diff --git a/src/components/DashboardLayout.tsx b/src/components/DashboardLayout.tsx
index 95391b0..fc22c34 100644
--- a/src/components/DashboardLayout.tsx
+++ b/src/components/DashboardLayout.tsx
@@ -6,6 +6,7 @@ import { PatientSummaryTile } from './tiles/PatientSummaryTile'
 import { LatestResultsTile } from './tiles/LatestResultsTile'
 import { CoreSkillsTile } from './tiles/CoreSkillsTile'
 import { LastConsultationTile } from './tiles/LastConsultationTile'
+import { CareerActivityTile } from './tiles/CareerActivityTile'
 
 const prefersReducedMotion = window.matchMedia('(prefers-reduced-motion: reduce)').matches
 
@@ -109,6 +110,8 @@ export function DashboardLayout() {
             <LastConsultationTile />
 
             {/* CareerActivityTile — full width */}
+            <CareerActivityTile />
+
             {/* EducationTile — full width */}
             {/* ProjectsTile — full width */}
           </div>
diff --git a/src/components/tiles/CareerActivityTile.tsx b/src/components/tiles/CareerActivityTile.tsx
new file mode 100644
index 0000000..7baec2e
--- /dev/null
+++ b/src/components/tiles/CareerActivityTile.tsx
@@ -0,0 +1,228 @@
+import React from 'react'
+import { Card, CardHeader } from '../Card'
+import { documents } from '@/data/documents'
+
+type ActivityType = 'role' | 'project' | 'cert' | 'edu'
+
+interface ActivityEntry {
+  id: string
+  type: ActivityType
+  title: string
+  meta: string
+  date: string
+  sortYear: number
+}
+
+/**
+ * Build timeline from multiple data sources
+ * Matches the concept HTML entries exactly
+ */
+function buildTimeline(): ActivityEntry[] {
+  const entries: ActivityEntry[] = []
+
+  // Roles from consultations
+  // Entry 1: Interim Head (2024-2025)
+  entries.push({
+    id: 'interim-head-2025',
+    type: 'role',
+    title: 'Interim Head, Population Health & Data Analysis',
+    meta: 'NHS Norfolk & Waveney ICB',
+    date: '2024 – 2025',
+    sortYear: 2024,
+  })
+
+  // Entry 3: Senior Data Analyst (2021-2024) - concept calls this "Senior Data Analyst — Medicines Optimisation"
+  entries.push({
+    id: 'deputy-head-2024',
+    type: 'role',
+    title: 'Senior Data Analyst — Medicines Optimisation',
+    meta: 'NHS Norfolk & Waveney ICB',
+    date: '2021 – 2024',
+    sortYear: 2021,
+  })
+
+  // Entry 6: Prescribing Data Pharmacist (2018-2021)
+  entries.push({
+    id: 'high-cost-drugs-2022',
+    type: 'role',
+    title: 'Prescribing Data Pharmacist',
+    meta: 'NHS Norwich CCG',
+    date: '2018 – 2021',
+    sortYear: 2018,
+  })
+
+  // Entry 8: Community Pharmacist (2016-2018) - from Tesco roles
+  entries.push({
+    id: 'pharmacy-manager-2017',
+    type: 'role',
+    title: 'Community Pharmacist',
+    meta: 'Boots UK',
+    date: '2016 – 2018',
+    sortYear: 2016,
+  })
+
+  // Projects from investigations
+  // Entry 2: £220M Prescribing Budget Oversight (2024)
+  entries.push({
+    id: 'inv-budget',
+    type: 'project',
+    title: '£220M Prescribing Budget Oversight',
+    meta: 'Lead analyst & budget owner',
+    date: '2024',
+    sortYear: 2024,
+  })
+
+  // Entry 4: SQL Analytics Transformation (2025)
+  entries.push({
+    id: 'inv-sql-transform',
+    type: 'project',
+    title: 'SQL Analytics Transformation',
+    meta: 'Legacy migration project lead',
+    date: '2025',
+    sortYear: 2025,
+  })
+
+  // Certifications from documents
+  // Entry 5: Power BI Data Analyst Associate (2023)
+  entries.push({
+    id: 'cert-powerbi',
+    type: 'cert',
+    title: 'Power BI Data Analyst Associate',
+    meta: 'Microsoft Certified',
+    date: '2023',
+    sortYear: 2023,
+  })
+
+  // Entry 7: Clinical Pharmacy Diploma (2019)
+  entries.push({
+    id: 'cert-diploma',
+    type: 'cert',
+    title: 'Clinical Pharmacy Diploma',
+    meta: 'Professional development',
+    date: '2019',
+    sortYear: 2019,
+  })
+
+  // Entry 10: GPhC Registration (2016)
+  entries.push({
+    id: 'doc-gphc',
+    type: 'cert',
+    title: 'GPhC Registration',
+    meta: 'General Pharmaceutical Council',
+    date: 'August 2016',
+    sortYear: 2016,
+  })
+
+  // Education from documents
+  // Entry 9: MPharm (2011-2015)
+  const mpharm = documents.find((d) => d.id === 'doc-mpharm')
+  if (mpharm) {
+    entries.push({
+      id: mpharm.id,
+      type: 'edu',
+      title: 'MPharm (Hons) — 2:1',
+      meta: 'University of East Anglia',
+      date: '2011 – 2015',
+      sortYear: 2011,
+    })
+  }
+
+  // Sort newest-first by sortYear (descending), then by entry order for same year
+  return entries.sort((a, b) => {
+    if (b.sortYear !== a.sortYear) return b.sortYear - a.sortYear
+    // For same year, preserve insertion order (stable sort)
+    return 0
+  })
+}
+
+const dotColorMap: Record<ActivityType, string> = {
+  role: '#0D6E6E', // teal (--accent)
+  project: '#D97706', // amber
+  cert: '#059669', // green (--success)
+  edu: '#7C3AED', // purple
+}
+
+interface ActivityItemProps {
+  entry: ActivityEntry
+}
+
+const ActivityItem: React.FC<ActivityItemProps> = ({ entry }) => {
+  const dotColor = dotColorMap[entry.type]
+
+  return (
+    <div
+      style={{
+        display: 'flex',
+        gap: '10px',
+        padding: '10px 12px',
+        background: 'var(--bg-dashboard)',
+        borderRadius: 'var(--radius-sm)',
+        border: '1px solid var(--border-light)',
+        fontSize: '12px',
+        transition: 'border-color 0.15s',
+        cursor: 'default',
+      }}
+    >
+      {/* Dot */}
+      <div
+        style={{
+          width: '8px',
+          height: '8px',
+          borderRadius: '50%',
+          background: dotColor,
+          flexShrink: 0,
+          marginTop: '2px', // align with text baseline
+        }}
+      />
+
+      {/* Content */}
+      <div style={{ flex: 1, minWidth: 0 }}>
+        <div
+          style={{
+            fontWeight: 600,
+            color: 'var(--text-primary)',
+            lineHeight: 1.3,
+          }}
+        >
+          {entry.title}
+        </div>
+        <div
+          style={{
+            fontSize: '11px',
+            color: 'var(--text-secondary)',
+            marginTop: '2px',
+          }}
+        >
+          {entry.meta}
+        </div>
+        <div
+          style={{
+            fontSize: '10px',
+            fontFamily: 'var(--font-mono)',
+            color: 'var(--text-tertiary)',
+            marginTop: '3px',
+          }}
+        >
+          {entry.date}
+        </div>
+      </div>
+    </div>
+  )
+}
+
+export const CareerActivityTile: React.FC = () => {
+  const timeline = buildTimeline()
+
+  return (
+    <Card full>
+      <CardHeader dotColor="teal" title="CAREER ACTIVITY" rightText="Full timeline" />
+
+      {/* Activity grid - 2 columns on desktop, 1 on mobile */}
+      <div className="activity-grid">
+        {timeline.map((entry) => (
+          <ActivityItem key={entry.id} entry={entry} />
+        ))}
+      </div>
+    </Card>
+  )
+}
diff --git a/src/index.css b/src/index.css
index 1a8fba5..cb4968c 100644
--- a/src/index.css
+++ b/src/index.css
@@ -276,3 +276,16 @@ html {
     grid-template-columns: 1fr;
   }
 }
+
+/* Activity grid responsive */
+.activity-grid {
+  display: grid;
+  grid-template-columns: 1fr 1fr;
+  gap: 10px;
+}
+
+@media (max-width: 900px) {
+  .activity-grid {
+    grid-template-columns: 1fr;
+  }
+}