diff --git a/src/App.tsx b/src/App.tsx
index 32c945a..0e3c6b1 100644
--- a/src/App.tsx
+++ b/src/App.tsx
@@ -3,20 +3,13 @@ import type { Phase } from './types'
 import { BootSequence } from './components/BootSequence'
 import { ECGAnimation } from './components/ECGAnimation'
 import { LoginScreen } from './components/LoginScreen'
-import { FloatingNav } from './components/FloatingNav'
-import { Hero } from './components/Hero'
-import { Skills } from './components/Skills'
-import { Experience } from './components/Experience'
-import { Education } from './components/Education'
-import { Projects } from './components/Projects'
-import { Contact } from './components/Contact'
-import { Footer } from './components/Footer'
+import { PMRInterface } from './components/PMRInterface'
 
 function App() {
   const [phase, setPhase] = useState<Phase>('boot')
 
   return (
-    <div className="min-h-screen bg-white">
+    <div className="min-h-screen">
       {phase === 'boot' && (
         <BootSequence onComplete={() => setPhase('ecg')} />
       )}
@@ -26,28 +19,10 @@ function App() {
       )}
       
       {phase === 'login' && (
-        <LoginScreen onComplete={() => setPhase('content')} />
+        <LoginScreen onComplete={() => setPhase('pmr')} />
       )}
       
-      {phase === 'content' && (
-        <>
-          <FloatingNav />
-          <main className="max-w-[1000px] mx-auto px-5 xs:px-6 md:px-8">
-            <Hero />
-            
-            <Skills />
-
-            <Experience />
-
-            <Education />
-
-            <Projects />
-
-            <Contact />
-          </main>
-          <Footer />
-        </>
-      )}
+      {phase === 'pmr' && <PMRInterface />}
     </div>
   )
 }
diff --git a/src/components/ClinicalSidebar.tsx b/src/components/ClinicalSidebar.tsx
new file mode 100644
index 0000000..3a5aa46
--- /dev/null
+++ b/src/components/ClinicalSidebar.tsx
@@ -0,0 +1,217 @@
+import { useState, useEffect, useCallback, useMemo } from 'react'
+import {
+  ClipboardList,
+  FileText,
+  Pill,
+  AlertTriangle,
+  FlaskConical,
+  FolderOpen,
+  Send,
+  Search,
+  X,
+} from 'lucide-react'
+import type { ViewId } from '../types/pmr'
+
+interface NavItem {
+  id: ViewId
+  label: string
+  icon: React.ReactNode
+}
+
+interface ClinicalSidebarProps {
+  activeView: ViewId
+  onViewChange: (view: ViewId) => void
+}
+
+const navItems: NavItem[] = [
+  { id: 'summary', label: 'Summary', icon: <ClipboardList size={18} /> },
+  { id: 'consultations', label: 'Consultations', icon: <FileText size={18} /> },
+  { id: 'medications', label: 'Medications', icon: <Pill size={18} /> },
+  { id: 'problems', label: 'Problems', icon: <AlertTriangle size={18} /> },
+  { id: 'investigations', label: 'Investigations', icon: <FlaskConical size={18} /> },
+  { id: 'documents', label: 'Documents', icon: <FolderOpen size={18} /> },
+  { id: 'referrals', label: 'Referrals', icon: <Send size={18} /> },
+]
+
+function getCurrentTime(): string {
+  const now = new Date()
+  return now.toLocaleTimeString('en-GB', {
+    hour: '2-digit',
+    minute: '2-digit',
+  })
+}
+
+export function ClinicalSidebar({ activeView, onViewChange }: ClinicalSidebarProps) {
+  const [currentTime, setCurrentTime] = useState(getCurrentTime)
+  const [searchQuery, setSearchQuery] = useState('')
+  const [isSearchFocused, setIsSearchFocused] = useState(false)
+
+  useEffect(() => {
+    const interval = setInterval(() => {
+      setCurrentTime(getCurrentTime())
+    }, 60000)
+    return () => clearInterval(interval)
+  }, [])
+
+  useEffect(() => {
+    const handleHashChange = () => {
+      const hash = window.location.hash.slice(1) as ViewId
+      if (navItems.some(item => item.id === hash)) {
+        onViewChange(hash)
+      }
+    }
+
+    handleHashChange()
+    window.addEventListener('hashchange', handleHashChange)
+    return () => window.removeEventListener('hashchange', handleHashChange)
+  }, [onViewChange])
+
+  useEffect(() => {
+    const handleKeyDown = (e: KeyboardEvent) => {
+      if (e.altKey && e.key >= '1' && e.key <= '7') {
+        e.preventDefault()
+        const index = parseInt(e.key) - 1
+        if (navItems[index]) {
+          const view = navItems[index].id
+          onViewChange(view)
+          window.location.hash = view
+        }
+      }
+      if (e.key === '/' && !isSearchFocused && document.activeElement?.tagName !== 'INPUT') {
+        e.preventDefault()
+        const searchInput = document.getElementById('sidebar-search')
+        searchInput?.focus()
+      }
+    }
+
+    window.addEventListener('keydown', handleKeyDown)
+    return () => window.removeEventListener('keydown', handleKeyDown)
+  }, [onViewChange, isSearchFocused])
+
+  const handleNavClick = useCallback(
+    (view: ViewId) => {
+      onViewChange(view)
+      window.location.hash = view
+    },
+    [onViewChange]
+  )
+
+  const handleSearchKeyDown = (e: React.KeyboardEvent<HTMLInputElement>) => {
+    if (e.key === 'Escape') {
+      setSearchQuery('')
+      ;(e.target as HTMLInputElement).blur()
+    }
+  }
+
+  const clearSearch = () => {
+    setSearchQuery('')
+    const searchInput = document.getElementById('sidebar-search')
+    searchInput?.focus()
+  }
+
+  const filteredItems = useMemo(() => {
+    if (!searchQuery.trim()) return []
+    const query = searchQuery.toLowerCase()
+    return navItems.filter(item =>
+      item.label.toLowerCase().includes(query)
+    )
+  }, [searchQuery])
+
+  return (
+    <aside
+      role="navigation"
+      aria-label="Clinical record navigation"
+      className="hidden lg:flex flex-col w-[220px] h-screen sticky top-0 bg-pmr-sidebar text-white"
+    >
+      <div className="p-4 border-b border-white/10">
+        <div className="font-inter font-medium text-[13px] text-white/50 leading-tight">
+          CareerRecord PMR
+        </div>
+        <div className="font-inter text-[11px] text-white/40 mt-0.5">v1.0.0</div>
+      </div>
+
+      <div className="p-3 border-b border-white/10">
+        <div className="relative">
+          <Search
+            size={14}
+            className="absolute left-2.5 top-1/2 -translate-y-1/2 text-white/40 pointer-events-none"
+          />
+          <input
+            id="sidebar-search"
+            type="text"
+            placeholder="Search record..."
+            value={searchQuery}
+            onChange={e => setSearchQuery(e.target.value)}
+            onFocus={() => setIsSearchFocused(true)}
+            onBlur={() => setIsSearchFocused(false)}
+            onKeyDown={handleSearchKeyDown}
+            className="w-full h-9 pl-8 pr-7 bg-white/5 border border-white/10 rounded text-sm font-inter text-white placeholder-white/40 focus:outline-none focus:border-pmr-nhsblue focus:bg-white/10 transition-colors"
+          />
+          {searchQuery && (
+            <button
+              type="button"
+              onClick={clearSearch}
+              className="absolute right-2 top-1/2 -translate-y-1/2 text-white/40 hover:text-white/70 transition-colors"
+              aria-label="Clear search"
+            >
+              <X size={14} />
+            </button>
+          )}
+          {searchQuery && filteredItems.length > 0 && (
+            <div className="absolute top-full left-0 right-0 mt-1 bg-pmr-sidebar border border-white/10 rounded overflow-hidden z-50">
+              {filteredItems.map(item => (
+                <button
+                  key={item.id}
+                  type="button"
+                  onClick={() => {
+                    handleNavClick(item.id)
+                    setSearchQuery('')
+                  }}
+                  className="w-full flex items-center gap-3 px-3 py-2.5 text-left hover:bg-white/10 transition-colors"
+                >
+                  <span className="text-white/60">{item.icon}</span>
+                  <span className="font-inter text-sm">{item.label}</span>
+                </button>
+              ))}
+            </div>
+          )}
+        </div>
+      </div>
+
+      <nav className="flex-1 py-2 overflow-y-auto">
+        <ul role="list">
+          {navItems.map((item, index) => (
+            <li key={item.id}>
+              {index === 1 && (
+                <div className="mx-3 my-1 border-t border-white/10" role="separator" />
+              )}
+              <button
+                type="button"
+                role="menuitem"
+                aria-current={activeView === item.id ? 'page' : undefined}
+                onClick={() => handleNavClick(item.id)}
+                className={`w-full flex items-center gap-3 h-11 px-4 text-left transition-colors ${
+                  activeView === item.id
+                    ? 'text-white bg-white/12 border-l-[3px] border-pmr-nhsblue font-semibold'
+                    : 'text-white/70 hover:text-white hover:bg-white/8'
+                }`}
+              >
+                <span className={activeView === item.id ? 'text-white' : 'text-white/60'}>
+                  {item.icon}
+                </span>
+                <span className="font-inter text-sm">{item.label}</span>
+              </button>
+            </li>
+          ))}
+        </ul>
+      </nav>
+
+      <div className="p-4 border-t border-white/10">
+        <div className="font-inter text-[11px] text-slate-400 leading-relaxed">
+          <div>Session: A.CHARLWOOD</div>
+          <div>Logged in: {currentTime}</div>
+        </div>
+      </div>
+    </aside>
+  )
+}
diff --git a/src/components/PMRInterface.tsx b/src/components/PMRInterface.tsx
new file mode 100644
index 0000000..dac3d73
--- /dev/null
+++ b/src/components/PMRInterface.tsx
@@ -0,0 +1,54 @@
+import { useState } from 'react'
+import type { ViewId } from '../types/pmr'
+import { ClinicalSidebar } from './ClinicalSidebar'
+import { PatientBanner } from './PatientBanner'
+
+interface PMRInterfaceProps {
+  children?: React.ReactNode
+}
+
+export function PMRInterface({ children }: PMRInterfaceProps) {
+  const [activeView, setActiveView] = useState<ViewId>(() => {
+    const hash = window.location.hash.slice(1) as ViewId
+    const validViews: ViewId[] = [
+      'summary',
+      'consultations',
+      'medications',
+      'problems',
+      'investigations',
+      'documents',
+      'referrals',
+    ]
+    return validViews.includes(hash) ? hash : 'summary'
+  })
+
+  const handleViewChange = (view: ViewId) => {
+    setActiveView(view)
+  }
+
+  return (
+    <div className="min-h-screen bg-pmr-content">
+      <PatientBanner />
+      <div className="flex">
+        <ClinicalSidebar activeView={activeView} onViewChange={handleViewChange} />
+        <main
+          role="main"
+          className="flex-1 min-h-[calc(100vh-80px)] p-6"
+        >
+          {children ? (
+            children
+          ) : (
+            <div className="bg-white border border-gray-200 rounded p-6">
+              <h1 className="font-inter font-semibold text-lg text-gray-900 capitalize">
+                {activeView} View
+              </h1>
+              <p className="font-inter text-sm text-gray-500 mt-2">
+                Content for {activeView} will be implemented in a separate task.
+              </p>
+            </div>
+          )}
+        </main>
+      </div>
+    </div>
+  )
+}
diff --git a/src/types/index.ts b/src/types/index.ts
index 2d46edd..64356a7 100644
--- a/src/types/index.ts
+++ b/src/types/index.ts
@@ -33,7 +33,7 @@ export interface ContactItem {
   href?: string
 }
 
-export type Phase = 'boot' | 'ecg' | 'login' | 'content'
+export type Phase = 'boot' | 'ecg' | 'login' | 'pmr'
 
 export interface BootLine {
   html: string