Behind every case

Cases by GP trainers

Every case is written by experienced GP trainers, reviewed for clinical and exam accuracy, and updated when RCGP guidance moves. No AI-generated scripts. No recycled question banks.

Diabetes, Insulin and Ramadan
Nisar Ahmed, age 22
Group practice
Doctor Notes
Patient Notes
Marking
Key Issues
Management
Name: Nisar Ahmed
Age: 22
Past Medical History:
  • Type 1 diabetes; diagnosed 1 year ago
Medication History:
  • Metformin 500mg TDS
  • Insulin NPH 15 units morning, 10 evening
  • NKDA
12:00:0
375+ written cases

The case is the unit. Everything else lives inside it.

Every case is a complete pack — doctor’s briefing, patient role-play script, a marking scheme mapped to the three SCA domains, the key issues, and a management plan written to current UK guidelines. From inside it you can launch group practice, score live, or send the recording to AI marking.

  • Five tabs in every case — Doctor Notes, Patient Notes, Marking, Key Issues, Management
  • Built-in 12-minute timer — pause, restart, or roll into AI marking when time’s up
  • Aligned to UK guidelines — NICE, CKS, BNF, RCGP, updated as guidance changes
  • Written by exam-passing GP trainers — never AI-generated, every case reviewed
Tinnitus and the new hearing aid.
Margaret Whitfield, age 68
Group practice
Doctor Notes
Patient Notes
Marking
Key Issues
Management
Name: Margaret Whitfield
Age: 68
Past Medical History:
  • Bilateral sensorineural hearing loss
  • Hypertension
Medication History:
  • Amlodipine 5mg OD
  • NKDA
12:00:0
Verified by trainees

What people say about the cases.

Anonymised feedback from trainees who passed the SCA after using SCA Revision. Collected after results day — nothing incentivised, edited or pre-screened.

★★★★★
I thought these cases were the closest to real exam cases from the popular question banks out there — by far.
Passed the SCA · 2026
★★★★★
The case bank was the most useful feature for me. It covered a wide range of SCA topics and prepared me very well. I passed all the stations.
Passed the SCA · 2026
★★★★★
Really helpful bank of cases. There were no horrible surprises in the exam after I’d been through the majority of the cases.
Passed the SCA · 2026
★★★★★
Cases were very reflective of the SCA. The only resource I have been recommending to fellow GP trainees for their SCA prep.
Passed the SCA · 2026
Five tabs in every case

A guided tour of one case.

Every case opens to a navy header, a five-tab body and a 12-minute timer. Here’s what lives in each tab — built around our renal colic case.

01
Doctor Notes
Name: Rhys Caldwell
Age: 41
Occupation: Self-employed plumber
Past Medical History:
  • Nil of note
Recent contacts:
  • HCA · urine dip — blood ++

The doctor’s briefing as the consultation begins — name, age, occupation, history, current meds, allergies and recent contacts. Exactly what you’d see opening a real GP record.

02
Patient Notes
Case Summary

You are Rhys Caldwell, a 41 year old self-employed plumber. Your wife brought you in after a frightening episode of pain on Saturday that has since settled.

Opening Sentence
“Hi Doc, I had the worst pain of my life on Saturday. Thank god it’s gone now…”
Open History · History if asked · ICE

The full patient script — case summary, opening sentence, open history, and the patient’s ideas, concerns and expectations. Detailed enough for a non-medic partner to role-play convincingly.

03
Marking
OVERALL RESULT
Not rated yet
Data gathering
0/8
Clinical mgmt
0/8
Relating
0/8
Relevant red flags considered: asks about fever, rigors, persistent vomiting…

6 to 8 marking criteria per SCA domain — positive and negative — for data gathering, clinical management and relating. Tag each, watch the banded outcome update live.

04
Key Issues
Investigating a first episode of renal colic that has settled
Relevance: the pain has resolved, but a first episode still warrants imaging, bloods and a written plan.
Mapping: Urology & Renal; Clinical Reasoning; Acutely Ill.
Following up microscopic haematuria as a distinct issue
Relevance: adult haematuria isn’t automatically explained by a presumed stone.

The examiner’s perspective — the issues a candidate is actually tested on, why each matters in this exact case, and which RCGP capabilities they map to. Not a generic checklist.

05
Management
Explanation

From everything you’ve described, what you had on Saturday sounds very much like a kidney stone — the sudden, severe one-sided pain wrapping to the groin, the vomiting…

Renal and Ureteric Stones (Renal Colic)
Assessment

Renal colic is the acute pain caused by a stone passing through the upper urinary tract, most often a ureteric stone obstructing flow from the renal pelvis…

FURTHER READINGNICE NG118 · NICE CKS · NICE NG12 · BAUS

A plain-English clinical write-up keyed to the case — how you’d explain the diagnosis, the assessment and management itself, links to the original NICE / CKS / BNF sources, plus the date it was last reviewed.

06
12-min Timer
Persistent · visible on every tab
12:00:0

A 12-minute exam-pace timer is built into every case — visible from every tab, anchored at the bottom. Hit play when the consultation starts, pause if you need to, or kick the recording straight into AI marking when time’s up.

Case selection

375 cases, sorted the way you’d revise.

Filter by curriculum topic, body system, presentation, difficulty or SCA domain. Search by keyword. Or hit randomise and let the platform pick the next case. Cases you’ve done are marked complete, so you always know what’s left.

  • Filter by clinical topic — 22 topics aligned to the RCGP curriculum
  • Keyword search — find every case touching “palpitations” or “contraception”
  • Randomise — one button picks an unfinished case from the whole bank or a topic
  • Three views — list, grid or priority order
I love how the website is very well-organised and contains all the information you need at a quick glance.
Passed the SCA · 2026
Open the library →
CASE LIBRARY

Browse 375 cases

22 topics · 12 headings · 43% complete
Random case
Filters
List
Grid
Priority
Cardiovascular Health11/18
+Mental Health6/14
+Women’s Health & Maternity4/14
+Acute & Urgent Care14/18
Group revision

Practise with friends. Or colleagues, trainers, partners.

Pick a case, pick your role, generate a session code, then share the link. Anyone joins in seconds — no SCA Revision account needed, on whatever device they’ve got.

  • Three roles — Candidate runs it, Patient plays the role, Examiner marks the case
  • QR code or shareable link — one tap from a phone, no signup for joiners
  • Plays well with non-medics — the patient script is detailed enough for a friend or partner
  • Unlimited examiners mark live — everyone on the same scheme in real time
The group revision was fantastic and easy to use. Great being able to check items off the mark scheme and then screen share for feedback.
Passed the SCA · 2026
Start a group session →

Run a mock consultation with friends. Pick your role, generate a session code, then share it so your group can join.

1Pick role
2Create
3Share
What’s your role?
Candidate
Run the consultation
Patient
Play the patient role
Examiner
Mark the case
Select a role to continue
Interactive marking

Mark a case live. No AI required.

Around six to eight criteria per SCA domain — a mix of positive and negative. Tag each one Done well, Partially or Poorly. Domain percentages and the banded outcome update live, so the consultation ends with an exam-style report card.

  • 6–8 criteria per domain — tailored to the case, not a generic checklist
  • Three-tier scoring — Done well, Partially, Poorly
  • Live banded result — Clear Pass, Pass, Borderline or Fail update as you tag
  • No credits, no recording — included with every membership
The marking scheme — grading into pass, clear pass, fail. The answer summaries are very useful ways of wording management plans.
Passed the SCA · 2026
Try it on a free case →
DATA GATHERING & DIAGNOSIS
Clear pass · 86%
Relevant red flags considered: asks about fever, rigors, persistent vomiting and return of pain
Shared management plan: negotiates next steps with patient and offers safety-netting
AI marking

Record a roleplay. Get a report card.

The hardest part of revising isn’t doing cases — it’s knowing whether you’re getting better. Record any roleplay, submit it, and get back a detailed report card scored against the SCA proforma. Argue with it. Compare across attempts.

  • Three-domain scoring — each as a percentage and a banded outcome
  • Per-criterion notes — what landed, what didn’t, the specific phrase noticed
  • Premium skill panel — cue handling, explanation, ICE, empathy, structure, each out of 5
  • Attempt history — see scores trend across roleplays
Good individual feedback that helps you unlearn the bad consultation habits.
Passed the SCA · 2026
3 free credits on signup · just 60p per marking after that
AI Marking
CASE 269
Moira Fisher
74 years old
Recording…
11:53
Consultation Feedback Report
OVERALL RESULT
Clear Pass
85%
Data gathering80%
Clear Pass
Clinical mgmt85%
Clear Pass
Relating91%
Clear Pass
Premium skill scores
Cue handling
●●●●
4/5
Explanation
●●●●
4/5
ICE handling
●●●●●
4.5/5
Empathy
●●●●●
3.5/5
Mock exam generator

One click. Twelve cases. A real exam shape.

Hit generate. The platform pulls twelve cases balanced across topics and SCA domains, hides their content behind generic labels, and gives you a 4-character code to share with your study group.

01
12 cases, balanced — spread across SCA domains and curriculum topics, so no two mocks feel the same.
02
4-character share code — the same one everyone types in. No accounts needed for the people you’re practising with.
03
Content hidden until you open it — mocks feel like the real exam, not a list you can scout ahead.
04
Generate a fresh set anytime — the platform avoids cases you’ve already used.
Progress tracker

Plan revision based on data, not vibes.

Every case you complete lands in the tracker. See progress across all 22 clinical topics, which areas are strong, which need work, your day streak, and how many days till your exam.

  • 22 topic bars — each filling pale peri → deep navy as you complete cases
  • Exam countdown — days till your exam, set once and always visible
  • Priority view — surfaces untouched and barely-started topics first
  • Synced across devices — finish on your phone, see it on your laptop
Being able to follow cases one has done and see what’s left — brilliant learning resource, not just for the exam.
Passed the SCA · 2026
Set up your tracker →
YOUR PROGRESS
EXAM IN 64 DAYS
47CASES DONE
13%COMPLETE
6DAY STREAK
Acute & Urgent Care14/18
Women’s Health & Maternity7/14
Cardiovascular Health11/18
Mental Health6/14
Children & Young People3/16
Eyes & Vision0/6
Suggested next: Eyes & Vision — you haven’t started this topic yet.
27 consultation guides

Playbooks for the consultations that defy the textbook.

The angry patient. Breaking bad news. The colleague who books in as a patient. Each guide is a tight, opinionated playbook — opening lines, what to do, what to avoid, and the single thing worth remembering. Four are free without an account.

  • 27 in-depth guides across four categories — difficult personalities, tough conversations, core skills, complex consultations
  • Built for the SCA marking scheme — what “Relating to Others” actually rewards
  • Real opening lines, good vs avoid — not theory, with one takeaway per section
  • 4 guides free without signup
No. 01 · The Consultation Quarterly

Consultation guides

All · 27Difficult · 7Tough · 6Core · 8Clinical · 6
No 019 MIN
No 0211 MIN
No 037 MIN
No 0412 MIN
No 058 MIN
No 0610 MIN
← Back to library03 / 27
Tough conversations

Breaking bad news

There are no good ways to break bad news. There are only ways that respect the person hearing it.

9 MIN READ

Pace is the difference between a patient who feels heard and one who feels processed.

01Slow down before you start

The opening 30 seconds set the entire consultation. Signal that something serious is coming and check the patient is ready to hear it.

✓ Good practice
“There’s something I need to share with you. Would now be a good time?”
✕ Avoid
“So I’ve got the results back, you’ve got…”
Start

Open the case bank.

375+ cases. 27 guides. Built for the SCA, by the people who’ve sat it.