Replace ambulance Call next queue with an EMS dispatch board.

Home columns follow New call → Dispatched → On scene → Transport → Handover; walk-ins land as New call and Call next is disabled for this module.

Co-authored-by: Cursor <cursoragent@cursor.com>

app/Http/Controllers/Care/AmbulanceWorkspaceController.php

@@ -45,7 +45,7 @@ class AmbulanceWorkspaceController extends Controller
         SpecialtyVisitStageService $stages,
         SpecialtyShellService $shell,
     ): RedirectResponse {
-        $this->authorizeAbility($request, 'consultations.manage');
+        $this->authorizeAbility($request, 'ambulance.manage');
         $this->assertAmbulanceManage($request, $modules);
         $this->assertVisit($request, $visit);
 

app/Http/Controllers/Care/SpecialtyModuleController.php

@@ -9,6 +9,7 @@ use App\Models\Department;
 use App\Models\InvestigationType;
 use App\Models\PatientAttachment;
 use App\Models\Visit;
+use App\Services\Care\Ambulance\AmbulanceDispatchBoardService;
 use App\Services\Care\AppointmentService;
 use App\Services\Care\CareQueueBridge;
 use App\Services\Care\CareQueueSessionAdvance;
@@ -1518,17 +1519,22 @@ class SpecialtyModuleController extends Controller
         $canAdvanceStage = $canConsult
             || ($module === 'blood_bank'
                 && $canManageSpecialty
-                && $permissions->can($member, 'blood_bank.manage'));
+                && $permissions->can($member, 'blood_bank.manage'))
+            || ($module === 'ambulance'
+                && $canManageSpecialty
+                && $permissions->can($member, 'ambulance.manage'));
         $canStartConsultation = $canConsult;
         // Same ability as GP consultation chart — not consultations.manage alone.
         $canPrescribe = $permissions->can($member, 'prescriptions.manage') && $canManageSpecialty;
-        $canCallNext = $canManageSpecialty;
+        // Ambulance is dispatch-out EMS — not a desk Call next line.
+        $canCallNext = $module !== 'ambulance' && $canManageSpecialty;
         $canManageClinical = $canManageSpecialty;
         $canManageVitals = $canManageSpecialty && (
             $permissions->can($member, 'vitals.manage')
             || $permissions->can($member, 'consultations.manage')
         );
-        $canManageQueue = $permissions->can($member, 'appointments.manage') && $canManageSpecialty;
+        $canManageQueue = ($permissions->can($member, 'appointments.manage') && $canManageSpecialty)
+            || ($module === 'ambulance' && $canManageSpecialty);
         $canAccessPatientQueue = $permissions->canAccessPatientQueue($member);
         $canBookAppointments = $permissions->can($member, 'appointments.manage');
         $canViewPatients = $permissions->can($member, 'patients.view');
@@ -1537,6 +1543,16 @@ class SpecialtyModuleController extends Controller
             ? (string) (\App\Models\Branch::owned($owner)->whereKey($branchId)->value('name') ?? '')
             : '';
 
+        $ambulanceDispatchBoard = null;
+        if ($module === 'ambulance' && in_array($section, ['visits', 'overview'], true)) {
+            $ambulanceDispatchBoard = app(AmbulanceDispatchBoardService::class)->board(
+                $organization,
+                $owner,
+                $kpiBranch,
+                $practitionerScope,
+            );
+        }
+
         $done = Appointment::owned($owner)
             ->where('organization_id', $organization->id)
             ->where('status', Appointment::STATUS_COMPLETED)
@@ -2251,6 +2267,7 @@ class SpecialtyModuleController extends Controller
             'ambulanceHandover' => $ambulanceHandover,
             'ambulanceStageCodes' => $ambulanceStageCodes,
             'ambulanceStageFlow' => $ambulanceStageFlow,
+            'ambulanceDispatchBoard' => $ambulanceDispatchBoard ?? null,
             'queueStubs' => $modules->queueStubsFor($organization, $module),
             'branchId' => $branchId,
             'branchLabel' => $branchLabel,

app/Services/Care/Ambulance/AmbulanceDispatchBoardService.php

@@ -0,0 +1,185 @@
+<?php
+
+namespace App\Services\Care\Ambulance;
+
+use App\Models\Organization;
+use App\Models\Visit;
+use App\Services\Care\SpecialtyShellService;
+use Illuminate\Support\Collection;
+
+/**
+ * Stage-grouped EMS dispatch board (replaces Call next queue home for ambulance).
+ */
+class AmbulanceDispatchBoardService
+{
+    public function __construct(
+        protected SpecialtyShellService $shell,
+    ) {}
+
+    /**
+     * @param  list<int>|null  $practitionerScope
+     * @return array{
+     *     columns: list<array{
+     *         key: string,
+     *         label: string,
+     *         count: int,
+     *         items: Collection<int, Visit>,
+     *         empty: string,
+     *         accent: string,
+     *         dot: string,
+     *         next_stage: ?string,
+     *         next_label: ?string
+     *     }>,
+     *     active_count: int,
+     *     completed_today: int
+     * }
+     */
+    public function board(
+        Organization $organization,
+        string $ownerRef,
+        ?int $branchScope = null,
+        ?array $practitionerScope = null,
+    ): array {
+        $flow = app(AmbulanceWorkflowService::class)->stageFlow();
+        $open = $this->shell->openVisits($organization, 'ambulance', $ownerRef, $branchScope, $practitionerScope, 80);
+        $completed = $this->completedToday($organization, $ownerRef, $branchScope, $practitionerScope);
+
+        $byStage = [
+            AmbulanceWorkflowService::STAGE_CHECK_IN => collect(),
+            AmbulanceWorkflowService::STAGE_DISPATCH => collect(),
+            AmbulanceWorkflowService::STAGE_ON_SCENE => collect(),
+            AmbulanceWorkflowService::STAGE_TRANSPORT => collect(),
+            AmbulanceWorkflowService::STAGE_HANDOVER => collect(),
+            AmbulanceWorkflowService::STAGE_COMPLETED => $completed,
+        ];
+
+        foreach ($open as $visit) {
+            $stage = $visit->specialty_stage;
+            if ($stage === null || $stage === '' || $stage === AmbulanceWorkflowService::STAGE_CHECK_IN) {
+                $byStage[AmbulanceWorkflowService::STAGE_CHECK_IN]->push($visit);
+            } elseif (isset($byStage[$stage]) && $stage !== AmbulanceWorkflowService::STAGE_COMPLETED) {
+                $byStage[$stage]->push($visit);
+            } else {
+                // Unknown / unexpected stage — keep visible under New call.
+                $byStage[AmbulanceWorkflowService::STAGE_CHECK_IN]->push($visit);
+            }
+        }
+
+        $meta = [
+            AmbulanceWorkflowService::STAGE_CHECK_IN => [
+                'label' => 'New call',
+                'empty' => 'No new calls.',
+                'accent' => 'text-amber-700',
+                'dot' => 'bg-amber-500',
+            ],
+            AmbulanceWorkflowService::STAGE_DISPATCH => [
+                'label' => 'Dispatched',
+                'empty' => 'Nothing dispatched.',
+                'accent' => 'text-indigo-700',
+                'dot' => 'bg-indigo-500',
+            ],
+            AmbulanceWorkflowService::STAGE_ON_SCENE => [
+                'label' => 'On scene',
+                'empty' => 'No crews on scene.',
+                'accent' => 'text-sky-700',
+                'dot' => 'bg-sky-500',
+            ],
+            AmbulanceWorkflowService::STAGE_TRANSPORT => [
+                'label' => 'Transport',
+                'empty' => 'No patients in transport.',
+                'accent' => 'text-violet-700',
+                'dot' => 'bg-violet-500',
+            ],
+            AmbulanceWorkflowService::STAGE_HANDOVER => [
+                'label' => 'Handover',
+                'empty' => 'No handovers in progress.',
+                'accent' => 'text-emerald-700',
+                'dot' => 'bg-emerald-500',
+            ],
+            AmbulanceWorkflowService::STAGE_COMPLETED => [
+                'label' => 'Completed today',
+                'empty' => 'None completed today.',
+                'accent' => 'text-slate-500',
+                'dot' => 'bg-slate-300',
+            ],
+        ];
+
+        $columns = [];
+        foreach ($meta as $key => $column) {
+            $items = $byStage[$key] ?? collect();
+            $next = $flow[$key]['next'] ?? null;
+            $nextLabel = $flow[$key]['label'] ?? null;
+            if ($key === AmbulanceWorkflowService::STAGE_COMPLETED) {
+                $next = null;
+                $nextLabel = null;
+            }
+
+            $columns[] = [
+                'key' => $key,
+                'label' => $column['label'],
+                'count' => $items->count(),
+                'items' => $items,
+                'empty' => $column['empty'],
+                'accent' => $column['accent'],
+                'dot' => $column['dot'],
+                'next_stage' => $next !== $key ? $next : null,
+                'next_label' => $next !== $key ? $nextLabel : null,
+            ];
+        }
+
+        $activeCount = collect($columns)
+            ->reject(fn (array $col) => $col['key'] === AmbulanceWorkflowService::STAGE_COMPLETED)
+            ->sum('count');
+
+        return [
+            'columns' => $columns,
+            'active_count' => $activeCount,
+            'completed_today' => $completed->count(),
+        ];
+    }
+
+    /**
+     * @param  list<int>|null  $practitionerScope
+     * @return Collection<int, Visit>
+     */
+    protected function completedToday(
+        Organization $organization,
+        string $ownerRef,
+        ?int $branchScope = null,
+        ?array $practitionerScope = null,
+        int $limit = 40,
+    ): Collection {
+        $departmentIds = $this->shell->departmentIds($organization, 'ambulance', $ownerRef, $branchScope);
+
+        return Visit::owned($ownerRef)
+            ->where('organization_id', $organization->id)
+            ->where(function ($q) {
+                $q->where('specialty_stage', AmbulanceWorkflowService::STAGE_COMPLETED)
+                    ->orWhere(function ($qq) {
+                        $qq->where('status', Visit::STATUS_COMPLETED)
+                            ->whereDate('completed_at', today());
+                    });
+            })
+            ->where(function ($q) {
+                $q->whereDate('completed_at', today())
+                    ->orWhere(function ($qq) {
+                        $qq->whereNull('completed_at')
+                            ->whereDate('updated_at', today());
+                    });
+            })
+            ->when($branchScope, fn ($q) => $q->where('branch_id', $branchScope))
+            ->whereHas('appointment', function ($q) use ($departmentIds, $practitionerScope) {
+                $q->when($departmentIds !== [], fn ($qq) => $qq->whereIn('department_id', $departmentIds))
+                    ->when($departmentIds === [], fn ($qq) => $qq->whereRaw('1 = 0'))
+                    ->when(
+                        $practitionerScope !== null,
+                        fn ($qq) => $qq->whereIn('practitioner_id', $practitionerScope ?: [0]),
+                    );
+            })
+            ->with(['patient', 'appointment.practitioner', 'appointment.department'])
+            ->orderByDesc('completed_at')
+            ->orderByDesc('id')
+            ->limit($limit)
+            ->get();
+    }
+}

app/Services/Care/Ambulance/AmbulanceWorkflowService.php

@@ -74,11 +74,11 @@ class AmbulanceWorkflowService
     public function stageFlow(): array
     {
         return [
-            self::STAGE_CHECK_IN => ['next' => self::STAGE_DISPATCH, 'label' => 'Start dispatch'],
+            self::STAGE_CHECK_IN => ['next' => self::STAGE_DISPATCH, 'label' => 'Dispatch'],
-            self::STAGE_DISPATCH => ['next' => self::STAGE_ON_SCENE, 'label' => 'Move to on scene'],
+            self::STAGE_DISPATCH => ['next' => self::STAGE_ON_SCENE, 'label' => 'On scene'],
-            self::STAGE_ON_SCENE => ['next' => self::STAGE_TRANSPORT, 'label' => 'Move to transport'],
+            self::STAGE_ON_SCENE => ['next' => self::STAGE_TRANSPORT, 'label' => 'Transport'],
-            self::STAGE_TRANSPORT => ['next' => self::STAGE_HANDOVER, 'label' => 'Move to handover'],
+            self::STAGE_TRANSPORT => ['next' => self::STAGE_HANDOVER, 'label' => 'Handover'],
-            self::STAGE_HANDOVER => ['next' => self::STAGE_COMPLETED, 'label' => 'Complete visit'],
+            self::STAGE_HANDOVER => ['next' => self::STAGE_COMPLETED, 'label' => 'Complete'],
             self::STAGE_COMPLETED => ['next' => self::STAGE_COMPLETED, 'label' => 'Completed'],
         ];
     }

app/Services/Care/AppointmentService.php

@@ -297,9 +297,15 @@ class AppointmentService
 
         AuditLogger::record($ownerRef, 'appointment.walk_in', $organization->id, $actorRef, Appointment::class, $appointment->id);
 
-        $appointment = $appointment->load(['patient', 'practitioner', 'branch', 'visit']);
+        $appointment = $appointment->load(['patient', 'practitioner', 'branch', 'visit', 'department']);
         $this->queueBridge->issueForAppointment($organization, $appointment);
 
+        if ($appointment->department?->type === 'ambulance' && $appointment->visit) {
+            $appointment->visit->update([
+                'specialty_stage' => \App\Services\Care\Ambulance\AmbulanceWorkflowService::STAGE_CHECK_IN,
+            ]);
+        }
+
         return $appointment->fresh(['patient', 'practitioner', 'branch', 'visit']);
     }
 

config/care_specialty_modules.php

@@ -476,7 +476,7 @@ return [
     ],
     'ambulance' => [
         'label' => 'Ambulance',
-        'description' => 'EMS / ambulance clinic workflow: dispatch, scene triage, en-route care, and handover.',
+        'description' => 'EMS / ambulance dispatch board: new calls, dispatch, scene, transport, and facility handover.',
         'department_type' => 'ambulance',
         'department_name' => 'Ambulance',
         'queue_name' => 'Ambulance',

config/care_specialty_shell.php

@@ -877,8 +877,8 @@ return [
         ],
         'ambulance' => [
             'stages' => [
-                ['code' => 'check_in', 'label' => 'Check-in', 'queue_point' => 'waiting'],
+                ['code' => 'check_in', 'label' => 'New call', 'queue_point' => 'waiting'],
-                ['code' => 'dispatch', 'label' => 'Dispatch', 'queue_point' => 'waiting'],
+                ['code' => 'dispatch', 'label' => 'Dispatched', 'queue_point' => 'waiting'],
                 ['code' => 'on_scene', 'label' => 'On scene', 'queue_point' => 'chair'],
                 ['code' => 'transport', 'label' => 'Transport', 'queue_point' => 'chair'],
                 ['code' => 'handover', 'label' => 'Handover', 'queue_point' => 'chair'],

resources/views/care/specialty/ambulance/dispatch-board.blade.php

@@ -0,0 +1,48 @@
+{{--
+  Ambulance / EMS dispatch board — stage columns, not Call next desk queue.
+
+  Expected: $ambulanceDispatchBoard (from AmbulanceDispatchBoardService),
+  $canAdvanceStage, $specialtyStageRoute, $canManageQueue (for New call CTA context)
+--}}
+@php
+    $board = $ambulanceDispatchBoard ?? ['columns' => [], 'active_count' => 0, 'completed_today' => 0];
+    $columns = $board['columns'] ?? [];
+    $canAdvanceStage = $canAdvanceStage ?? false;
+    $specialtyStageRoute = $specialtyStageRoute ?? 'care.specialty.ambulance.stage';
+@endphp
+
+<div class="overflow-hidden rounded-2xl border border-slate-200 bg-white shadow-sm shadow-slate-100/80">
+    <div class="border-b border-slate-100 bg-gradient-to-r from-amber-50/90 via-white to-slate-50 px-4 py-3 sm:px-5">
+        <p class="text-sm font-semibold text-slate-900">Dispatch board</p>
+        <p class="mt-0.5 text-sm text-slate-500">Track calls from intake through dispatch, scene, transport, and facility handover — not a desk call-next line.</p>
+    </div>
+
+    <div class="flex snap-x snap-mandatory gap-0 overflow-x-auto xl:grid xl:grid-cols-6 xl:overflow-visible" style="-ms-overflow-style:none;scrollbar-width:none;">
+        @foreach ($columns as $index => $column)
+            <section @class([
+                'flex w-[min(78vw,18rem)] shrink-0 snap-start flex-col border-slate-100 xl:w-auto',
+                'border-r' => $index < count($columns) - 1,
+            ])>
+                <header class="sticky top-0 z-[1] flex items-center justify-between gap-2 border-b border-slate-100 bg-white/95 px-3 py-3 backdrop-blur-sm">
+                    <div class="flex min-w-0 items-center gap-2">
+                        <span class="h-2 w-2 shrink-0 rounded-full {{ $column['dot'] }}"></span>
+                        <h2 class="truncate text-xs font-semibold uppercase tracking-wide {{ $column['accent'] }}">{{ $column['label'] }}</h2>
+                    </div>
+                    <span class="rounded-md bg-slate-100 px-2 py-0.5 text-xs font-semibold tabular-nums text-slate-700">{{ $column['count'] }}</span>
+                </header>
+                <div class="flex-1 space-y-2 p-3 sm:min-h-[12rem]">
+                    @forelse ($column['items'] as $visit)
+                        @include('care.specialty.ambulance.dispatch-card', [
+                            'visit' => $visit,
+                            'column' => $column,
+                            'canAdvanceStage' => $canAdvanceStage && $column['key'] !== 'completed',
+                            'specialtyStageRoute' => $specialtyStageRoute,
+                        ])
+                    @empty
+                        <p class="rounded-xl border border-dashed border-slate-200 px-3 py-8 text-center text-xs text-slate-400">{{ $column['empty'] }}</p>
+                    @endforelse
+                </div>
+            </section>
+        @endforeach
+    </div>
+</div>

resources/views/care/specialty/ambulance/dispatch-card.blade.php

@@ -0,0 +1,58 @@
+{{-- Single EMS call card on the ambulance dispatch board. --}}
+@php
+    $appointment = $visit->appointment;
+    $patient = $visit->patient;
+    $openUrl = route('care.specialty.workspace', ['module' => 'ambulance', 'visit' => $visit]);
+    $ticketNumber = $appointment?->queue_ticket_number;
+    $reason = $appointment?->reason;
+    $nextStage = $column['next_stage'] ?? null;
+    $nextLabel = $column['next_label'] ?? null;
+    $isCompleted = ($column['key'] ?? '') === 'completed';
+@endphp
+<article
+    role="link"
+    tabindex="0"
+    data-href="{{ $openUrl }}"
+    onclick="if (! event.target.closest('a, button, form, input, select, textarea, label')) { window.location.href = this.dataset.href }"
+    onkeydown="if ((event.key === 'Enter' || event.key === ' ') && ! event.target.closest('a, button, form, input, select, textarea, label')) { event.preventDefault(); window.location.href = this.dataset.href }"
+    @class([
+        'group relative flex gap-3 rounded-xl border px-3 py-3 transition cursor-pointer hover:shadow-sm',
+        'border-amber-200 bg-amber-50/70' => ($column['key'] ?? '') === 'check_in',
+        'border-indigo-200 bg-indigo-50/50' => ($column['key'] ?? '') === 'dispatch',
+        'border-sky-200 bg-sky-50/50' => ($column['key'] ?? '') === 'on_scene',
+        'border-violet-200 bg-violet-50/50' => ($column['key'] ?? '') === 'transport',
+        'border-emerald-200 bg-emerald-50/50' => ($column['key'] ?? '') === 'handover',
+        'border-slate-100 bg-white opacity-90' => $isCompleted,
+    ])
+>
+    <div class="min-w-0 flex-1 space-y-1.5">
+        @if ($ticketNumber)
+            <span class="inline-flex rounded-md bg-slate-900 px-2 py-0.5 font-mono text-[11px] font-semibold tracking-wide text-white">{{ $ticketNumber }}</span>
+        @endif
+        <div class="min-w-0">
+            <p class="truncate text-sm font-semibold text-slate-900">{{ $patient?->fullName() ?? 'Patient' }}</p>
+            <p class="mt-0.5 truncate text-xs text-slate-500">
+                {{ $patient?->patient_number ?? '—' }}
+                @if ($reason)
+                    <span class="text-slate-300"> · </span>{{ \Illuminate\Support\Str::limit($reason, 40) }}
+                @endif
+            </p>
+            @if ($appointment?->practitioner?->name)
+                <p class="mt-0.5 truncate text-xs text-slate-400">{{ $appointment->practitioner->name }}</p>
+            @endif
+        </div>
+    </div>
+
+    <div class="relative z-10 flex shrink-0 flex-col items-end justify-center gap-1.5" @click.stop>
+        <a href="{{ $openUrl }}" class="rounded-lg border border-slate-200 bg-white px-2.5 py-1 text-[11px] font-medium text-slate-700 hover:bg-slate-50">Open</a>
+        @if ($canAdvanceStage && $nextStage && $nextLabel)
+            <form method="POST" action="{{ route($specialtyStageRoute, $visit) }}">
+                @csrf
+                <input type="hidden" name="stage" value="{{ $nextStage }}">
+                <button type="submit" class="rounded-lg bg-slate-900 px-2.5 py-1 text-[11px] font-semibold text-white hover:bg-slate-800">
+                    {{ $nextLabel }}
+                </button>
+            </form>
+        @endif
+    </div>
+</article>

resources/views/care/specialty/partials/actions-menu.blade.php

@@ -83,7 +83,7 @@
     $currentStage = $workspaceVisit?->specialty_stage;
 @endphp
 
-@if ($onWorkspace && $canCallNext)
+@if ($onWorkspace && $canCallNext && ($moduleKey ?? '') !== 'ambulance')
     @include('care.partials.queue-ops', [
         'queueIntegration' => $queueIntegration ?? null,
         'queueCallNextRoute' => 'care.specialty.call-next',

resources/views/care/specialty/shell.blade.php

@@ -3,8 +3,8 @@
         'workspace' => ($patientHeader['patient'] ?? null)?->fullName() ?: 'Workspace',
         'history' => 'Visit history',
         'billing' => 'Billing',
-        'visits' => 'Patient queue',
+        'visits' => ($moduleKey ?? '') === 'ambulance' ? 'Dispatch board' : 'Patient queue',
-        default => 'Patient queue',
+        default => ($moduleKey ?? '') === 'ambulance' ? 'Dispatch board' : 'Patient queue',
     };
 @endphp
 <x-app-layout :title="$pageTitle">
@@ -197,66 +197,96 @@
             </div>
             @include('care.specialty.sections.billing')
         @else
-            {{-- Queue home (overview / visits) — same UI as GP Queue --}}
+            {{-- Queue / dispatch home --}}
             <div class="lg:grid lg:grid-cols-[minmax(0,1fr)_16rem] lg:items-start lg:gap-6">
                 <div class="min-w-0 space-y-6">
                     @php
                         $specialtyLabel = $definition['nav_label'] ?? $definition['label'] ?? ucfirst($moduleKey);
+                        $isAmbulanceHome = $moduleKey === 'ambulance';
                     @endphp
                     <div class="mb-1 flex items-center gap-2.5">
                         <x-care.specialty-icon :module="$moduleKey" boxed />
                         <p class="text-sm font-semibold text-slate-700">{{ $specialtyLabel }}</p>
                     </div>
-                    <x-care.page-hero
+                    @if ($isAmbulanceHome)
-                        badge="Patient flow · Call next"
+                        <x-care.page-hero
-                        :title="$specialtyLabel.' queue'"
+                            badge="EMS · Dispatch"
-                        description="Move patients from waiting through called, in care, and done."
+                            :title="$specialtyLabel.' dispatch'"
-                        :stats="[
+                            description="Respond to call-ins — track New call through dispatch, scene, transport, and handover."
-                            ['value' => number_format($kpis['waiting'] ?? $queue->count()), 'label' => 'Waiting'],
+                            :stats="[
-                            ['value' => number_format($kpis['in_progress'] ?? $inConsultation->count()), 'label' => 'In care'],
+                                ['value' => number_format($ambulanceDispatchBoard['active_count'] ?? 0), 'label' => 'Active calls'],
-                            ['value' => number_format($kpis['completed_today'] ?? 0), 'label' => 'Today'],
+                                ['value' => number_format($ambulanceDispatchBoard['completed_today'] ?? 0), 'label' => 'Completed today'],
-                        ]">
+                                ['value' => number_format($kpis['clinical_open'] ?? 0), 'label' => 'On scene open'],
-                        @if ($canManageQueue ?? false)
+                            ]">
-                            <x-slot name="actions">
+                            @if ($canManageQueue ?? false)
-                                <a href="{{ route('care.appointments.walk-in.create') }}" class="btn-primary">Walk-in</a>
+                                <x-slot name="actions">
-                            </x-slot>
+                                    <a href="{{ route('care.appointments.walk-in.create') }}" class="btn-primary">New call</a>
-                        @endif
+                                </x-slot>
-                    </x-care.page-hero>
+                            @endif
+                        </x-care.page-hero>
+                    @else
+                        <x-care.page-hero
+                            badge="Patient flow · Call next"
+                            :title="$specialtyLabel.' queue'"
+                            description="Move patients from waiting through called, in care, and done."
+                            :stats="[
+                                ['value' => number_format($kpis['waiting'] ?? $queue->count()), 'label' => 'Waiting'],
+                                ['value' => number_format($kpis['in_progress'] ?? $inConsultation->count()), 'label' => 'In care'],
+                                ['value' => number_format($kpis['completed_today'] ?? 0), 'label' => 'Today'],
+                            ]">
+                            @if ($canManageQueue ?? false)
+                                <x-slot name="actions">
+                                    <a href="{{ route('care.appointments.walk-in.create') }}" class="btn-primary">Walk-in</a>
+                                </x-slot>
+                            @endif
+                        </x-care.page-hero>
+                    @endif
 
                     <div class="flex flex-wrap gap-3 text-sm">
                         <a href="{{ route('care.specialty.history', $moduleKey) }}" class="rounded-lg border border-slate-200 bg-white px-3 py-1.5 font-medium text-slate-700 hover:bg-slate-50">History</a>
                         @if ($canManageClinical ?? $canManageSpecialty ?? true)
                             <a href="{{ route('care.specialty.billing', $moduleKey) }}" class="rounded-lg border border-slate-200 bg-white px-3 py-1.5 font-medium text-slate-700 hover:bg-slate-50">Billing</a>
                         @endif
+                        @if ($isAmbulanceHome)
+                            <a href="{{ route('care.specialty.ambulance.reports') }}" class="rounded-lg border border-slate-200 bg-white px-3 py-1.5 font-medium text-slate-700 hover:bg-slate-50">Reports</a>
+                        @endif
                     </div>
 
-                    @include('care.partials.queue-board', [
+                    @if ($isAmbulanceHome)
-                        'queue' => $queue,
+                        @include('care.specialty.ambulance.dispatch-board', [
-                        'inConsultation' => $inConsultation,
+                            'ambulanceDispatchBoard' => $ambulanceDispatchBoard ?? ['columns' => [], 'active_count' => 0, 'completed_today' => 0],
-                        'done' => $done ?? collect(),
+                            'canAdvanceStage' => $canAdvanceStage ?? false,
-                        'queueIntegration' => $queueIntegration ?? null,
+                            'specialtyStageRoute' => $specialtyStageRoute ?? 'care.specialty.ambulance.stage',
-                        'branchId' => $branchId,
+                        ])
-                        'branchLabel' => $branchLabel ?? null,
+                    @else
-                        'canConsult' => $canConsult ?? false,
+                        @include('care.partials.queue-board', [
-                        'lockToPractitioner' => $lockToPractitioner ?? false,
+                            'queue' => $queue,
-                        'showFilters' => true,
+                            'inConsultation' => $inConsultation,
-                        'queueCallNextRoute' => ($canCallNext ?? $canManageSpecialty ?? false) ? 'care.specialty.call-next' : null,
+                            'done' => $done ?? collect(),
-                        'queueCallNextParams' => ['module' => $moduleKey],
+                            'queueIntegration' => $queueIntegration ?? null,
-                        'startRouteName' => 'care.queue.start',
+                            'branchId' => $branchId,
-                        'inCareLabel' => 'In care',
+                            'branchLabel' => $branchLabel ?? null,
-                        'openInCareUrl' => function ($appointment) use ($moduleKey) {
+                            'canConsult' => $canConsult ?? false,
-                            if ($appointment->visit) {
+                            'lockToPractitioner' => $lockToPractitioner ?? false,
-                                return route('care.specialty.workspace', [
+                            'showFilters' => true,
-                                    'module' => $moduleKey,
+                            'queueCallNextRoute' => ($canCallNext ?? $canManageSpecialty ?? false) ? 'care.specialty.call-next' : null,
-                                    'visit' => $appointment->visit,
+                            'queueCallNextParams' => ['module' => $moduleKey],
-                                ]);
+                            'startRouteName' => 'care.queue.start',
-                            }
+                            'inCareLabel' => 'In care',
+                            'openInCareUrl' => function ($appointment) use ($moduleKey) {
+                                if ($appointment->visit) {
+                                    return route('care.specialty.workspace', [
+                                        'module' => $moduleKey,
+                                        'visit' => $appointment->visit,
+                                    ]);
+                                }
 
-                            return $appointment->consultation
+                                return $appointment->consultation
-                                ? route('care.consultations.show', $appointment->consultation)
+                                    ? route('care.consultations.show', $appointment->consultation)
-                                : null;
+                                    : null;
-                        },
+                            },
-                    ])
+                        ])
+                    @endif
                 </div>
 
                 @include('care.partials.clinical-actions-panel', [

tests/Feature/CareAmbulanceSuiteTest.php

@@ -129,7 +129,7 @@ class CareAmbulanceSuiteTest extends TestCase
             ->assertSee('Ambulance overview')
             ->assertSee('data-care-stage-bar', false)
             ->assertSee('Scene / triage')
-            ->assertSee('Start dispatch')
+            ->assertSee('Dispatch')
             ->assertSee('Ambulance reports');
 
         $this->actingAs($this->owner)
@@ -240,4 +240,20 @@ class CareAmbulanceSuiteTest extends TestCase
             ->assertOk()
             ->assertDontSee('Ambulance overview');
     }
+
+    public function test_home_shows_dispatch_board_not_call_next(): void
+    {
+        $this->actingAs($this->owner)
+            ->get(route('care.specialty.show', 'ambulance'))
+            ->assertOk()
+            ->assertSee('Dispatch board')
+            ->assertSee('New call')
+            ->assertSee('Dispatched')
+            ->assertSee('On scene')
+            ->assertSee('Transport')
+            ->assertSee('Handover')
+            ->assertSee($this->patient->fullName())
+            ->assertDontSee('Call next')
+            ->assertDontSee('Bring the next waiting patient to your desk');
+    }
 }