Clinical reasoning that works in the room.
Open a pathway, confirm the management, reach for a tool — all anchored to NICE CKS. Built for busy clinics, urgent care and out-of-hours, where the next decision matters more than the next exam.
Preparing for the SCA instead?
How to use Reasoning GP
A two-minute tour: what the site is for, the one framework behind every page, and exactly which layer to open at each point in a consultation — so you always know where to go. 🗺️ Pathways — diagnose💠 Protocols — treat📋 Casebook — learn📚 Articles — check Read the 2-minute guide Ask the assistantAsk a clinical question
Type any question in plain English — answered from the Reasoning GP library first, then NICE CKS & the BNF, with links to the matching pathway, protocol or case. Ask a questionDiagnose · treat · prescribe
Pathways
One visual flow per presentation — Safety · Diagnose · Refer · Treat · Lifestyle. Print to a clean handout.
Browse pathways → 💠170+ · NICE-anchoredProtocols
Once the diagnosis is set — first-line to referral, with drug ladders, monitoring and review timing.
Open protocols → 💊Ready Rx · RAG · sick-dayPrescribing
Everything around the prescription — ready-built Rx, who pays, FP10, what not to prescribe, RAG and sick-day rules.
Open prescribing →The reference library
Casebook
Full clinical walkthroughs — the whole reasoning thread from presentation to plan, grouped by specialty.
Open Casebook → 📚435 topics · A–ZArticles
Concise A–Z primary-care topic notes — the quick-reference companion to every pathway, protocol and case.
Browse articles → 🎧100 briefings · listenAudios
AI + human clinical briefings for the commute or between patients — listening time counts towards your CPD.
Open the player →Everything at the desk
Consultation Spine
Enter the presenting complaint (and provisional diagnosis) and get the whole consultation — ready red flags, history, examination, investigations, management, safety-netting and a coded record. Age- and symptom-specific, fully editable, flags NICE NG12 2WW criteria.
What changed in UK primary care
ACE inhibitors — delayed-onset angioedema
Stop the ACE inhibitor immediately if angioedema is suspected — it can occur at any time, even after years of use. Consider a bradykinin-mediated cause when standard anaphylaxis treatment isn't working.
📝 NICE CKSCKS revisions — Breast pain & Chest pain
Breast pain – cyclical: new referral section and a stronger note that cyclical breast pain is not associated with breast cancer. Chest pain: pre-hospital management of acute heart failure realigned with NICE.
💊 MHRANasal decongestant sprays — rebound congestion
Xylometazoline and oxymetazoline sprays can cause rebound congestion and, with prolonged use, rhinitis medicamentosa. Advise patients not to use for more than 5 consecutive days.
Reason like the patient needs it — and score like the examiner marks it.
The same clinical reasoning, framed for the RCGP Simulated Consultation Assessment. Work the most common stations, see exactly how each is marked across the three domains, then rehearse under real exam conditions.
New here? Start hereHow to pass the SCA
A two-minute orientation: the exam format, the marking arithmetic across the three domains, why candidates fail — and a week-by-week plan that runs Understand → See a pass → Practise → Mock → Sharpen → Track. 🎙️ Hot Seat — practise🔁 Mock circuit — rehearse📚 Q-bank — sharpen🌡️ Readiness — track Open the SCA Guide Ask the assistantAsk a clinical question
Type any question in plain English — answered from the Reasoning GP library first, then NICE CKS & the BNF, with links to the matching pathway, protocol or case. Ask a questionWorking a real clinic instead?
Sit in the Hot Seat — 12-minute timer, RCGP scorecard, record & review
The core of your prep: work a case end to end on the 12-minute clock, mark yourself against the three real domains, and record-and-review to see what to fix — then take it live against an AI patient.
Open the Hot SeatThree things nothing else gives you
AI Patient Simulator
Talk to a real-feeling patient out loud, then get marked against the three domains — solo practice that actually feels like exam day.
Start a consultation → 🔁Full exam-day circuitAI Mock Exam Circuit
Several AI patients back-to-back on the relay clock, then one auto-marked report card across the whole diet — the closest thing to the real thing.
Sit a mock circuit → 🌡️Pass-likelihood verdictMy Readiness
Every rep feeds one picture: a pass-likelihood verdict, the habits quietly costing you marks, your curriculum coverage — and the single best next move.
Check my readiness →