diff --git a/app/Http/Controllers/Care/ConsultationController.php b/app/Http/Controllers/Care/ConsultationController.php
index a24837d..ee75cdc 100644
--- a/app/Http/Controllers/Care/ConsultationController.php
+++ b/app/Http/Controllers/Care/ConsultationController.php
@@ -10,8 +10,11 @@ use App\Models\Consultation;
 use App\Models\InvestigationType;
 use App\Models\Practitioner;
 use App\Services\Care\AssessmentService;
+use App\Services\Care\BranchContext;
 use App\Services\Care\CareFeatures;
 use App\Services\Care\CarePermissions;
+use App\Services\Care\CareQueueBridge;
+use App\Services\Care\CareQueueContexts;
 use App\Services\Care\ConsultationReturnContext;
 use App\Services\Care\ConsultationService;
 use App\Services\Care\OrganizationResolver;
@@ -170,6 +173,24 @@ class ConsultationController extends Controller
             ->orderBy('name')
             ->get();
 
+        $queueIntegration = ['enabled' => false];
+        $queueBranchId = null;
+        $queueBridge = app(CareQueueBridge::class);
+        if ($permissions->handlesFloorCare($member) && $queueBridge->isEnabled($organization)) {
+            $queueBranchId = app(BranchContext::class)->resolve($request, $organization, $member)
+                ?: (int) ($consultation->practitioner?->branch_id
+                    ?: $consultation->visit?->branch_id
+                    ?: $consultation->appointment?->branch_id
+                    ?: 0);
+            if ($queueBranchId > 0) {
+                $queueIntegration = $queueBridge->listMeta(
+                    $organization,
+                    CareQueueContexts::CONSULTATION,
+                    $queueBranchId,
+                );
+            }
+        }
+
         return view('care.consultations.show', [
             'consultation' => $consultation,
             'practitioners' => $practitioners,
@@ -193,6 +214,8 @@ class ConsultationController extends Controller
             'pathwaySuggestions' => $pathwaySuggestions,
             'activePathways' => $activePathways,
             'pathwayInstruments' => $pathwayInstruments ?? collect(),
+            'queueIntegration' => $queueIntegration,
+            'queueBranchId' => $queueBranchId,
         ]);
     }
 
diff --git a/resources/css/app.css b/resources/css/app.css
index 56c8311..7accbdc 100644
--- a/resources/css/app.css
+++ b/resources/css/app.css
@@ -308,6 +308,27 @@ html.qr-mobile-page body {
     .btn-fab:hover {
         filter: brightness(0.92);
     }
+
+    /* Consultation / specialty action FAB — sits above mobile bottom nav */
+    .clinical-actions-fab {
+        position: fixed;
+        right: 1rem;
+        bottom: calc(4rem + env(safe-area-inset-bottom, 0px) + 0.75rem);
+        z-index: 45;
+        display: inline-flex;
+        height: 3.25rem;
+        width: 3.25rem;
+        align-items: center;
+        justify-content: center;
+        border-radius: 9999px;
+        background-image: linear-gradient(to right, rgb(79 70 229), rgb(124 58 237));
+        color: #fff;
+        box-shadow: 0 10px 15px -3px rgb(0 0 0 / 0.15), 0 4px 6px -4px rgb(0 0 0 / 0.1);
+    }
+
+    .clinical-actions-fab:hover {
+        filter: brightness(0.95);
+    }
 }
 
 
diff --git a/resources/views/care/consultations/partials/actions-menu.blade.php b/resources/views/care/consultations/partials/actions-menu.blade.php
new file mode 100644
index 0000000..bac418d
--- /dev/null
+++ b/resources/views/care/consultations/partials/actions-menu.blade.php
@@ -0,0 +1,60 @@
+{{-- Action buttons for consultation show (desktop sticky + mobile sheet). --}}
+@php
+    $canEdit = ! $isCompleted && ($canManage || $canVitals);
+    $btn = 'flex w-full items-center justify-center rounded-xl px-3 py-2.5 text-sm font-semibold transition';
+    $btnPrimary = $btn.' bg-indigo-600 text-white hover:bg-indigo-700';
+    $btnSecondary = $btn.' border border-slate-200 bg-white text-slate-800 hover:bg-slate-50';
+    $btnAccent = $btn.' border border-sky-200 bg-sky-50 text-sky-900 hover:bg-sky-100';
+@endphp
+
+@include('care.partials.queue-ops', [
+    'queueIntegration' => $queueIntegration ?? null,
+    'queueCallNextRoute' => 'care.queue.call-next',
+    'queueCallNextParams' => [],
+    'branchId' => $queueBranchId ?? null,
+])
+
+@if ($canManage && ! $isCompleted)
+    <button
+        type="button"
+        class="{{ $btnPrimary }}"
+        @click.stop="$dispatch('open-modal', {{ \Illuminate\Support\Js::from('complete-consultation-'.$consultation->id) }})"
+    >
+        Complete consultation
+    </button>
+@endif
+
+@if ($canEdit)
+    <button type="submit" form="consultation-form" class="{{ $btnPrimary }}">Save</button>
+    @if ($canManage && ($canViewAssessments ?? false))
+        <button type="submit" form="consultation-form" name="suggest_pathways" value="1" class="{{ $btnAccent }}">
+            Show condition suggestions
+        </button>
+    @endif
+@endif
+
+@if ($canPrescribe)
+    <a href="{{ route('care.prescriptions.create', [$consultation, 'from_consultation' => $consultation->uuid]) }}" class="{{ $btnSecondary }}">
+        Prescribe
+    </a>
+@endif
+
+@if ($canRequestInvestigations && $investigationTypes->isNotEmpty() && ! $isCompleted)
+    <button
+        type="button"
+        class="{{ $btnSecondary }}"
+        @click.stop="$dispatch('open-modal', {{ \Illuminate\Support\Js::from('request-investigations-'.$consultation->id) }})"
+    >
+        Request investigations
+    </button>
+@endif
+
+@if ($canGenerateBill && $isCompleted && $consultation->visit)
+    <form method="POST" action="{{ route('care.bills.generate', $consultation->visit) }}" class="w-full" @click.stop>
+        @csrf
+        <input type="hidden" name="from_consultation" value="{{ $consultation->uuid }}">
+        <button type="submit" class="{{ $btn }} w-full bg-slate-800 text-white hover:bg-slate-900">Generate bill</button>
+    </form>
+@endif
+
+<a href="{{ route('care.queue.index') }}" class="{{ $btnSecondary }}">Back to queue</a>
diff --git a/resources/views/care/consultations/show.blade.php b/resources/views/care/consultations/show.blade.php
index 3506a73..0e24190 100644
--- a/resources/views/care/consultations/show.blade.php
+++ b/resources/views/care/consultations/show.blade.php
@@ -1,4 +1,6 @@
 <x-app-layout :title="'Consultation · '.$consultation->patient->fullName()">
+    <div class="lg:grid lg:grid-cols-[minmax(0,1fr)_16rem] lg:items-start lg:gap-6">
+        <div class="min-w-0">
     <div class="flex flex-col gap-4 sm:flex-row sm:items-start sm:justify-between">
         <div>
             <p class="text-xs font-medium uppercase tracking-wide {{ $isCompleted ? 'text-emerald-600' : 'text-amber-600' }}">
@@ -10,65 +12,19 @@
                 @if ($consultation->practitioner) · {{ $consultation->practitioner->name }} @endif
             </p>
         </div>
-        @if ($canManage && ! $isCompleted)
-            <x-confirm-dialog
-                :name="'complete-consultation-'.$consultation->id"
-                title="Complete this consultation?"
-                message="Mark the consultation as finished. You can still prescribe or generate a bill afterward."
-                :action="route('care.consultations.complete', $consultation)"
-                confirm-label="Complete consultation"
-                variant="primary"
-            >
-                <x-slot:trigger>
-                    <button type="button" class="btn-primary">Complete consultation</button>
-                </x-slot:trigger>
-            </x-confirm-dialog>
-        @endif
-        @if ($canPrescribe)
-            <a href="{{ route('care.prescriptions.create', [$consultation, 'from_consultation' => $consultation->uuid]) }}" class="rounded-lg border border-slate-200 bg-white px-4 py-2 text-sm font-medium text-slate-700 hover:bg-slate-50">Prescribe</a>
-        @endif
-        @if ($canGenerateBill && $isCompleted && $consultation->visit)
-            <form method="POST" action="{{ route('care.bills.generate', $consultation->visit) }}">
-                @csrf
-                <input type="hidden" name="from_consultation" value="{{ $consultation->uuid }}">
-                <button type="submit" class="rounded-lg bg-slate-800 px-4 py-2 text-sm font-medium text-white hover:bg-slate-900">Generate bill</button>
-            </form>
-        @endif
     </div>
 
-    @if ($canRequestInvestigations && $investigationTypes->isNotEmpty())
+    @if ($canRequestInvestigations && $consultation->investigationRequests->isNotEmpty())
         <section class="mt-6 rounded-2xl border border-slate-200 bg-white p-6">
-            <h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Request investigations</h2>
-            <form method="POST" action="{{ route('care.lab.requests.store', $consultation) }}" class="mt-4 space-y-4">
-                @csrf
-                <div class="grid gap-2 sm:grid-cols-2 lg:grid-cols-3">
-                    @foreach ($investigationTypes as $type)
-                        <label class="flex items-center gap-2 rounded-lg border border-slate-100 bg-slate-50 px-3 py-2 text-sm">
-                            <input type="checkbox" name="investigation_type_ids[]" value="{{ $type->id }}" class="rounded border-slate-300">
-                            <span>{{ $type->name }} <span class="text-slate-400">({{ config('care.investigation_categories')[$type->category] ?? $type->category }})</span></span>
-                        </label>
-                    @endforeach
-                </div>
-                <div class="grid gap-4 sm:grid-cols-2">
-                    <input type="text" name="clinical_notes" placeholder="Clinical notes for lab" class="rounded-lg border-slate-300 text-sm">
-                    <select name="priority" class="rounded-lg border-slate-300 text-sm">
-                        <option value="routine">Routine</option>
-                        <option value="urgent">Urgent</option>
-                    </select>
-                </div>
-                <button type="submit" class="btn-primary">Submit requests</button>
-            </form>
-            @if ($consultation->investigationRequests->isNotEmpty())
-                <div class="mt-4 border-t border-slate-100 pt-4 text-sm">
-                    <p class="font-medium text-slate-700">Requested tests</p>
-                    @foreach ($consultation->investigationRequests as $req)
-                        <p class="mt-1">
-                            <a href="{{ route('care.lab.requests.show', [$req, 'from_consultation' => $consultation->uuid]) }}" class="text-sky-600">{{ $req->investigationType->name }}</a>
-                            · {{ config('care.investigation_statuses')[$req->status] ?? $req->status }}
-                        </p>
-                    @endforeach
-                </div>
-            @endif
+            <h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Requested tests</h2>
+            <div class="mt-3 space-y-1 text-sm">
+                @foreach ($consultation->investigationRequests as $req)
+                    <p>
+                        <a href="{{ route('care.lab.requests.show', [$req, 'from_consultation' => $consultation->uuid]) }}" class="text-sky-600">{{ $req->investigationType->name }}</a>
+                        · {{ config('care.investigation_statuses')[$req->status] ?? $req->status }}
+                    </p>
+                @endforeach
+            </div>
         </section>
     @endif
 
@@ -284,7 +240,7 @@
     @endif
 
     @if (! $isCompleted && ($canManage || $canVitals))
-        <form method="POST" action="{{ route('care.consultations.update', $consultation) }}" enctype="multipart/form-data" class="mt-6 space-y-6">
+        <form id="consultation-form" method="POST" action="{{ route('care.consultations.update', $consultation) }}" enctype="multipart/form-data" class="mt-6 space-y-6">
             @csrf @method('PUT')
 
             @if ($canVitals)
@@ -400,16 +356,6 @@
                     <input type="file" name="documents[]" multiple accept=".pdf,.jpg,.jpeg,.png,.webp" class="mt-4 block w-full text-sm text-slate-500">
                 </section>
             @endif
-
-            <div class="flex flex-wrap gap-3">
-                <button type="submit" class="btn-primary">Save</button>
-                @if ($canManage && ($canViewAssessments ?? false))
-                    <button type="submit" name="suggest_pathways" value="1" class="rounded-lg border border-sky-200 bg-sky-50 px-4 py-2 text-sm font-medium text-sky-800 hover:bg-sky-100">
-                        Save diagnoses &amp; show condition suggestions
-                    </button>
-                @endif
-                <a href="{{ route('care.queue.index') }}" class="rounded-lg border border-slate-200 px-4 py-2 text-sm text-slate-600">Back to queue</a>
-            </div>
         </form>
     @else
         <div class="mt-6 space-y-6">
@@ -484,4 +430,60 @@
             @endif
         </div>
     @endif
+        </div>{{-- end main column --}}
+
+        @include('care.partials.clinical-actions-panel', [
+            'actionsView' => 'care.consultations.partials.actions-menu',
+            'title' => 'Actions',
+        ])
+    </div>{{-- end grid --}}
+
+    @include('care.partials.clinical-actions-mobile', [
+        'actionsView' => 'care.consultations.partials.actions-menu',
+        'title' => 'Actions',
+    ])
+
+    @if ($canManage && ! $isCompleted)
+        <x-confirm-dialog
+            :name="'complete-consultation-'.$consultation->id"
+            title="Complete this consultation?"
+            message="Mark the consultation as finished. You can still prescribe or generate a bill afterward."
+            :action="route('care.consultations.complete', $consultation)"
+            confirm-label="Complete consultation"
+            variant="primary"
+        />
+    @endif
+
+    @if ($canRequestInvestigations && $investigationTypes->isNotEmpty() && ! $isCompleted)
+        <x-modal :name="'request-investigations-'.$consultation->id" maxWidth="2xl">
+            <div class="px-5 pb-6 pt-2 sm:px-6 sm:pb-6 sm:pt-4">
+                <h2 class="pr-8 text-lg font-semibold text-slate-900">Request investigations</h2>
+                <p class="mt-1 text-sm text-slate-500">Select tests to send to the lab for this visit.</p>
+                <form method="POST" action="{{ route('care.lab.requests.store', $consultation) }}" class="mt-4 space-y-4">
+                    @csrf
+                    <div class="grid max-h-[40vh] gap-2 overflow-y-auto sm:grid-cols-2">
+                        @foreach ($investigationTypes as $type)
+                            <label class="flex items-center gap-2 rounded-lg border border-slate-100 bg-slate-50 px-3 py-2 text-sm">
+                                <input type="checkbox" name="investigation_type_ids[]" value="{{ $type->id }}" class="rounded border-slate-300">
+                                <span>{{ $type->name }} <span class="text-slate-400">({{ config('care.investigation_categories')[$type->category] ?? $type->category }})</span></span>
+                            </label>
+                        @endforeach
+                    </div>
+                    <div class="grid gap-4 sm:grid-cols-2">
+                        <input type="text" name="clinical_notes" placeholder="Clinical notes for lab" class="rounded-lg border-slate-300 text-sm">
+                        <select name="priority" class="rounded-lg border-slate-300 text-sm">
+                            <option value="routine">Routine</option>
+                            <option value="urgent">Urgent</option>
+                        </select>
+                    </div>
+                    <div class="flex flex-col-reverse gap-2 sm:flex-row sm:justify-end">
+                        <button type="button" class="rounded-xl border border-slate-200 px-4 py-2.5 text-sm font-semibold text-slate-700 hover:bg-slate-50" @click="$dispatch('close-modal', {{ \Illuminate\Support\Js::from('request-investigations-'.$consultation->id) }})">
+                            Cancel
+                        </button>
+                        <button type="submit" class="btn-primary">Submit requests</button>
+                    </div>
+                </form>
+            </div>
+        </x-modal>
+    @endif
 </x-app-layout>
diff --git a/resources/views/care/partials/clinical-actions-mobile.blade.php b/resources/views/care/partials/clinical-actions-mobile.blade.php
new file mode 100644
index 0000000..2037921
--- /dev/null
+++ b/resources/views/care/partials/clinical-actions-mobile.blade.php
@@ -0,0 +1,78 @@
+{{-- Mobile FAB + bottomsheet Actions. Place outside the page grid. --}}
+@php
+    $actionsView = $actionsView ?? null;
+    $title = $title ?? 'Actions';
+@endphp
+@if ($actionsView)
+<div
+    x-data="{ open: false }"
+    @keydown.escape.window="open = false"
+    class="lg:hidden"
+>
+    <button
+        type="button"
+        class="clinical-actions-fab"
+        @click="open = ! open"
+        :aria-expanded="open.toString()"
+        aria-label="Open actions"
+    >
+        <svg x-show="! open" class="h-6 w-6" fill="none" stroke="currentColor" stroke-width="2" viewBox="0 0 24 24" aria-hidden="true">
+            <path stroke-linecap="round" stroke-linejoin="round" d="M12 4.5v15m7.5-7.5h-15"/>
+        </svg>
+        <svg x-show="open" x-cloak class="h-6 w-6" fill="none" stroke="currentColor" stroke-width="2" viewBox="0 0 24 24" aria-hidden="true">
+            <path stroke-linecap="round" stroke-linejoin="round" d="M6 18 18 6M6 6l12 12"/>
+        </svg>
+    </button>
+
+    <template x-teleport="body">
+        <div
+            x-show="open"
+            x-cloak
+            class="fixed inset-0 z-[60] lg:hidden"
+            role="dialog"
+            aria-modal="true"
+            aria-label="{{ $title }}"
+        >
+            <div
+                class="absolute inset-0 bg-slate-900/40 backdrop-blur-[2px]"
+                @click="open = false"
+                x-show="open"
+                x-transition:enter="ease-out duration-200"
+                x-transition:enter-start="opacity-0"
+                x-transition:enter-end="opacity-100"
+                x-transition:leave="ease-in duration-150"
+                x-transition:leave-start="opacity-100"
+                x-transition:leave-end="opacity-0"
+            ></div>
+
+            <div
+                class="absolute inset-x-0 bottom-0 max-h-[85vh] overflow-y-auto rounded-t-3xl bg-white shadow-2xl"
+                style="padding-bottom: calc(1rem + env(safe-area-inset-bottom, 0px))"
+                @click.stop
+                x-show="open"
+                x-transition:enter="ease-out duration-300"
+                x-transition:enter-start="translate-y-full"
+                x-transition:enter-end="translate-y-0"
+                x-transition:leave="ease-in duration-200"
+                x-transition:leave-start="translate-y-0"
+                x-transition:leave-end="translate-y-full"
+            >
+                <div class="flex justify-center pb-1 pt-3">
+                    <div class="h-1 w-10 rounded-full bg-slate-200"></div>
+                </div>
+                <div class="flex items-center justify-between px-5 pb-2">
+                    <h2 class="text-base font-semibold text-slate-900">{{ $title }}</h2>
+                    <button type="button" class="rounded-full p-2 text-slate-400 hover:bg-slate-100 hover:text-slate-600" @click="open = false" aria-label="Close">
+                        <svg class="h-5 w-5" fill="none" stroke="currentColor" stroke-width="2" viewBox="0 0 24 24">
+                            <path stroke-linecap="round" stroke-linejoin="round" d="M6 18 18 6M6 6l12 12"/>
+                        </svg>
+                    </button>
+                </div>
+                <div class="space-y-2 px-4 pb-4">
+                    @include($actionsView)
+                </div>
+            </div>
+        </div>
+    </template>
+</div>
+@endif
diff --git a/resources/views/care/partials/clinical-actions-panel.blade.php b/resources/views/care/partials/clinical-actions-panel.blade.php
new file mode 100644
index 0000000..6e66585
--- /dev/null
+++ b/resources/views/care/partials/clinical-actions-panel.blade.php
@@ -0,0 +1,13 @@
+{{-- Desktop sticky Actions column. Pair with clinical-actions-mobile outside the grid. --}}
+@php
+    $actionsView = $actionsView ?? null;
+    $title = $title ?? 'Actions';
+@endphp
+@if ($actionsView)
+<aside class="hidden rounded-2xl border border-slate-200 bg-white p-4 lg:sticky lg:top-4 lg:block lg:self-start">
+    <h2 class="text-sm font-semibold text-slate-900">{{ $title }}</h2>
+    <div class="mt-3 space-y-2">
+        @include($actionsView)
+    </div>
+</aside>
+@endif
diff --git a/resources/views/care/specialty/partials/actions-menu.blade.php b/resources/views/care/specialty/partials/actions-menu.blade.php
new file mode 100644
index 0000000..e71764d
--- /dev/null
+++ b/resources/views/care/specialty/partials/actions-menu.blade.php
@@ -0,0 +1,69 @@
+{{-- Specialty shell action buttons (desktop sticky + mobile sheet). --}}
+@php
+    $btn = 'flex w-full items-center justify-center rounded-xl px-3 py-2.5 text-sm font-semibold transition';
+    $btnPrimary = $btn.' bg-indigo-600 text-white hover:bg-indigo-700';
+    $btnSecondary = $btn.' border border-slate-200 bg-white text-slate-800 hover:bg-slate-50';
+    $btnAccent = $btn.' border border-indigo-200 bg-indigo-50 text-indigo-900 hover:bg-indigo-100';
+@endphp
+
+@include('care.partials.queue-ops', [
+    'queueIntegration' => $queueIntegration ?? null,
+    'queueCallNextRoute' => 'care.specialty.call-next',
+    'queueCallNextParams' => ['module' => $moduleKey],
+    'branchId' => $branchId ?? null,
+])
+
+@if ($workspaceVisit)
+    @php
+        $appointment = $workspaceVisit->appointment;
+        $openConsultation = $appointment?->consultation;
+        $canStartConsultation = $appointment && in_array($appointment->status, [
+            \App\Models\Appointment::STATUS_WAITING,
+            \App\Models\Appointment::STATUS_CHECKED_IN,
+        ], true);
+        $consultationInProgress = $appointment
+            && (
+                $appointment->status === \App\Models\Appointment::STATUS_IN_CONSULTATION
+                || ($openConsultation && $openConsultation->status !== \App\Models\Consultation::STATUS_COMPLETED)
+            );
+        $chartTab = collect($workspaceTabs ?? [])
+            ->keys()
+            ->first(fn ($key) => ! in_array($key, ['overview', 'orders', 'billing', 'documents'], true))
+            ?: 'clinical_notes';
+    @endphp
+    @if ($consultationInProgress)
+        <a href="{{ route('care.specialty.workspace', ['module' => $moduleKey, 'visit' => $workspaceVisit, 'tab' => $chartTab]) }}"
+           class="{{ $btnPrimary }}">
+            Open specialty chart
+        </a>
+    @elseif ($canStartConsultation)
+        <form method="POST" action="{{ route('care.specialty.consultation.start', ['module' => $moduleKey, 'visit' => $workspaceVisit]) }}" class="w-full" @click.stop>
+            @csrf
+            <button type="submit" class="{{ $btnPrimary }}">
+                {{ $actions['start'] ?? 'Start specialty encounter' }}
+            </button>
+        </form>
+    @endif
+    <a href="{{ route('care.specialty.workspace', ['module' => $moduleKey, 'visit' => $workspaceVisit]) }}"
+       class="{{ $btnSecondary }}">
+        Specialty workspace
+    </a>
+    @if ($workspaceVisit->patient)
+        <a href="{{ route('care.patients.show', $workspaceVisit->patient) }}" class="{{ $btnSecondary }}">
+            Patient chart
+        </a>
+    @endif
+    @if ($workspaceVisit->appointment)
+        <a href="{{ route('care.appointments.show', $workspaceVisit->appointment) }}" class="{{ $btnSecondary }}">
+            Appointment
+        </a>
+    @endif
+@else
+    <a href="{{ route('care.specialty.workspace', ['module' => $moduleKey]) }}" class="{{ $btnPrimary }}">
+        Open workspace
+    </a>
+@endif
+
+<a href="{{ route('care.appointments.create') }}" class="{{ $btnAccent }}">
+    Register / book
+</a>
diff --git a/resources/views/care/specialty/shell.blade.php b/resources/views/care/specialty/shell.blade.php
index d289561..72903e8 100644
--- a/resources/views/care/specialty/shell.blade.php
+++ b/resources/views/care/specialty/shell.blade.php
@@ -9,7 +9,7 @@
             <a href="{{ route('care.settings.modules') }}" class="text-sm font-medium text-indigo-600 hover:text-indigo-800">Manage modules</a>
         </div>
 
-        <div class="grid gap-4 lg:grid-cols-[220px_minmax(0,1fr)_240px]">
+        <div class="grid gap-4 lg:grid-cols-[220px_minmax(0,1fr)_16rem]">
             {{-- Left navigation --}}
             <nav class="rounded-2xl border border-slate-200 bg-white p-3 lg:sticky lg:top-4 lg:self-start">
                 <p class="px-2 pb-2 text-[10px] font-semibold uppercase tracking-wider text-slate-400">Navigate</p>
@@ -63,77 +63,15 @@
                 @endif
             </div>
 
-            {{-- Action panel --}}
-            <aside class="rounded-2xl border border-slate-200 bg-white p-4 lg:sticky lg:top-4 lg:self-start">
-                <h2 class="text-sm font-semibold text-slate-900">Actions</h2>
-                <div class="mt-3 space-y-2">
-                    @include('care.partials.queue-ops', [
-                        'queueIntegration' => $queueIntegration ?? null,
-                        'queueCallNextRoute' => 'care.specialty.call-next',
-                        'queueCallNextParams' => ['module' => $moduleKey],
-                        'branchId' => $branchId ?? null,
-                    ])
-
-                    @if ($workspaceVisit)
-                        @php
-                            $appointment = $workspaceVisit->appointment;
-                            $openConsultation = $appointment?->consultation;
-                            $canStartConsultation = $appointment && in_array($appointment->status, [
-                                \App\Models\Appointment::STATUS_WAITING,
-                                \App\Models\Appointment::STATUS_CHECKED_IN,
-                            ], true);
-                            $consultationInProgress = $appointment
-                                && (
-                                    $appointment->status === \App\Models\Appointment::STATUS_IN_CONSULTATION
-                                    || ($openConsultation && $openConsultation->status !== \App\Models\Consultation::STATUS_COMPLETED)
-                                );
-                            $chartTab = collect($workspaceTabs ?? [])
-                                ->keys()
-                                ->first(fn ($key) => ! in_array($key, ['overview', 'orders', 'billing', 'documents'], true))
-                                ?: 'clinical_notes';
-                        @endphp
-                        @if ($consultationInProgress)
-                            <a href="{{ route('care.specialty.workspace', ['module' => $moduleKey, 'visit' => $workspaceVisit, 'tab' => $chartTab]) }}"
-                               class="flex w-full items-center justify-center rounded-xl bg-indigo-600 px-3 py-2 text-sm font-semibold text-white hover:bg-indigo-700">
-                                Open specialty chart
-                            </a>
-                        @elseif ($canStartConsultation)
-                            <form method="POST" action="{{ route('care.specialty.consultation.start', ['module' => $moduleKey, 'visit' => $workspaceVisit]) }}">
-                                @csrf
-                                <button type="submit" class="flex w-full items-center justify-center rounded-xl bg-indigo-600 px-3 py-2 text-sm font-semibold text-white hover:bg-indigo-700">
-                                    {{ $actions['start'] ?? 'Start specialty encounter' }}
-                                </button>
-                            </form>
-                        @endif
-                        <a href="{{ route('care.specialty.workspace', ['module' => $moduleKey, 'visit' => $workspaceVisit]) }}"
-                           class="flex w-full items-center justify-center rounded-xl border border-slate-200 bg-slate-50 px-3 py-2 text-sm font-medium text-slate-800 hover:bg-slate-100">
-                            Specialty workspace
-                        </a>
-                        @if ($workspaceVisit->patient)
-                            <a href="{{ route('care.patients.show', $workspaceVisit->patient) }}"
-                               class="flex w-full items-center justify-center rounded-xl border border-slate-200 px-3 py-2 text-sm font-medium text-slate-700 hover:bg-slate-50">
-                                Patient chart
-                            </a>
-                        @endif
-                        @if ($workspaceVisit->appointment)
-                            <a href="{{ route('care.appointments.show', $workspaceVisit->appointment) }}"
-                               class="flex w-full items-center justify-center rounded-xl border border-slate-200 px-3 py-2 text-sm font-medium text-slate-700 hover:bg-slate-50">
-                                Appointment
-                            </a>
-                        @endif
-                    @else
-                        <a href="{{ route('care.specialty.workspace', ['module' => $moduleKey]) }}"
-                           class="flex w-full items-center justify-center rounded-xl bg-indigo-600 px-3 py-2 text-sm font-semibold text-white hover:bg-indigo-700">
-                            Open workspace
-                        </a>
-                    @endif
-
-                    <a href="{{ route('care.appointments.create') }}"
-                       class="flex w-full items-center justify-center rounded-xl border border-indigo-200 bg-indigo-50 px-3 py-2 text-sm font-medium text-indigo-800 hover:bg-indigo-100">
-                        Register / book
-                    </a>
-                </div>
-            </aside>
+            @include('care.partials.clinical-actions-panel', [
+                'actionsView' => 'care.specialty.partials.actions-menu',
+                'title' => 'Actions',
+            ])
         </div>
     </div>
+
+    @include('care.partials.clinical-actions-mobile', [
+        'actionsView' => 'care.specialty.partials.actions-menu',
+        'title' => 'Actions',
+    ])
 </x-app-layout>