Memoize specialty nav and branch lookups to stop per-request N+1.

Sidebar was re-querying practitioners for every specialty module and also
calling ensureDefaultModulesProvisioned on each page render, which showed
up as multi-second PHP-FPM slow logs on Care.

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

app/Providers/AppServiceProvider.php

@@ -7,6 +7,7 @@ use App\Listeners\PlatformServiceEventListener;
 use App\Models\User;
 use App\Services\Care\OrganizationResolver;
 use App\Services\Care\PlanService;
+use App\Services\Care\SpecialtyModuleService;
 use Illuminate\Cache\RateLimiting\Limit;
 use Illuminate\Http\Request;
 use Illuminate\Support\Facades\Event;
@@ -18,7 +19,9 @@ class AppServiceProvider extends ServiceProvider
 {
     public function register(): void
     {
-        //
+        // Request-scoped memoization for specialty nav / branch scope (avoids N+1 per module).
+        $this->app->singleton(OrganizationResolver::class);
+        $this->app->singleton(SpecialtyModuleService::class);
     }
 
     public function boot(): void

app/Services/Care/OrganizationResolver.php

@@ -15,6 +15,12 @@ use Illuminate\Support\Str;
 
 class OrganizationResolver
 {
+    /** @var array<string, list<int>> */
+    protected array $doctorAssignedBranchIdsCache = [];
+
+    /** @var array<string, ?Member> */
+    protected array $membershipCache = [];
+
     public function resolveForUser(User $user): ?Organization
     {
         $member = $this->membershipFor($user);
@@ -48,19 +54,24 @@ class OrganizationResolver
      */
     public function membershipFor(User $user): ?Member
     {
+        $cacheKey = $user->ownerRef();
+        if (array_key_exists($cacheKey, $this->membershipCache)) {
+            return $this->membershipCache[$cacheKey];
+        }
+
         $member = Member::query()->where('user_ref', $user->ownerRef())->first();
         if ($member) {
-            return $member;
+            return $this->membershipCache[$cacheKey] = $member;
         }
 
         $email = strtolower(trim((string) $user->email));
         if ($email === '' || $email === $user->ownerRef()) {
-            return null;
+            return $this->membershipCache[$cacheKey] = null;
         }
 
         $member = Member::query()->where('user_ref', $email)->first();
 
-        return $member ? $this->remapMemberUserRef($member, $user) : null;
+        return $this->membershipCache[$cacheKey] = ($member ? $this->remapMemberUserRef($member, $user) : null);
     }
 
     /**
@@ -291,6 +302,11 @@ class OrganizationResolver
      */
     public function doctorAssignedBranchIds(Member $member): array
     {
+        $cacheKey = (string) $member->id;
+        if (isset($this->doctorAssignedBranchIdsCache[$cacheKey])) {
+            return $this->doctorAssignedBranchIdsCache[$cacheKey];
+        }
+
         $practitioners = Practitioner::query()
             ->where('is_active', true)
             ->where(function ($query) use ($member) {
@@ -309,10 +325,10 @@ class OrganizationResolver
         $ids = array_values(array_unique(array_map('intval', $ids)));
 
         if ($ids === [] && $member->branch_id) {
-            return [(int) $member->branch_id];
+            $ids = [(int) $member->branch_id];
         }
 
-        return $ids;
+        return $this->doctorAssignedBranchIdsCache[$cacheKey] = $ids;
     }
 
     public function mayAccessBranch(?Member $member, ?int $branchId): bool

app/Services/Care/SpecialtyModuleService.php

@@ -21,6 +21,18 @@ use Illuminate\Support\Facades\Log;
  */
 class SpecialtyModuleService
 {
+    /** @var array<string, \Illuminate\Support\Collection<int, Practitioner>> */
+    protected array $practitionersCache = [];
+
+    /** @var array<string, bool> */
+    protected array $deskSpecialistCache = [];
+
+    /** @var array<string, list<array{key: string, definition: array<string, mixed>, access_level: string}>> */
+    protected array $enabledModulesForMemberCache = [];
+
+    /** @var array<string, string> */
+    protected array $memberAccessLevelCache = [];
+
     public function __construct(
         protected PlanService $plans,
     ) {}
@@ -168,6 +180,11 @@ class SpecialtyModuleService
      */
     public function enabledModulesForMember(Organization $organization, ?Member $member): array
     {
+        $cacheKey = $organization->id.'|'.($member?->id ?? 'guest');
+        if (isset($this->enabledModulesForMemberCache[$cacheKey])) {
+            return $this->enabledModulesForMemberCache[$cacheKey];
+        }
+
         $out = [];
         foreach ($this->enabledModules($organization) as $item) {
             $level = $this->memberAccessLevel($organization, $member, $item['key']);
@@ -177,7 +194,7 @@ class SpecialtyModuleService
             $out[] = array_merge($item, ['access_level' => $level]);
         }
 
-        return $out;
+        return $this->enabledModulesForMemberCache[$cacheKey] = $out;
     }
 
     /**
@@ -223,32 +240,37 @@ class SpecialtyModuleService
      */
     public function memberAccessLevel(Organization $organization, ?Member $member, string $key): string
     {
+        $cacheKey = $organization->id.'|'.($member?->id ?? 'guest').'|'.$key;
+        if (isset($this->memberAccessLevelCache[$cacheKey])) {
+            return $this->memberAccessLevelCache[$cacheKey];
+        }
+
         if (! $this->isEnabled($organization, $key)) {
-            return 'none';
+            return $this->memberAccessLevelCache[$cacheKey] = 'none';
         }
 
         $definition = $this->definition($key);
         if (! $definition || ! $member) {
-            return 'none';
+            return $this->memberAccessLevelCache[$cacheKey] = 'none';
         }
 
         if (app(CarePermissions::class)->isAdmin($member)) {
-            return 'manage';
+            return $this->memberAccessLevelCache[$cacheKey] = 'manage';
         }
 
         if ($this->memberCanManage($organization, $member, $key)) {
-            return 'manage';
+            return $this->memberAccessLevelCache[$cacheKey] = 'manage';
         }
 
         // Use gated helpers so desk specialists do not inherit GP view/refer on other modules.
         if ($this->memberCanRefer($organization, $member, $key)) {
-            return 'refer';
+            return $this->memberAccessLevelCache[$cacheKey] = 'refer';
         }
         if ($this->memberCanView($organization, $member, $key)) {
-            return 'view';
+            return $this->memberAccessLevelCache[$cacheKey] = 'view';
         }
 
-        return 'none';
+        return $this->memberAccessLevelCache[$cacheKey] = 'none';
     }
 
     /**
@@ -364,17 +386,22 @@ class SpecialtyModuleService
      */
     public function isDeskSpecialist(Organization $organization, Member $member): bool
     {
+        $cacheKey = $organization->id.'|'.$member->id;
+        if (isset($this->deskSpecialistCache[$cacheKey])) {
+            return $this->deskSpecialistCache[$cacheKey];
+        }
+
         if ((string) $member->role !== 'doctor') {
-            return false;
+            return $this->deskSpecialistCache[$cacheKey] = false;
         }
 
         foreach (array_keys($this->catalog()) as $key) {
             if ($this->specialistBelongsToModule($organization, $member, $key)) {
-                return true;
+                return $this->deskSpecialistCache[$cacheKey] = true;
             }
         }
 
-        return false;
+        return $this->deskSpecialistCache[$cacheKey] = false;
     }
 
     /**
@@ -508,9 +535,14 @@ class SpecialtyModuleService
      */
     protected function practitionersForMember(Organization $organization, Member $member)
     {
+        $cacheKey = $organization->id.'|'.$member->id;
+        if (isset($this->practitionersCache[$cacheKey])) {
+            return $this->practitionersCache[$cacheKey];
+        }
+
         $branchId = app(OrganizationResolver::class)->branchScope($member);
 
-        return Practitioner::owned((string) $organization->owner_ref)
+        return $this->practitionersCache[$cacheKey] = Practitioner::owned((string) $organization->owner_ref)
             ->where('organization_id', $organization->id)
             ->where('is_active', true)
             ->where(function ($query) use ($member) {

resources/views/partials/sidebar.blade.php

@@ -81,12 +81,9 @@
             // Desk specialists skip this group (redundant single-desk list); dashboard cards remain.
             if ($permissions->handlesFloorCare($member) && $organization) {
                 $specialtyService = app(\App\Services\Care\SpecialtyModuleService::class);
-                $specialtyService->ensureDefaultModulesProvisioned(
+                $specialtyModulesForNav = $specialtyService->enabledModulesForMember($organization, $member);
-                    $organization,
+                if ($specialtyModulesForNav !== [] && $specialtyService->shouldShowSpecialtyNav($organization, $member)) {
-                    (string) $organization->owner_ref,
+                    foreach ($specialtyModulesForNav as $item) {
-                );
-                if ($specialtyService->shouldShowSpecialtyNav($organization, $member)) {
-                    foreach ($specialtyService->enabledModulesForMember($organization, $member) as $item) {
                         $key = $item['key'];
                         $label = $item['definition']['nav_label'] ?? $item['definition']['label'] ?? $key;
                         $nav[] = [