diff --git a/app/Http/Controllers/Care/ConsultationController.php b/app/Http/Controllers/Care/ConsultationController.php
index d32f8fc..e5c9b4c 100644
--- a/app/Http/Controllers/Care/ConsultationController.php
+++ b/app/Http/Controllers/Care/ConsultationController.php
@@ -176,7 +176,8 @@ class ConsultationController extends Controller
         $queueIntegration = ['enabled' => false];
         $queueBranchId = null;
         $queueBridge = app(CareQueueBridge::class);
-        if ($permissions->handlesFloorCare($member) && $queueBridge->isEnabled($organization)) {
+        $canAccessPatientQueue = $permissions->canAccessPatientQueue($member);
+        if ($canAccessPatientQueue && $queueBridge->isEnabled($organization)) {
             $queueBranchId = app(BranchContext::class)->resolve($request, $organization, $member)
                 ?: (int) ($consultation->practitioner?->branch_id
                     ?: $consultation->visit?->branch_id
@@ -207,6 +208,7 @@ class ConsultationController extends Controller
             'consultationAssessments' => $consultationAssessments,
             'startableTemplates' => $startableTemplates,
             'assessmentStatuses' => config('care.assessment_statuses'),
+            'canAccessPatientQueue' => $canAccessPatientQueue,
             'universalTemplate' => $universalTemplate,
             'universalAssessment' => $universalAssessment,
             'canCaptureUniversal' => $canCaptureUniversal,
diff --git a/app/Http/Controllers/Care/DashboardController.php b/app/Http/Controllers/Care/DashboardController.php
index aa6f894..e937b8e 100644
--- a/app/Http/Controllers/Care/DashboardController.php
+++ b/app/Http/Controllers/Care/DashboardController.php
@@ -41,7 +41,9 @@ class DashboardController extends Controller
         $canBills = $this->permissions->can($member, 'bills.view');
         $canFinance = $this->permissions->can($member, 'reports.finance.view');
         $canConsult = $this->permissions->can($member, 'consultations.manage');
-        $showPatientQueue = $this->permissions->can($member, 'appointments.view') && ! $canBranches;
+        $showPatientQueue = $this->permissions->canAccessPatientQueue($member)
+            && $this->permissions->can($member, 'appointments.view')
+            && ! $canBranches;
 
         $branchQuery = Branch::owned($owner)->where('organization_id', $organization->id);
         $this->scopeToBranch($request, $branchQuery);
diff --git a/app/Http/Controllers/Care/QueueController.php b/app/Http/Controllers/Care/QueueController.php
index 12e236b..603aac6 100644
--- a/app/Http/Controllers/Care/QueueController.php
+++ b/app/Http/Controllers/Care/QueueController.php
@@ -32,7 +32,7 @@ class QueueController extends Controller
     public function index(Request $request): View
     {
         $this->authorizeAbility($request, 'appointments.view');
-        abort_unless(app(CarePermissions::class)->handlesFloorCare($this->member($request)), 403);
+        abort_unless(app(CarePermissions::class)->canAccessPatientQueue($this->member($request)), 403);
         $organization = $this->organization($request);
         $member = $this->member($request);
         $owner = $this->ownerRef($request);
@@ -126,6 +126,24 @@ class QueueController extends Controller
             $todayQuery->where('branch_id', $branchId);
         }
 
+        $doneQuery = Appointment::owned($owner)
+            ->where('organization_id', $organization->id)
+            ->where('status', Appointment::STATUS_COMPLETED)
+            ->whereDate('completed_at', today());
+        if ($lockToPractitioner) {
+            $doneQuery->whereIn('practitioner_id', $practitionerScope ?: [0]);
+        } elseif ($branchId) {
+            $doneQuery->where('branch_id', $branchId);
+        }
+        if ($practitionerId && ! $lockToPractitioner) {
+            $doneQuery->where('practitioner_id', $practitionerId);
+        }
+        $done = $doneQuery
+            ->with(['patient', 'practitioner'])
+            ->orderByDesc('completed_at')
+            ->limit(20)
+            ->get();
+
         $heroStats = [
             'waiting' => $queue->count(),
             'in_consultation' => $inConsultation->count(),
@@ -149,6 +167,7 @@ class QueueController extends Controller
             'practitionerId' => $practitionerId,
             'queue' => $queue,
             'inConsultation' => $inConsultation,
+            'done' => $done,
             'canManageQueue' => $canManageQueue,
             'canConsult' => $canConsult,
             'heroStats' => $heroStats,
@@ -160,7 +179,7 @@ class QueueController extends Controller
 
     public function callNext(Request $request, CareQueueSessionAdvance $advance): RedirectResponse
     {
-        abort_unless(app(CarePermissions::class)->handlesFloorCare($this->member($request)), 403);
+        abort_unless(app(CarePermissions::class)->canAccessPatientQueue($this->member($request)), 403);
         $this->authorizeAbility($request, 'appointments.view');
         $organization = $this->organization($request);
         abort_unless($this->queueBridge->isEnabled($organization), 404);
diff --git a/app/Http/Controllers/Care/SpecialtyModuleController.php b/app/Http/Controllers/Care/SpecialtyModuleController.php
index 81fee9d..d8e7ba4 100644
--- a/app/Http/Controllers/Care/SpecialtyModuleController.php
+++ b/app/Http/Controllers/Care/SpecialtyModuleController.php
@@ -39,8 +39,12 @@ class SpecialtyModuleController extends Controller
             403,
         );
 
-        // Specialty patient flow lives on Queue; clinical depth opens from Queue Start.
-        return redirect()->route('care.queue.index');
+        // Specialty patient flow lives on Queue; nurses stay on the specialty workspace.
+        if (app(\App\Services\Care\CarePermissions::class)->canAccessPatientQueue($this->member($request))) {
+            return redirect()->route('care.queue.index');
+        }
+
+        return redirect()->route('care.specialty.workspace', $module);
     }
 
     public function visits(
@@ -57,7 +61,11 @@ class SpecialtyModuleController extends Controller
             403,
         );
 
-        return redirect()->route('care.queue.index');
+        if (app(\App\Services\Care\CarePermissions::class)->canAccessPatientQueue($this->member($request))) {
+            return redirect()->route('care.queue.index');
+        }
+
+        return redirect()->route('care.specialty.workspace', $module);
     }
 
     public function history(
@@ -543,7 +551,14 @@ class SpecialtyModuleController extends Controller
         );
 
         return redirect()
-            ->route('care.queue.index')
+            ->route(
+                app(\App\Services\Care\CarePermissions::class)->canAccessPatientQueue($member)
+                    ? 'care.queue.index'
+                    : 'care.specialty.workspace',
+                app(\App\Services\Care\CarePermissions::class)->canAccessPatientQueue($member)
+                    ? []
+                    : ['module' => $module],
+            )
             ->with('success', 'Referred '.$patient->fullName().' to '.($definition['label'] ?? $module).'.');
     }
 
@@ -650,6 +665,7 @@ class SpecialtyModuleController extends Controller
             || $permissions->can($member, 'consultations.manage')
         );
         $canManageQueue = $permissions->can($member, 'appointments.manage') && $canManageSpecialty;
+        $canAccessPatientQueue = $permissions->canAccessPatientQueue($member);
         $canBookAppointments = $permissions->can($member, 'appointments.manage');
         $canViewPatients = $permissions->can($member, 'patients.view');
         $canViewAppointments = $permissions->can($member, 'appointments.view');
@@ -657,6 +673,22 @@ class SpecialtyModuleController extends Controller
             ? (string) (\App\Models\Branch::owned($owner)->whereKey($branchId)->value('name') ?? '')
             : '';
 
+        $done = Appointment::owned($owner)
+            ->where('organization_id', $organization->id)
+            ->where('status', Appointment::STATUS_COMPLETED)
+            ->whereDate('completed_at', today())
+            ->when($departmentIds !== [], fn ($q) => $q->whereIn('department_id', $departmentIds))
+            ->when($departmentIds === [], fn ($q) => $q->whereRaw('1 = 0'))
+            ->when($kpiBranch, fn ($q) => $q->where('branch_id', $kpiBranch))
+            ->when(
+                $practitionerScope !== null,
+                fn ($q) => $q->whereIn('practitioner_id', $practitionerScope ?: [0]),
+            )
+            ->with(['patient', 'practitioner'])
+            ->orderByDesc('completed_at')
+            ->limit(20)
+            ->get();
+
         $workspaceVisit = null;
         $patientHeader = null;
         $timeline = [];
@@ -843,6 +875,7 @@ class SpecialtyModuleController extends Controller
             'waiting' => $waiting,
             'queue' => $waiting,
             'inConsultation' => $inConsultation,
+            'done' => $done,
             'openVisits' => $openVisits,
             'visitHistory' => $visitHistory,
             'kpis' => $kpis,
@@ -900,6 +933,7 @@ class SpecialtyModuleController extends Controller
             'canManageClinical' => $canManageClinical,
             'canManageVitals' => $canManageVitals,
             'canManageQueue' => $canManageQueue,
+            'canAccessPatientQueue' => $canAccessPatientQueue,
             'canBookAppointments' => $canBookAppointments,
             'canViewPatients' => $canViewPatients,
             'canViewAppointments' => $canViewAppointments,
diff --git a/app/Services/Care/CarePermissions.php b/app/Services/Care/CarePermissions.php
index 2119997..d6994f8 100644
--- a/app/Services/Care/CarePermissions.php
+++ b/app/Services/Care/CarePermissions.php
@@ -34,7 +34,7 @@ class CarePermissions
         ],
         'nurse' => [
             'dashboard.view', 'patients.view', 'appointments.view',
-            'consultations.view', 'vitals.manage', 'queue.manage',
+            'consultations.view', 'vitals.manage',
             'service_queues.console',
             'assessments.view', 'assessments.capture',
         ],
@@ -109,4 +109,17 @@ class CarePermissions
             'cashier',
         ], true);
     }
+
+    /**
+     * Dedicated patient-flow board (GP / specialty Queue homes).
+     * Nurses keep specialty workspaces and vitals — not the call-next board.
+     */
+    public function canAccessPatientQueue(?Member $member): bool
+    {
+        if (! $this->handlesFloorCare($member)) {
+            return false;
+        }
+
+        return $member->role !== 'nurse';
+    }
 }
diff --git a/resources/views/care/bills/index.blade.php b/resources/views/care/bills/index.blade.php
index bf331c2..c553a72 100644
--- a/resources/views/care/bills/index.blade.php
+++ b/resources/views/care/bills/index.blade.php
@@ -30,12 +30,13 @@
     </form>
 
     <div class="mt-4">
-        @include('care.partials.queue-ops', [
-            'queueIntegration' => $queueIntegration ?? null,
-            'queueCallNextRoute' => 'care.bills.call-next',
-            'queueCallNextParams' => [],
-            'branchId' => $branchId ?? null,
-        ])
+    @include('care.partials.queue-ops', [
+        'queueIntegration' => $queueIntegration ?? null,
+        'queueCallNextRoute' => 'care.bills.call-next',
+        'queueCallNextParams' => [],
+        'branchId' => $branchId ?? null,
+        'variant' => 'bar',
+    ])
     </div>
 
     <div class="mt-4 overflow-hidden rounded-2xl border border-slate-200 bg-white">
diff --git a/resources/views/care/consultations/partials/actions-menu.blade.php b/resources/views/care/consultations/partials/actions-menu.blade.php
index 44d80ef..58f1b8a 100644
--- a/resources/views/care/consultations/partials/actions-menu.blade.php
+++ b/resources/views/care/consultations/partials/actions-menu.blade.php
@@ -15,6 +15,7 @@
     'queueCallNextParams' => [],
     'branchId' => $queueBranchId ?? null,
     'currentAppointmentId' => $appointment?->id,
+    'variant' => 'button',
 ])
 
 @if ($ticketCalled && $appointment)
@@ -71,4 +72,6 @@
     </form>
 @endif
 
+@if (! empty($canAccessPatientQueue))
 <a href="{{ route('care.queue.index') }}" class="{{ $btnSecondary }}">Back to queue</a>
+@endif
diff --git a/resources/views/care/financial-obligations/index.blade.php b/resources/views/care/financial-obligations/index.blade.php
index f67c0dc..0ad2bf9 100644
--- a/resources/views/care/financial-obligations/index.blade.php
+++ b/resources/views/care/financial-obligations/index.blade.php
@@ -13,6 +13,7 @@
                         'queueCallNextRoute' => 'care.bills.call-next',
                         'queueCallNextParams' => [],
                         'branchId' => $branchId ?? null,
+                        'variant' => 'button',
                     ])
                 </div>
             @endif
diff --git a/resources/views/care/lab/queue/index.blade.php b/resources/views/care/lab/queue/index.blade.php
index 79f68d7..84a3937 100644
--- a/resources/views/care/lab/queue/index.blade.php
+++ b/resources/views/care/lab/queue/index.blade.php
@@ -35,12 +35,13 @@
     </form>
 
     <div class="mt-4">
-        @include('care.partials.queue-ops', [
-            'queueIntegration' => $queueIntegration ?? null,
-            'queueCallNextRoute' => 'care.lab.queue.call-next',
-            'queueCallNextParams' => [],
-            'branchId' => $branchId,
-        ])
+    @include('care.partials.queue-ops', [
+        'queueIntegration' => $queueIntegration ?? null,
+        'queueCallNextRoute' => 'care.lab.queue.call-next',
+        'queueCallNextParams' => [],
+        'branchId' => $branchId,
+        'variant' => 'bar',
+    ])
     </div>
 
     <div class="mt-4 space-y-3">
diff --git a/resources/views/care/partials/queue-board-card.blade.php b/resources/views/care/partials/queue-board-card.blade.php
new file mode 100644
index 0000000..6000033
--- /dev/null
+++ b/resources/views/care/partials/queue-board-card.blade.php
@@ -0,0 +1,86 @@
+{{--
+  Single patient-flow card for queue-board stages.
+
+  Expected: $appointment, $stage (waiting|called|in_care|done),
+  $canConsult, $queueIntegration, $startRouteName, $openInCareUrl (callable)
+--}}
+@php
+    $stage = $stage ?? 'waiting';
+    $ticketStatus = $appointment->queue_ticket_status ?? null;
+    $isCalled = in_array($ticketStatus, ['called', 'serving'], true);
+    $openUrl = isset($openInCareUrl) ? $openInCareUrl($appointment) : null;
+@endphp
+<article @class([
+    'group relative flex gap-3 rounded-xl border px-3 py-3 transition',
+    'border-indigo-200 bg-indigo-50/70 ring-1 ring-indigo-100' => $stage === 'called' || ($stage === 'waiting' && $isCalled),
+    'border-emerald-200 bg-emerald-50/60' => $stage === 'in_care',
+    'border-slate-100 bg-slate-50/80' => $stage === 'waiting' && ! $isCalled,
+    'border-slate-100 bg-white opacity-90' => $stage === 'done',
+])>
+    <div class="min-w-0 flex-1 space-y-1.5">
+        @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_number)
+            @include('care.partials.queue-ticket', [
+                'ticketNumber' => $appointment->queue_ticket_number,
+                'ticketStatus' => $ticketStatus,
+                'destination' => $appointment->queue_destination,
+                'staffDisplayName' => $appointment->queue_staff_display_name,
+                'showAssignment' => $stage !== 'in_care' && $stage !== 'done',
+                'prominent' => true,
+            ])
+        @elseif (! empty($queueIntegration['enabled']) && ($appointment->queue_routing_status ?? '') === 'unresolved')
+            <span class="inline-flex rounded-md bg-amber-100 px-2 py-0.5 text-[10px] font-semibold uppercase tracking-wide text-amber-800">Unassigned</span>
+        @elseif ($appointment->queue_position)
+            <span class="inline-flex h-8 min-w-[2rem] items-center justify-center rounded-lg bg-slate-200/80 px-2 font-mono text-sm font-bold text-slate-700">{{ $appointment->queue_position }}</span>
+        @endif
+
+        <div class="min-w-0">
+            <p class="truncate text-sm font-semibold text-slate-900">{{ $appointment->patient?->fullName() ?? 'Patient' }}</p>
+            <p class="mt-0.5 truncate text-xs text-slate-500">
+                @if ($stage === 'in_care' || $stage === 'done')
+                    {{ $appointment->practitioner?->name ?? 'Unassigned' }}
+                    @if ($appointment->patient?->patient_number)
+                        <span class="text-slate-300"> · </span>{{ $appointment->patient->patient_number }}
+                    @endif
+                @else
+                    {{ $appointment->patient?->patient_number ?? '—' }}
+                    @if ($appointment->reason)
+                        <span class="text-slate-300"> · </span>{{ $appointment->reason }}
+                    @endif
+                @endif
+            </p>
+        </div>
+    </div>
+
+    <div class="flex shrink-0 flex-col items-end justify-center gap-1.5">
+        @if ($stage === 'waiting' || $stage === 'called')
+            @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_uuid && $isCalled && $canConsult)
+                <form method="POST" action="{{ route('care.queue.recall', $appointment) }}">
+                    @csrf
+                    <button type="submit" class="rounded-lg border border-indigo-200 bg-white px-2.5 py-1 text-[11px] font-medium text-indigo-700 hover:bg-indigo-50">Call again</button>
+                </form>
+            @endif
+            @if ($canConsult)
+                <form method="POST" action="{{ route($startRouteName, $appointment) }}">
+                    @csrf
+                    <button type="submit" @class([
+                        'rounded-lg px-2.5 py-1.5 text-xs font-semibold text-white',
+                        'bg-indigo-600 hover:bg-indigo-700' => $isCalled,
+                        'bg-slate-800 hover:bg-slate-900' => ! $isCalled,
+                    ])>
+                        {{ ! empty($queueIntegration['enabled']) && $ticketStatus === 'called' ? 'Serve & start' : 'Start' }}
+                    </button>
+                </form>
+            @endif
+        @elseif ($stage === 'in_care')
+            @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_uuid && $isCalled && $canConsult)
+                <form method="POST" action="{{ route('care.queue.recall', $appointment) }}">
+                    @csrf
+                    <button type="submit" class="rounded-lg border border-indigo-200 bg-white px-2.5 py-1 text-[11px] font-medium text-indigo-700 hover:bg-indigo-50">Call again</button>
+                </form>
+            @endif
+            @if ($openUrl)
+                <a href="{{ $openUrl }}" class="rounded-lg bg-emerald-600 px-2.5 py-1.5 text-xs font-semibold text-white hover:bg-emerald-700">Open</a>
+            @endif
+        @endif
+    </div>
+</article>
diff --git a/resources/views/care/partials/queue-board.blade.php b/resources/views/care/partials/queue-board.blade.php
index ae9ec61..8a9920b 100644
--- a/resources/views/care/partials/queue-board.blade.php
+++ b/resources/views/care/partials/queue-board.blade.php
@@ -1,21 +1,22 @@
 {{--
-  Shared Waiting | In care board (GP Queue + specialty Queue homes).
+  Shared patient-flow board (GP Queue + specialty Queue homes).
 
   Expected vars:
   - $queue, $inConsultation (collections of Appointment)
+  - $done (optional — completed today)
   - $queueIntegration, $branchId
   - $canConsult (bool)
   - $queueCallNextRoute, $queueCallNextParams (optional — if set, Call next renders above board)
   - $startRouteName (default care.queue.start) — route(name, $appointment)
   - $openInCareUrl (callable Appointment $a): ?string — link for in-care Open
-  - $inCareLabel (default "In consultation")
+  - $inCareLabel (default "In care")
   - $lockToPractitioner, $canSwitchBranch, $branches, $practitioners, $practitionerId (filter bar)
   - $showFilters (default true)
 --}}
 @php
     $canConsult = $canConsult ?? false;
     $showFilters = $showFilters ?? true;
-    $inCareLabel = $inCareLabel ?? 'In consultation';
+    $inCareLabel = $inCareLabel ?? 'In care';
     $startRouteName = $startRouteName ?? 'care.queue.start';
     $openInCareUrl = $openInCareUrl ?? function ($appointment) {
         return $appointment->consultation
@@ -24,10 +25,58 @@
     };
     $queueCallNextRoute = $queueCallNextRoute ?? null;
     $queueCallNextParams = $queueCallNextParams ?? [];
+    $done = $done ?? collect();
+
+    $calledStatuses = ['called', 'serving'];
+    $waitingList = $queue->reject(
+        fn ($a) => in_array($a->queue_ticket_status ?? '', $calledStatuses, true)
+    )->values();
+    $calledList = $queue->filter(
+        fn ($a) => in_array($a->queue_ticket_status ?? '', $calledStatuses, true)
+    )->values();
+
+    $stages = [
+        [
+            'key' => 'waiting',
+            'label' => 'Waiting',
+            'count' => $waitingList->count(),
+            'items' => $waitingList,
+            'empty' => 'No patients waiting.',
+            'accent' => 'text-slate-500',
+            'dot' => 'bg-slate-400',
+        ],
+        [
+            'key' => 'called',
+            'label' => 'Called',
+            'count' => $calledList->count(),
+            'items' => $calledList,
+            'empty' => 'No one called yet.',
+            'accent' => 'text-indigo-600',
+            'dot' => 'bg-indigo-500',
+        ],
+        [
+            'key' => 'in_care',
+            'label' => $inCareLabel,
+            'count' => $inConsultation->count(),
+            'items' => $inConsultation,
+            'empty' => 'No active encounters.',
+            'accent' => 'text-emerald-700',
+            'dot' => 'bg-emerald-500',
+        ],
+        [
+            'key' => 'done',
+            'label' => 'Done',
+            'count' => $done->count(),
+            'items' => $done,
+            'empty' => 'None completed today.',
+            'accent' => 'text-slate-400',
+            'dot' => 'bg-slate-300',
+        ],
+    ];
 @endphp
 
 @if ($showFilters)
-    <form method="GET" class="flex flex-wrap gap-3 rounded-2xl border border-slate-200 bg-white p-4">
+    <form method="GET" class="flex flex-wrap items-center gap-3 rounded-xl border border-slate-200 bg-white px-4 py-3">
         @if ($lockToPractitioner ?? false)
             @if (($canSwitchBranch ?? false) && isset($branches) && $branches->count() > 1)
                 <select name="branch_id" class="rounded-lg border-slate-300 text-sm" onchange="this.form.submit()">
@@ -36,11 +85,11 @@
                     @endforeach
                 </select>
             @elseif (isset($branches) && $branches->isNotEmpty())
-                <span class="flex items-center text-sm font-medium text-slate-700">{{ $branches->first()->name }}</span>
+                <span class="text-sm font-medium text-slate-700">{{ $branches->first()->name }}</span>
             @elseif (! empty($branchLabel))
-                <span class="flex items-center text-sm font-medium text-slate-700">{{ $branchLabel }}</span>
+                <span class="text-sm font-medium text-slate-700">{{ $branchLabel }}</span>
             @endif
-            <span class="flex items-center text-sm text-slate-500">Showing patients assigned to you</span>
+            <span class="text-sm text-slate-500">Assigned to you</span>
         @elseif ($canSwitchBranch ?? false)
             <select name="branch_id" class="rounded-lg border-slate-300 text-sm" onchange="this.form.submit()">
                 @foreach ($branches as $branch)
@@ -57,9 +106,9 @@
         @else
             @if (isset($branches) && $branches->isNotEmpty())
                 <input type="hidden" name="branch_id" value="{{ $branchId }}">
-                <span class="flex items-center text-sm font-medium text-slate-700">{{ $branches->first()->name }}</span>
+                <span class="text-sm font-medium text-slate-700">{{ $branches->first()->name }}</span>
             @elseif (! empty($branchLabel))
-                <span class="flex items-center text-sm font-medium text-slate-700">{{ $branchLabel }}</span>
+                <span class="text-sm font-medium text-slate-700">{{ $branchLabel }}</span>
             @endif
             @if (isset($practitioners))
                 <select name="practitioner_id" class="rounded-lg border-slate-300 text-sm">
@@ -74,103 +123,50 @@
     </form>
 @endif
 
-@if ($queueCallNextRoute)
-    @include('care.partials.queue-ops', [
-        'queueIntegration' => $queueIntegration ?? null,
-        'queueCallNextRoute' => $queueCallNextRoute,
-        'queueCallNextParams' => $queueCallNextParams,
-        'branchId' => $branchId ?? null,
-    ])
-@endif
-
-<div class="grid gap-6 lg:grid-cols-2">
-    <section class="rounded-2xl border border-slate-200 bg-white p-6">
-        <h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Waiting ({{ $queue->count() }})</h2>
-        <div class="mt-4 space-y-3">
-            @forelse ($queue as $appointment)
-                <div @class([
-                    'flex items-start justify-between gap-4 rounded-xl border p-4',
-                    'border-indigo-200 bg-indigo-50/60' => ($appointment->queue_ticket_status ?? null) === 'called',
-                    'border-emerald-200 bg-emerald-50' => ($appointment->queue_ticket_status ?? null) === 'serving',
-                    'border-slate-100 bg-slate-50' => ! in_array($appointment->queue_ticket_status ?? null, ['called', 'serving'], true),
-                ])>
-                    <div class="min-w-0 flex-1 space-y-2">
-                        @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_number)
-                            @include('care.partials.queue-ticket', [
-                                'ticketNumber' => $appointment->queue_ticket_number,
-                                'ticketStatus' => $appointment->queue_ticket_status,
-                                'destination' => $appointment->queue_destination,
-                                'staffDisplayName' => $appointment->queue_staff_display_name,
-                            ])
-                        @elseif (! empty($queueIntegration['enabled']) && ($appointment->queue_routing_status ?? '') === 'unresolved')
-                            <span class="inline-flex rounded-full bg-amber-100 px-2 py-0.5 text-[10px] font-semibold uppercase tracking-wide text-amber-800">Unassigned</span>
-                        @elseif ($appointment->queue_position)
-                            <span class="inline-flex h-7 w-7 items-center justify-center rounded-full bg-sky-100 text-xs font-bold text-sky-700">{{ $appointment->queue_position }}</span>
-                        @endif
-
-                        <div class="min-w-0">
-                            <p class="truncate text-base font-semibold text-slate-900">{{ $appointment->patient?->fullName() ?? 'Patient' }}</p>
-                            <p class="mt-0.5 truncate text-xs text-slate-500">{{ $appointment->patient?->patient_number ?? '—' }} · {{ $appointment->reason ?? '—' }}</p>
-                        </div>
-                    </div>
-
-                    <div class="flex shrink-0 flex-wrap items-center justify-end gap-2">
-                        @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_uuid && in_array($appointment->queue_ticket_status ?? '', ['called', 'serving'], true) && $canConsult)
-                            <form method="POST" action="{{ route('care.queue.recall', $appointment) }}">
-                                @csrf
-                                <button type="submit" class="rounded-lg border border-indigo-200 bg-indigo-50 px-3 py-1.5 text-xs font-medium text-indigo-700 hover:bg-indigo-100">Call again</button>
-                            </form>
-                        @endif
-                        @if ($canConsult)
-                            <form method="POST" action="{{ route($startRouteName, $appointment) }}">
-                                @csrf
-                                <button type="submit" class="rounded-lg bg-sky-600 px-3 py-1.5 text-xs font-medium text-white hover:bg-sky-700">
-                                    {{ ! empty($queueIntegration['enabled']) && ($appointment->queue_ticket_status ?? '') === 'called' ? 'Serve & start' : 'Start' }}
-                                </button>
-                            </form>
-                        @endif
-                    </div>
-                </div>
-            @empty
-                <p class="text-sm text-slate-500">No patients waiting.</p>
-            @endforelse
+<div class="overflow-hidden rounded-2xl border border-slate-200 bg-white shadow-sm shadow-slate-100/80">
+    @if ($queueCallNextRoute)
+        <div class="border-b border-slate-100 bg-gradient-to-r from-indigo-50/90 via-white to-slate-50 px-4 py-3 sm:px-5">
+            @include('care.partials.queue-ops', [
+                'queueIntegration' => $queueIntegration ?? null,
+                'queueCallNextRoute' => $queueCallNextRoute,
+                'queueCallNextParams' => $queueCallNextParams,
+                'branchId' => $branchId ?? null,
+                'variant' => 'bar',
+            ])
+            @if (empty($queueIntegration['enabled']))
+                <p class="text-sm text-slate-500">Start patients from the waiting column when they arrive at your desk.</p>
+            @endif
         </div>
-    </section>
+    @endif
 
-    <section class="rounded-2xl border border-slate-200 bg-white p-6">
-        <h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">{{ $inCareLabel }} ({{ $inConsultation->count() }})</h2>
-        <div class="mt-4 space-y-3">
-            @forelse ($inConsultation as $appointment)
-                <div class="flex items-start justify-between gap-4 rounded-xl border border-emerald-100 bg-emerald-50 p-4">
-                    <div class="min-w-0 flex-1 space-y-2">
-                        @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_number)
-                            @include('care.partials.queue-ticket', [
-                                'ticketNumber' => $appointment->queue_ticket_number,
-                                'ticketStatus' => $appointment->queue_ticket_status,
-                                'showAssignment' => false,
-                            ])
-                        @endif
-                        <div class="min-w-0">
-                            <p class="truncate text-base font-semibold text-slate-900">{{ $appointment->patient?->fullName() ?? 'Patient' }}</p>
-                            <p class="mt-0.5 truncate text-xs text-slate-500">{{ $appointment->practitioner?->name ?? 'Unassigned' }}</p>
-                        </div>
-                    </div>
-                    <div class="flex shrink-0 flex-wrap items-center justify-end gap-2">
-                        @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_uuid && in_array($appointment->queue_ticket_status ?? '', ['called', 'serving'], true) && $canConsult)
-                            <form method="POST" action="{{ route('care.queue.recall', $appointment) }}">
-                                @csrf
-                                <button type="submit" class="rounded-lg border border-indigo-200 bg-indigo-50 px-3 py-1.5 text-xs font-medium text-indigo-700 hover:bg-indigo-100">Call again</button>
-                            </form>
-                        @endif
-                        @php $openUrl = $openInCareUrl($appointment); @endphp
-                        @if ($openUrl)
-                            <a href="{{ $openUrl }}" class="text-sm font-medium text-sky-600 hover:text-sky-700">Open</a>
-                        @endif
+    <div class="flex snap-x snap-mandatory gap-0 overflow-x-auto lg:grid lg:grid-cols-4 lg:overflow-visible" style="-ms-overflow-style:none;scrollbar-width:none;">
+        @foreach ($stages as $index => $stage)
+            <section @class([
+                'flex w-[min(85vw,20rem)] shrink-0 snap-start flex-col border-slate-100 lg:w-auto',
+                'border-r' => $index < count($stages) - 1,
+            ])>
+                <header class="sticky top-0 z-[1] flex items-center justify-between gap-2 border-b border-slate-100 bg-white/95 px-4 py-3 backdrop-blur-sm">
+                    <div class="flex items-center gap-2">
+                        <span class="h-2 w-2 rounded-full {{ $stage['dot'] }}"></span>
+                        <h2 class="text-xs font-semibold uppercase tracking-wide {{ $stage['accent'] }}">{{ $stage['label'] }}</h2>
                     </div>
+                    <span class="rounded-md bg-slate-100 px-2 py-0.5 text-xs font-semibold tabular-nums text-slate-700">{{ $stage['count'] }}</span>
+                </header>
+                <div class="flex-1 space-y-2 p-3 sm:min-h-[12rem]">
+                    @forelse ($stage['items'] as $appointment)
+                        @include('care.partials.queue-board-card', [
+                            'appointment' => $appointment,
+                            'stage' => $stage['key'],
+                            'canConsult' => $canConsult,
+                            'queueIntegration' => $queueIntegration ?? null,
+                            'startRouteName' => $startRouteName,
+                            'openInCareUrl' => $openInCareUrl,
+                        ])
+                    @empty
+                        <p class="rounded-xl border border-dashed border-slate-200 px-3 py-8 text-center text-xs text-slate-400">{{ $stage['empty'] }}</p>
+                    @endforelse
                 </div>
-            @empty
-                <p class="text-sm text-slate-500">No active encounters.</p>
-            @endforelse
-        </div>
-    </section>
+            </section>
+        @endforeach
+    </div>
 </div>
diff --git a/resources/views/care/partials/queue-ops.blade.php b/resources/views/care/partials/queue-ops.blade.php
index f43ff2a..6f4f1d1 100644
--- a/resources/views/care/partials/queue-ops.blade.php
+++ b/resources/views/care/partials/queue-ops.blade.php
@@ -4,6 +4,7 @@
   $callNextRoute = $queueCallNextRoute ?? null;
   $callNextParams = $queueCallNextParams ?? [];
   $currentAppointmentId = $currentAppointmentId ?? null;
+  $variant = $variant ?? 'bar'; // bar | button
 @endphp
 @if (! empty($qi['enabled']) && $callNextRoute)
   <form method="POST" action="{{ route($callNextRoute, $callNextParams) }}" class="w-full" @click.stop>
@@ -19,6 +20,20 @@
     @if (! empty($currentAppointmentId))
       <input type="hidden" name="appointment_id" value="{{ $currentAppointmentId }}">
     @endif
-    <button type="submit" class="btn-primary flex w-full items-center justify-center text-sm">Call next</button>
+    @if ($variant === 'bar')
+      <button type="submit" class="group flex w-full items-center justify-between gap-3 rounded-xl bg-indigo-600 px-4 py-3 text-left shadow-sm transition hover:bg-indigo-700">
+        <span class="min-w-0">
+          <span class="block text-sm font-semibold text-white">Call next</span>
+          <span class="mt-0.5 block truncate text-xs text-indigo-100">Bring the next waiting patient to your desk</span>
+        </span>
+        <span class="flex h-9 w-9 shrink-0 items-center justify-center rounded-lg bg-white/15 text-white transition group-hover:bg-white/25">
+          <svg class="h-5 w-5" fill="none" viewBox="0 0 24 24" stroke-width="2" stroke="currentColor" aria-hidden="true">
+            <path stroke-linecap="round" stroke-linejoin="round" d="M13.5 4.5 21 12m0 0-7.5 7.5M21 12H3" />
+          </svg>
+        </span>
+      </button>
+    @else
+      <button type="submit" class="btn-primary flex w-full items-center justify-center text-sm">Call next</button>
+    @endif
   </form>
 @endif
diff --git a/resources/views/care/partials/queue-ticket.blade.php b/resources/views/care/partials/queue-ticket.blade.php
index 271a8da..c6bfadf 100644
--- a/resources/views/care/partials/queue-ticket.blade.php
+++ b/resources/views/care/partials/queue-ticket.blade.php
@@ -4,14 +4,19 @@
   $destination = $destination ?? null;
   $staffDisplayName = $staffDisplayName ?? null;
   $showAssignment = ($showAssignment ?? true) && ($destination || $staffDisplayName);
+  $prominent = $prominent ?? false;
 @endphp
 @if ($number)
   <div class="min-w-0">
     <div class="flex flex-wrap items-center gap-2">
-      <span class="inline-flex h-7 min-w-[2.75rem] items-center justify-center rounded-md bg-sky-100 px-2 font-mono text-xs font-bold tracking-wide text-sky-800">{{ $number }}</span>
+      <span @class([
+        'inline-flex items-center justify-center rounded-lg font-mono font-bold tracking-wide',
+        'h-9 min-w-[3.25rem] bg-indigo-600 px-2.5 text-base text-white shadow-sm' => $prominent,
+        'h-7 min-w-[2.75rem] bg-sky-100 px-2 text-xs text-sky-800' => ! $prominent,
+      ])>{{ $number }}</span>
       @if ($status)
         <span @class([
-          'rounded-full px-2 py-0.5 text-[10px] font-semibold uppercase tracking-wide',
+          'rounded-md px-2 py-0.5 text-[10px] font-semibold uppercase tracking-wide',
           'bg-amber-100 text-amber-800' => $status === 'waiting',
           'bg-indigo-100 text-indigo-800' => $status === 'called',
           'bg-emerald-100 text-emerald-800' => $status === 'serving',
@@ -21,7 +26,7 @@
     </div>
     @if ($showAssignment)
       <p class="mt-1 truncate text-xs text-slate-500">
-        @if ($destination){{ $destination }}@endif
+        @if ($destination)<span class="font-medium text-slate-600">{{ $destination }}</span>@endif
         @if ($destination && $staffDisplayName)<span class="text-slate-300"> · </span>@endif
         @if ($staffDisplayName){{ $staffDisplayName }}@endif
       </p>
diff --git a/resources/views/care/prescriptions/queue.blade.php b/resources/views/care/prescriptions/queue.blade.php
index e273d85..7a860e1 100644
--- a/resources/views/care/prescriptions/queue.blade.php
+++ b/resources/views/care/prescriptions/queue.blade.php
@@ -16,12 +16,13 @@
     @endif
 
     <div class="mt-4">
-        @include('care.partials.queue-ops', [
-            'queueIntegration' => $queueIntegration ?? null,
-            'queueCallNextRoute' => 'care.prescriptions.call-next',
-            'queueCallNextParams' => [],
-            'branchId' => $branchId ?? null,
-        ])
+    @include('care.partials.queue-ops', [
+        'queueIntegration' => $queueIntegration ?? null,
+        'queueCallNextRoute' => 'care.prescriptions.call-next',
+        'queueCallNextParams' => [],
+        'branchId' => $branchId ?? null,
+        'variant' => 'bar',
+    ])
     </div>
 
     <div class="mt-4 space-y-3">
diff --git a/resources/views/care/queue/index.blade.php b/resources/views/care/queue/index.blade.php
index 84e0c63..61a77b2 100644
--- a/resources/views/care/queue/index.blade.php
+++ b/resources/views/care/queue/index.blade.php
@@ -6,12 +6,12 @@
     <div class="space-y-6">
         <x-care.page-hero
             :badge="$specialtyLabel
-                ? $specialtyLabel.' · Waiting · Encounters'
-                : 'Waiting room · Consultations · Walk-ins'"
-            title="Patient queue"
+                ? $specialtyLabel.' · Patient flow'
+                : 'Ladill Care · Patient flow'"
+            :title="$specialtyLabel ? $specialtyLabel.' queue' : 'Patient flow'"
             :description="$specialtyLabel
-                ? 'See who is waiting for '.$specialtyLabel.', start encounters, and keep patient flow moving.'
-                : 'See who is waiting, start consultations, and keep patient flow moving across your branch.'"
+                ? 'Move '.$specialtyLabel.' patients from waiting through called, in care, and done.'
+                : 'Move patients from waiting through called, in care, and done — one board for your branch.'"
             :stats="[
                 ['value' => number_format($heroStats['waiting']), 'label' => 'Waiting'],
                 ['value' => number_format($heroStats['in_consultation']), 'label' => $specialtyLabel ? 'In care' : 'In consultation'],
@@ -27,6 +27,7 @@
         @include('care.partials.queue-board', [
             'queue' => $queue,
             'inConsultation' => $inConsultation,
+            'done' => $done ?? collect(),
             'queueIntegration' => $queueIntegration ?? null,
             'branchId' => $branchId,
             'canConsult' => $canConsult,
diff --git a/resources/views/care/specialty/dentistry/reports.blade.php b/resources/views/care/specialty/dentistry/reports.blade.php
index 39adcf8..f75f926 100644
--- a/resources/views/care/specialty/dentistry/reports.blade.php
+++ b/resources/views/care/specialty/dentistry/reports.blade.php
@@ -5,7 +5,7 @@
                 <h1 class="text-xl font-semibold text-slate-900">Dentistry reports</h1>
                 <p class="mt-1 text-sm text-slate-500">Procedures, revenue, unfinished plans, and imaging volume.</p>
             </div>
-            <a href="{{ route('care.queue.index') }}" class="text-sm font-medium text-indigo-600">← Back to queue</a>
+            <a href="{{ route('care.specialty.workspace', 'dentistry') }}" class="text-sm font-medium text-indigo-600">← Specialty home</a>
         </div>
 
         <form method="GET" class="flex flex-wrap items-end gap-3 rounded-2xl border border-slate-200 bg-white p-4">
diff --git a/resources/views/care/specialty/emergency/reports.blade.php b/resources/views/care/specialty/emergency/reports.blade.php
index 67e2ebf..b595d1d 100644
--- a/resources/views/care/specialty/emergency/reports.blade.php
+++ b/resources/views/care/specialty/emergency/reports.blade.php
@@ -5,7 +5,7 @@
                 <h1 class="text-xl font-semibold text-slate-900">Emergency reports</h1>
                 <p class="mt-1 text-sm text-slate-500">Arrivals, acuity mix, dispositions, length of stay, and ED service revenue.</p>
             </div>
-            <a href="{{ route('care.queue.index') }}" class="text-sm font-medium text-indigo-600">← Back to queue</a>
+            <a href="{{ route('care.specialty.workspace', 'emergency') }}" class="text-sm font-medium text-indigo-600">← Specialty home</a>
         </div>
 
         <form method="GET" class="flex flex-wrap items-end gap-3 rounded-2xl border border-slate-200 bg-white p-4">
diff --git a/resources/views/care/specialty/partials/actions-menu.blade.php b/resources/views/care/specialty/partials/actions-menu.blade.php
index 1858601..c567750 100644
--- a/resources/views/care/specialty/partials/actions-menu.blade.php
+++ b/resources/views/care/specialty/partials/actions-menu.blade.php
@@ -55,6 +55,7 @@
         'queueCallNextParams' => ['module' => $moduleKey],
         'branchId' => $branchId ?? null,
         'currentAppointmentId' => $appointment?->id,
+        'variant' => 'button',
     ])
 @endif
 
@@ -136,9 +137,15 @@
     @endif
 @endif
 
+@if (! empty($canAccessPatientQueue))
 <a href="{{ route('care.queue.index') }}" class="{{ $btnSecondary }}">
     Back to queue
 </a>
+@else
+<a href="{{ route('care.specialty.workspace', $moduleKey) }}" class="{{ $btnSecondary }}">
+    Specialty home
+</a>
+@endif
 
 @if ($canBookAppointments)
     <a href="{{ route('care.appointments.create') }}" class="{{ $btnAccent }}">
diff --git a/resources/views/care/specialty/sections/workspace.blade.php b/resources/views/care/specialty/sections/workspace.blade.php
index 376ba97..376377a 100644
--- a/resources/views/care/specialty/sections/workspace.blade.php
+++ b/resources/views/care/specialty/sections/workspace.blade.php
@@ -15,8 +15,16 @@
 @if (! $workspaceVisit)
     <section class="rounded-2xl border border-dashed border-slate-200 bg-white px-4 py-12 text-center">
         <h2 class="text-sm font-semibold text-slate-900">No open visit selected</h2>
-        <p class="mt-1 text-sm text-slate-500">Open a visit from the queue, or call next from the waiting list.</p>
-        <a href="{{ route('care.queue.index') }}" class="mt-4 inline-flex text-sm font-medium text-indigo-600">Back to queue</a>
+        <p class="mt-1 text-sm text-slate-500">
+            @if (! empty($canAccessPatientQueue))
+                Open a visit from the queue, or call next from the waiting list.
+            @else
+                Open an assigned visit, or ask reception to call the next patient.
+            @endif
+        </p>
+        @if (! empty($canAccessPatientQueue))
+            <a href="{{ route('care.queue.index') }}" class="mt-4 inline-flex text-sm font-medium text-indigo-600">Back to queue</a>
+        @endif
     </section>
 @else
     {{-- Module tabs --}}
diff --git a/resources/views/care/specialty/shell.blade.php b/resources/views/care/specialty/shell.blade.php
index 30a2fd3..ee87781 100644
--- a/resources/views/care/specialty/shell.blade.php
+++ b/resources/views/care/specialty/shell.blade.php
@@ -11,7 +11,11 @@
     <div class="space-y-4">
         @if ($section === 'workspace')
             <div class="flex flex-wrap items-center justify-between gap-3">
-                <a href="{{ route('care.queue.index') }}" class="text-sm font-medium text-indigo-600 hover:text-indigo-800">← Back to queue</a>
+                @if (! empty($canAccessPatientQueue))
+                    <a href="{{ route('care.queue.index') }}" class="text-sm font-medium text-indigo-600 hover:text-indigo-800">← Back to queue</a>
+                @else
+                    <span></span>
+                @endif
                 <div class="flex flex-wrap gap-3 text-sm">
                     @if ($moduleKey === 'dentistry')
                         <a href="{{ route('care.specialty.dentistry.reports') }}" class="text-slate-600 hover:text-slate-900">Reports</a>
@@ -78,7 +82,7 @@
                         <p class="mt-1 text-sm text-slate-500">Completed encounters for this service line.</p>
                     </div>
                 </div>
-                <a href="{{ route('care.queue.index') }}" class="text-sm font-medium text-indigo-600 hover:text-indigo-800">← Back to queue</a>
+                <a href="{{ route('care.specialty.workspace', $moduleKey) }}" class="text-sm font-medium text-indigo-600 hover:text-indigo-800">← Specialty home</a>
             </div>
             @include('care.specialty.sections.history')
         @elseif ($section === 'billing')
@@ -90,7 +94,7 @@
                         <p class="mt-1 text-sm text-slate-500">Service catalog for this module.</p>
                     </div>
                 </div>
-                <a href="{{ route('care.queue.index') }}" class="text-sm font-medium text-indigo-600 hover:text-indigo-800">← Back to queue</a>
+                <a href="{{ route('care.specialty.workspace', $moduleKey) }}" class="text-sm font-medium text-indigo-600 hover:text-indigo-800">← Specialty home</a>
             </div>
             @include('care.specialty.sections.billing')
         @else
@@ -105,9 +109,9 @@
                         <p class="text-sm font-semibold text-slate-700">{{ $specialtyLabel }}</p>
                     </div>
                     <x-care.page-hero
-                        badge="Waiting · In care · Call next"
+                        badge="Patient flow · Call next"
                         :title="$specialtyLabel.' queue'"
-                        description="See who is waiting, start encounters, and keep patient flow moving."
+                        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'],
@@ -130,6 +134,7 @@
                     @include('care.partials.queue-board', [
                         'queue' => $queue,
                         'inConsultation' => $inConsultation,
+                        'done' => $done ?? collect(),
                         'queueIntegration' => $queueIntegration ?? null,
                         'branchId' => $branchId,
                         'branchLabel' => $branchLabel ?? null,
diff --git a/resources/views/partials/sidebar.blade.php b/resources/views/partials/sidebar.blade.php
index 9e3a3fb..e3a18bd 100644
--- a/resources/views/partials/sidebar.blade.php
+++ b/resources/views/partials/sidebar.blade.php
@@ -26,7 +26,7 @@
         if ($permissions->can($member, 'appointments.view')) {
             $nav[] = ['name' => 'Appointments', 'route' => route('care.appointments.index'), 'active' => request()->routeIs('care.appointments.*'),
              'icon' => '<path stroke-linecap="round" stroke-linejoin="round" d="M6.75 3v2.25M17.25 3v2.25M3 18.75V7.5a2.25 2.25 0 0 1 2.25-2.25h13.5A2.25 2.25 0 0 1 21 7.5v11.25m-18 0A2.25 2.25 0 0 0 5.25 21h13.5A2.25 2.25 0 0 0 21 18.75m-18 0v-7.5A2.25 2.25 0 0 1 5.25 9h13.5A2.25 2.25 0 0 1 21 11.25v7.5" />'];
-            if ($permissions->handlesFloorCare($member)) {
+            if ($permissions->canAccessPatientQueue($member)) {
                 $nav[] = ['name' => 'Queue', 'route' => route('care.queue.index'), 'active' => request()->routeIs('care.queue.*') || request()->routeIs('care.consultations.*'),
                  'icon' => '<path stroke-linecap="round" stroke-linejoin="round" d="M3.75 12h16.5m-16.5 3.75h16.5M3.75 19.5h16.5M5.25 4.5h13.5a.75.75 0 0 1 .75.75v15.75a.75.75 0 0 1-.75.75H5.25a.75.75 0 0 1-.75-.75V5.25a.75.75 0 0 1 .75-.75Z" />'];
             }
diff --git a/tests/Feature/CareAppointmentTest.php b/tests/Feature/CareAppointmentTest.php
index dec975e..33c3fc4 100644
--- a/tests/Feature/CareAppointmentTest.php
+++ b/tests/Feature/CareAppointmentTest.php
@@ -214,7 +214,7 @@ class CareAppointmentTest extends TestCase
         $this->actingAs($this->user)
             ->get(route('care.queue.index', ['branch_id' => $this->branch->id]))
             ->assertOk()
-            ->assertSee('Patient queue');
+            ->assertSee('Patient flow');
     }
 
     public function test_queue_repairs_duplicate_positions(): void
diff --git a/tests/Feature/CareNaturalQueueTest.php b/tests/Feature/CareNaturalQueueTest.php
index 99ec362..4162a60 100644
--- a/tests/Feature/CareNaturalQueueTest.php
+++ b/tests/Feature/CareNaturalQueueTest.php
@@ -89,7 +89,10 @@ class CareNaturalQueueTest extends TestCase
             ->get(route('care.queue.index'))
             ->assertOk()
             ->assertDontSee('Service counter')
-            ->assertSee('Call next');
+            ->assertSee('Call next')
+            ->assertSee('Patient flow')
+            ->assertSee('Called')
+            ->assertSee('Done');
     }
 
     public function test_pharmacist_sees_call_next_on_pharmacy_page(): void
diff --git a/tests/Feature/CarePatientQueueAccessTest.php b/tests/Feature/CarePatientQueueAccessTest.php
new file mode 100644
index 0000000..c20db25
--- /dev/null
+++ b/tests/Feature/CarePatientQueueAccessTest.php
@@ -0,0 +1,146 @@
+<?php
+
+namespace Tests\Feature;
+
+use App\Http\Middleware\EnsurePlatformSession;
+use App\Models\Branch;
+use App\Models\Member;
+use App\Models\Organization;
+use App\Models\User;
+use App\Services\Care\CarePermissions;
+use Illuminate\Foundation\Testing\RefreshDatabase;
+use Tests\TestCase;
+
+class CarePatientQueueAccessTest extends TestCase
+{
+    use RefreshDatabase;
+
+    protected User $owner;
+
+    protected Organization $organization;
+
+    protected Branch $branch;
+
+    protected function setUp(): void
+    {
+        parent::setUp();
+        $this->withoutMiddleware(EnsurePlatformSession::class);
+
+        $this->owner = User::create([
+            'public_id' => 'pq-access-owner',
+            'name' => 'Owner',
+            'email' => 'pq-access-owner@example.com',
+        ]);
+
+        $this->organization = Organization::create([
+            'owner_ref' => $this->owner->public_id,
+            'name' => 'PQ Clinic',
+            'slug' => 'pq-clinic',
+            'settings' => [
+                'onboarded' => true,
+                'facility_type' => 'clinic',
+                'plan' => 'pro',
+                'plan_expires_at' => now()->addMonth()->toIso8601String(),
+                'queue_integration_enabled' => true,
+            ],
+        ]);
+
+        Member::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'user_ref' => $this->owner->public_id,
+            'role' => 'hospital_admin',
+        ]);
+
+        $this->branch = Branch::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'name' => 'Main',
+            'is_active' => true,
+        ]);
+    }
+
+    /**
+     * @return array{0: User, 1: Member}
+     */
+    protected function makeStaff(string $role, string $suffix): array
+    {
+        $user = User::create([
+            'public_id' => 'pq-'.$suffix,
+            'name' => ucfirst($role).' '.$suffix,
+            'email' => $suffix.'@pq.example.com',
+        ]);
+        $member = Member::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'user_ref' => $user->public_id,
+            'role' => $role,
+            'branch_id' => $this->branch->id,
+        ]);
+
+        return [$user, $member];
+    }
+
+    public function test_nurse_loses_queue_manage_and_cannot_open_patient_queue(): void
+    {
+        [$nurseUser, $nurseMember] = $this->makeStaff('nurse', 'nurse1');
+        $permissions = app(CarePermissions::class);
+
+        $this->assertFalse($permissions->can($nurseMember, 'queue.manage'));
+        $this->assertFalse($permissions->canAccessPatientQueue($nurseMember));
+        $this->assertTrue($permissions->handlesFloorCare($nurseMember));
+
+        $this->actingAs($nurseUser)
+            ->get(route('care.queue.index'))
+            ->assertForbidden();
+
+        $this->actingAs($nurseUser)
+            ->get(route('care.dashboard'))
+            ->assertOk()
+            ->assertDontSee('href="'.e(route('care.queue.index')).'"', false);
+    }
+
+    public function test_doctor_and_receptionist_can_open_redesigned_queue_board(): void
+    {
+        [$doctorUser, $doctorMember] = $this->makeStaff('doctor', 'doc1');
+        [$receptionistUser, $receptionistMember] = $this->makeStaff('receptionist', 'rec1');
+        $permissions = app(CarePermissions::class);
+
+        $this->assertTrue($permissions->canAccessPatientQueue($doctorMember));
+        $this->assertTrue($permissions->canAccessPatientQueue($receptionistMember));
+        $this->assertTrue($permissions->can($receptionistMember, 'queue.manage'));
+
+        $this->actingAs($doctorUser)
+            ->get(route('care.queue.index'))
+            ->assertOk()
+            ->assertSee('Patient flow')
+            ->assertSee('Waiting')
+            ->assertSee('Called')
+            ->assertSee('Done');
+
+        $this->actingAs($receptionistUser)
+            ->get(route('care.queue.index'))
+            ->assertOk()
+            ->assertSee('Patient flow')
+            ->assertSee('Call next');
+
+        $this->actingAs($doctorUser)
+            ->get(route('care.dashboard'))
+            ->assertOk()
+            ->assertSee('Queue', false);
+    }
+
+    public function test_nurse_specialty_show_redirects_to_workspace_not_queue(): void
+    {
+        [$nurseUser] = $this->makeStaff('nurse', 'nurse-spec');
+
+        app(\App\Services\Care\SpecialtyModuleService::class)
+            ->ensureDefaultModulesProvisioned($this->organization, $this->owner->public_id);
+        app(\App\Services\Care\SpecialtyModuleService::class)
+            ->activate($this->organization->fresh(), $this->owner->public_id, 'emergency');
+
+        $this->actingAs($nurseUser)
+            ->get(route('care.specialty.show', 'emergency'))
+            ->assertRedirect(route('care.specialty.workspace', 'emergency'));
+    }
+}
diff --git a/tests/Feature/CarePractitionerBranchesTest.php b/tests/Feature/CarePractitionerBranchesTest.php
index e4543d2..934fa14 100644
--- a/tests/Feature/CarePractitionerBranchesTest.php
+++ b/tests/Feature/CarePractitionerBranchesTest.php
@@ -121,7 +121,7 @@ class CarePractitionerBranchesTest extends TestCase
         $this->actingAs($doctor)
             ->get(route('care.queue.index'))
             ->assertOk()
-            ->assertSee('Showing patients assigned to you')
+            ->assertSee('Assigned to you')
             ->assertSee('name="branch_id"', false)
             ->assertSee('East Legon Care')
             ->assertSee('West Hills Care')
diff --git a/tests/Feature/CareSpecialtyModulesTest.php b/tests/Feature/CareSpecialtyModulesTest.php
index e65b84d..020182d 100644
--- a/tests/Feature/CareSpecialtyModulesTest.php
+++ b/tests/Feature/CareSpecialtyModulesTest.php
@@ -231,11 +231,11 @@ class CareSpecialtyModulesTest extends TestCase
 
         $this->actingAs($this->owner)
             ->get(route('care.specialty.show', 'dentistry'))
-            ->assertRedirect(route('care.queue.index'));
+            ->assertRedirect(route('care.specialty.workspace', 'dentistry'));
 
         $this->actingAs($nurse)
             ->get(route('care.specialty.show', 'dentistry'))
-            ->assertRedirect(route('care.queue.index'));
+            ->assertRedirect(route('care.specialty.workspace', 'dentistry'));
     }
 
     public function test_unassigned_gp_can_open_limited_specialty_module(): void
@@ -357,11 +357,11 @@ class CareSpecialtyModulesTest extends TestCase
 
         $this->actingAs($this->owner)
             ->get(route('care.specialty.show', 'emergency'))
-            ->assertRedirect(route('care.queue.index'));
+            ->assertRedirect(route('care.specialty.workspace', 'emergency'));
 
         $this->actingAs($nurse)
             ->get(route('care.specialty.show', 'emergency'))
-            ->assertRedirect(route('care.queue.index'));
+            ->assertRedirect(route('care.specialty.workspace', 'emergency'));
 
         $this->expectException(\RuntimeException::class);
         $service->deactivate($this->organization->fresh(), $this->owner->public_id, 'emergency');
diff --git a/tests/Feature/CareSpecialtyShellTest.php b/tests/Feature/CareSpecialtyShellTest.php
index ef3cde6..c9a0eb2 100644
--- a/tests/Feature/CareSpecialtyShellTest.php
+++ b/tests/Feature/CareSpecialtyShellTest.php
@@ -96,11 +96,11 @@ class CareSpecialtyShellTest extends TestCase
 
         $this->actingAs($this->owner)
             ->get(route('care.specialty.show', 'emergency'))
-            ->assertRedirect(route('care.queue.index'));
+            ->assertRedirect(route('care.specialty.workspace', 'emergency'));
 
         $this->actingAs($this->owner)
             ->get(route('care.specialty.visits', 'emergency'))
-            ->assertRedirect(route('care.queue.index'));
+            ->assertRedirect(route('care.specialty.workspace', 'emergency'));
 
         $this->actingAs($this->owner)
             ->get(route('care.specialty.history', 'emergency'))
@@ -116,7 +116,8 @@ class CareSpecialtyShellTest extends TestCase
         $this->actingAs($this->owner)
             ->get(route('care.specialty.workspace', 'emergency'))
             ->assertOk()
-            ->assertSee('Back to queue');
+            ->assertSee('No open visit selected')
+            ->assertDontSee('Back to queue');
     }
 
     public function test_dentistry_shell_has_chair_stage_and_catalog(): void
diff --git a/tests/Feature/CareStaffTenantScopeTest.php b/tests/Feature/CareStaffTenantScopeTest.php
index 555c562..5dde303 100644
--- a/tests/Feature/CareStaffTenantScopeTest.php
+++ b/tests/Feature/CareStaffTenantScopeTest.php
@@ -143,7 +143,7 @@ class CareStaffTenantScopeTest extends TestCase
         $this->actingAs($doctor)
             ->get(route('care.queue.index'))
             ->assertOk()
-            ->assertSee('Showing patients assigned to you')
+            ->assertSee('Assigned to you')
             ->assertSee('East Legon Care')
             ->assertDontSee('All practitioners')
             ->assertDontSee('name="branch_id"', false)