diff --git a/src/components/DashboardLayout.tsx b/src/components/DashboardLayout.tsx
index 60cea4b..95391b0 100644
--- a/src/components/DashboardLayout.tsx
+++ b/src/components/DashboardLayout.tsx
@@ -5,6 +5,7 @@ import Sidebar from './Sidebar'
 import { PatientSummaryTile } from './tiles/PatientSummaryTile'
 import { LatestResultsTile } from './tiles/LatestResultsTile'
 import { CoreSkillsTile } from './tiles/CoreSkillsTile'
+import { LastConsultationTile } from './tiles/LastConsultationTile'
 
 const prefersReducedMotion = window.matchMedia('(prefers-reduced-motion: reduce)').matches
 
@@ -103,7 +104,10 @@ export function DashboardLayout() {
             <LatestResultsTile />
             {/* CoreSkillsTile — half width (right) */}
             <CoreSkillsTile />
+
             {/* LastConsultationTile — full width */}
+            <LastConsultationTile />
+
             {/* CareerActivityTile — full width */}
             {/* EducationTile — full width */}
             {/* ProjectsTile — full width */}
diff --git a/src/components/tiles/LastConsultationTile.tsx b/src/components/tiles/LastConsultationTile.tsx
new file mode 100644
index 0000000..685fc70
--- /dev/null
+++ b/src/components/tiles/LastConsultationTile.tsx
@@ -0,0 +1,193 @@
+import React from 'react'
+import { Card, CardHeader } from '../Card'
+import { consultations } from '@/data/consultations'
+
+export const LastConsultationTile: React.FC = () => {
+  // Use the most recent consultation (first in array)
+  const consultation = consultations[0]
+
+  // 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>
+      <CardHeader dotColor="green" title="LAST CONSULTATION" rightText="Most recent role" />
+
+      {/* Header info row */}
+      <div
+        style={{
+          display: 'flex',
+          flexWrap: 'wrap',
+          gap: '16px',
+          marginBottom: '14px',
+          paddingBottom: '14px',
+          borderBottom: '1px solid var(--border-light)',
+        }}
+      >
+        <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',
+        }}
+      >
+        {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>
+    </Card>
+  )
+}