diff --git a/src/app/globals.css b/src/app/globals.css
index d0971df7b..20eb977e7 100644
--- a/src/app/globals.css
+++ b/src/app/globals.css
@@ -568,6 +568,7 @@ summary::-webkit-details-marker {
   width: min(100%, clamp(19rem, 90vw, 52rem));
   max-width: calc(100vw - 1rem - var(--safe-area-left) - var(--safe-area-right));
   margin-inline: auto;
+  overflow: visible;
 }
 
 .universal-home-search-edge {
diff --git a/src/components/ClinicalDashboard.tsx b/src/components/ClinicalDashboard.tsx
index 14ae434f9..de0809e93 100644
--- a/src/components/ClinicalDashboard.tsx
+++ b/src/components/ClinicalDashboard.tsx
@@ -3882,7 +3882,9 @@ export function ClinicalDashboard({
                     ? // On tall phones the centred home leans slightly toward the
                       // bottom composer (matches the committed vertical-weighting
                       // guard); short phones skip the bias so content still fits.
-                      "grid w-full place-items-center max-sm:[@media(min-height:800px)]:pt-[5vh]"
+                      // Mobile uses top alignment so the integrated action menu is
+                      // not clipped by the dead space below vertically centred homes.
+                      "grid w-full place-items-center max-sm:place-content-start max-sm:justify-items-center max-sm:pt-[clamp(0.75rem,3vh,2rem)] max-sm:[@media(min-height:800px)]:pt-[5vh]"
                     : activeModeResultKind === "tools" ||
                         activeModeResultKind === "favourites" ||
                         activeModeResultKind === "differentials"
diff --git a/src/components/clinical-dashboard/master-search-header.tsx b/src/components/clinical-dashboard/master-search-header.tsx
index 002dcf7db..aee03b76f 100644
--- a/src/components/clinical-dashboard/master-search-header.tsx
+++ b/src/components/clinical-dashboard/master-search-header.tsx
@@ -641,11 +641,20 @@ export function MasterSearchHeader({
     }
   }
 
+  const restoreActionMenuFocusRef = useRef(false);
   const closeScope = useCallback((restoreFocus = false) => {
+    restoreActionMenuFocusRef.current = restoreFocus;
     setScopeOpen(false);
-    if (restoreFocus) actionMenuTriggerRef.current?.focus();
   }, []);
 
+  useEffect(() => {
+    if (scopeOpen || !restoreActionMenuFocusRef.current) return;
+    restoreActionMenuFocusRef.current = false;
+    window.requestAnimationFrame(() => {
+      actionMenuTriggerRef.current?.focus({ preventScroll: true });
+    });
+  }, [scopeOpen]);
+
   const closeScopeSheet = useCallback(() => {
     setScopeSheetOpen(false);
     window.requestAnimationFrame(() => actionMenuTriggerRef.current?.focus());
diff --git a/src/components/clinical-dashboard/mode-action-popup.tsx b/src/components/clinical-dashboard/mode-action-popup.tsx
index 6f9a2c5ad..5103a460f 100644
--- a/src/components/clinical-dashboard/mode-action-popup.tsx
+++ b/src/components/clinical-dashboard/mode-action-popup.tsx
@@ -370,7 +370,7 @@ export function ModeActionPopup({
     const edgePadding = 12;
     const availableAbove = Math.max(0, rect.top - viewportTop - edgePadding);
     const availableBelow = Math.max(0, viewportBottom - rect.bottom - edgePadding);
-    const { minBodyHeight, minSurfaceHeight, headerHeight } = estimateIntegratedMenuHeights(items.length, integrated);
+    const { minSurfaceHeight, headerHeight } = estimateIntegratedMenuHeights(items.length, integrated);
     const detachedUpOffset = 16;
     const integratedDownOffset = integratedChipRow ? 58 : 14;
     const detachedDownOffset = integrated ? integratedDownOffset : 14;
diff --git a/src/components/use-dismissable-layer.ts b/src/components/use-dismissable-layer.ts
index 05285b417..783294083 100644
--- a/src/components/use-dismissable-layer.ts
+++ b/src/components/use-dismissable-layer.ts
@@ -38,7 +38,11 @@ export function useDismissableLayer({
       if (event.key !== "Escape") return;
       event.preventDefault();
       onDismiss("escape");
-      window.requestAnimationFrame(() => restoreFocusRef?.current?.focus({ preventScroll: true }));
+      window.requestAnimationFrame(() => {
+        window.requestAnimationFrame(() => {
+          restoreFocusRef?.current?.focus({ preventScroll: true });
+        });
+      });
     }
 
     document.addEventListener("pointerdown", handlePointerDown, true);
diff --git a/tests/ui-tools.spec.ts b/tests/ui-tools.spec.ts
index 49ada2c4a..9d9016b5d 100644
--- a/tests/ui-tools.spec.ts
+++ b/tests/ui-tools.spec.ts
@@ -1004,7 +1004,7 @@ test.describe("Responsive layout guards", () => {
     });
   }
 
-  test("prescribing mode home bottom-anchors its content on phones but centres on tablet", async ({ page }) => {
+  test("prescribing mode home top-aligns on phones but centres on tablet", async ({ page }) => {
     async function verticalWeighting(width: number) {
       // Tall viewport exaggerates the free space so the anchor is unambiguous.
       await page.setViewportSize({ width, height: 900 });
@@ -1019,10 +1019,11 @@ test.describe("Responsive layout guards", () => {
       });
     }
 
-    // Phone (< sm): content is pushed toward the bottom, so the gap above exceeds the gap below.
+    // Phone (< sm): content is top-aligned so integrated action menus are not
+    // clipped by dead space below vertically centred homes.
     const phone = await verticalWeighting(375);
     expect(phone).not.toBeNull();
-    expect(phone?.topGap ?? 0).toBeGreaterThan(phone?.bottomGap ?? 0);
+    expect(phone?.topGap ?? 0).toBeLessThan(phone?.bottomGap ?? 0);
 
     // Tablet hero-composer homes include the portaled search shell in the measured
     // block, so viewport gap balance is looser than phone bottom-anchoring.