3 focus ring. The SVG aria-label at line 629 should be updated."
     },
     {
diff --git a/Ralph/progress.txt b/Ralph/progress.txt
index de702b7..f281ce7 100644
--- a/Ralph/progress.txt
+++ b/Ralph/progress.txt
@@ -76,6 +76,8 @@
 - callbacksRef pattern in CareerConstellation prevents stale closures — always add new callbacks there
 - LastConsultationSubsection is defined inline in DashboardLayout.tsx, not a separate file
 - Link lines are `<path>` elements (not `<line>`) using quadratic bezier curves — tick handler sets `d` attr, not x1/y1/x2/y2. CSS transitions handle highlight animations on stroke properties
+- Accessibility buttons are overlaid React `<button>` elements at opacity 0 — container div has pointerEvents 'none', buttons have 'auto'. Tab order is controlled by DOM order (sort the array before .map())
+- Focus on an accessibility button should call `highlightGraphRef.current?.(node.id)` to trigger the D3 focus ring and graph highlights — otherwise keyboard users can't see which node they've tabbed to
 - Force simulation parameters: role forceX/Y strength ~1.0, skill forceX/Y ~0.18, charge -120 (role) / -55 (skill), link distance 72, collide iterations 2
 - Role homeX uses consistent offset (`timelineX + 80 + ROLE_WIDTH/2`), no jitter — roles align vertically
 - Skill homeX pushed right of roles: `skillSpaceStart = roleX + ROLE_WIDTH/2 + 40` ensures skills cluster in the right-side space
@@ -180,3 +182,21 @@
   - The `javascript-typescript` skill node exists but has no constellationLinks entries — it appears in the graph as a disconnected node, which is intentional since JS/TS isn't attributed to any specific role
   - codedEntries arrays in consultations.ts are portfolio-specific shorthand codes, not from the CV — they're part of the clinical metaphor design
 ---
+
+## 2026-02-16 - US-011
+- Fixed accessibility button `pointerEvents` from `'none'` to `'auto'` so buttons are actually focusable and clickable
+- Sorted accessibility buttons for tab order: roles in reverse-chronological order (Interim Head → Deputy Head → HCD → Pharm Mgr), then skills grouped by domain (technical → clinical → leadership), alphabetically within each domain
+- Added focus ring for skill nodes (circle with radius SKILL_RADIUS_ACTIVE + 3) — previously only role nodes had focus rings
+- Updated focus ring stroke to use `var(--accent)` instead of hardcoded `#0D6E6E`
+- Updated SVG `aria-label` to mention "Clinical pathway constellation" and reverse-chronological order
+- Added keyboard focus triggers: when a button receives focus, the corresponding node highlights in the graph and fires `onNodeHover` for bidirectional highlighting
+- On blur, highlight reverts to pinned node state (or clears)
+- Verified prefers-reduced-motion is already properly respected throughout (no changes needed)
+- Files changed: src/components/CareerConstellation.tsx, Ralph/prd.json, Ralph/progress.txt
+- **Learnings for future iterations:**
+  - The accessibility buttons are React `<button>` elements overlaid on top of the SVG, positioned via `nodeButtonPositions` state — they are invisible (opacity: 0) but focusable
+  - The containing div has `pointerEvents: 'none'` correctly — only the buttons inside override with `pointerEvents: 'auto'`
+  - Tab order is determined by DOM order of the buttons, not by any `tabindex` — sorting the `constellationNodes` array before `.map()` controls the tab sequence
+  - Focus on a button should trigger `highlightGraphRef.current?.(node.id)` to show the D3 focus ring AND highlight connected nodes — without this, keyboard users can't see which node they've tabbed to
+  - The focus ring useEffect syncs `focusedNodeId` → D3 `.focus-ring` elements; it clears all first then applies to the focused one
+---
diff --git a/src/components/CareerConstellation.tsx b/src/components/CareerConstellation.tsx
index 27b0494..efbe546 100644
--- a/src/components/CareerConstellation.tsx
+++ b/src/components/CareerConstellation.tsx
@@ -374,6 +374,14 @@ const CareerConstellation: React.FC<CareerConstellationProps> = ({
       .attr('pointer-events', 'none')
       .text(d => d.shortLabel ?? d.label.slice(0, 12))
 
+    nodeSelection.filter(d => d.type === 'skill')
+      .append('circle')
+      .attr('class', 'focus-ring')
+      .attr('r', SKILL_RADIUS_ACTIVE + 3)
+      .attr('fill', 'none')
+      .attr('stroke', 'transparent')
+      .attr('stroke-width', 2)
+
     nodeSelection.filter(d => d.type === 'skill')
       .append('circle')
       .attr('class', 'node-circle')
@@ -657,7 +665,8 @@ const CareerConstellation: React.FC<CareerConstellationProps> = ({
       svg.selectAll<SVGGElement, SimNode>('g.node')
         .filter(d => d.id === focusedNodeId)
         .select('.focus-ring')
-        .attr('stroke', '#0D6E6E')
+        .attr('stroke', 'var(--accent)')
+        .attr('stroke-width', 2)
     }
   }, [focusedNodeId])
 
@@ -683,7 +692,7 @@ const CareerConstellation: React.FC<CareerConstellationProps> = ({
         height={dimensions.height}
         viewBox={`0 0 ${dimensions.width} ${dimensions.height}`}
         role="img"
-        aria-label="Career constellation showing roles and skills across career timeline"
+        aria-label="Clinical pathway constellation showing career roles and skills in reverse-chronological order along a vertical timeline"
         style={{ display: 'block' }}
       />
 
@@ -756,7 +765,21 @@ const CareerConstellation: React.FC<CareerConstellationProps> = ({
           pointerEvents: 'none',
         }}
       >
-        {constellationNodes.map(node => {
+        {(() => {
+          const domainOrder: Record<string, number> = { technical: 0, clinical: 1, leadership: 2 }
+          const sorted = [...constellationNodes].sort((a, b) => {
+            if (a.type === 'role' && b.type !== 'role') return -1
+            if (a.type !== 'role' && b.type === 'role') return 1
+            if (a.type === 'role' && b.type === 'role') {
+              return (b.startYear ?? 0) - (a.startYear ?? 0)
+            }
+            const da = domainOrder[a.domain ?? 'technical'] ?? 0
+            const db = domainOrder[b.domain ?? 'technical'] ?? 0
+            if (da !== db) return da - db
+            return (a.label ?? '').localeCompare(b.label ?? '')
+          })
+          return sorted
+        })().map(node => {
           const yearRange = node.endYear
             ? `${node.startYear}-${node.endYear}`
             : `${node.startYear}-present`
@@ -784,12 +807,22 @@ const CareerConstellation: React.FC<CareerConstellationProps> = ({
                 background: 'transparent',
                 border: 'none',
                 cursor: 'pointer',
-                pointerEvents: 'none',
+                pointerEvents: 'auto',
                 padding: 0,
                 opacity: 0,
               }}
-              onFocus={() => setFocusedNodeId(node.id)}
-              onBlur={() => setFocusedNodeId(null)}
+              onFocus={() => {
+                setFocusedNodeId(node.id)
+                highlightGraphRef.current?.(node.id)
+                if (node.type === 'role') {
+                  onNodeHover?.(node.id)
+                }
+              }}
+              onBlur={() => {
+                setFocusedNodeId(null)
+                highlightGraphRef.current?.(pinnedNodeId)
+                onNodeHover?.(pinnedNodeId)
+              }}
               onClick={() => {
                 setPinnedNodeId(node.id)
                 if (node.type === 'role') {