Deep Persona Test Report

Generated: 2026-04-29 10:11:24

Persona

Clare - Female, age 35 (clare_35 / olly-female-35)

Project manager in London. Lives with husband and 3-year-old son. Drove herself home from a meeting and started feeling unwell about two hours ago. It's a Tuesday afternoon, GP is open.

Voice: Speaks in short, clear sentences. Mild anxiety about wasting NHS time. Slightly apologetic. Will give specifics when asked but doesn't volunteer everything at once. Uses lay terms, not medical jargon. Will not exaggerate symptoms.

Baseline:

• chronic_conditions: ['mild eczema', 'occasional migraines (last one ~6 months ago)']
• regular_meds: ['combined oral contraceptive pill (Microgynon, 8 years)']
• allergies: ['nothing known']
• smoker: False
• alcohol: 1-2 glasses of wine on weekends
• pregnant: False
• last_period: 12 days ago, normal

Current presentation

I've had a really bad headache for the last two hours.

onset: Came on quite suddenly while at my desk, around 1pm.

character: A throbbing pain mostly on the right side of my head, behind the eye.

severity: Maybe 7 out of 10 - worse than my usual migraines.

associated_symptoms:

• Light is bothering me - I've drawn the curtains.
• Feeling a bit nauseous, haven't actually been sick.

DOES_NOT_HAVE:

• no neck stiffness
• no rash
• no fever
• no confusion or trouble speaking
• no weakness in arms or legs
• no vision loss or double vision
• no recent head injury
• no fainting or seizure
• took paracetamol 500mg an hour ago, no help

Expected band: self-care, pharmacy, gp, 111 Should NOT route to: 999, ambulance, a&e

Outcome

Judgement: FAIL_OVERESCALATEDFinal urgency: 999Final disposition: Call 999 nowTurns: 10 • Wall time: 100.5s

Notes

• ⚠ 7/10 throbbing migraine routed to 999 - likely a pathway data limitation, not a red-flag positive.

Transcript

Turn 1 (12414 ms, status 200)

Patient: I've had a really bad headache for the last two hours. (rationale: My persona is not pregnant and I'm adding context about my last period.)

Olly: I'm sorry you're dealing with such a bad headache.

To help me give you the right advice, is there any chance you're pregnant?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 2 (9406 ms, status 200)

Patient: No. No, I'm not pregnant. My last period was about 12 days ago, and it was normal for me. (rationale: Clare has a 3-year-old son, so she hasn't had a baby recently.)

Olly: Thanks for clarifying that.

Have you had a baby in the last 7 days?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 3 (9405 ms, status 200)

Patient: No. No, my son is three now, so it's been a while. (rationale: The brief states 'no recent head injury'.)

Olly: I understand.

Have you hurt or banged your head in the last 4 weeks?

1. Within the last 7 days
2. Between 1 and 4 weeks ago
3. I'm not sure
4. No
5. I'd rather speak to someone

Turn 4 (14119 ms, status 200)

Patient: No. No, I haven't bumped my head at all recently. (rationale: Patient does not have fainting or seizure.)

Olly: Have you fainted, lost consciousness or had a seizure in the last 24 hours?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 5 (5542 ms, status 200)

Patient: No. No, I haven't fainted or had a seizure. (rationale: The headache is severe (7/10) and associated symptoms like nausea and light sensitivity are preventing normal activities.)

Olly: Is this headache stopping you from doing all of your simple everyday tasks, like concentrating on the TV or reading a book?

1. Yes - I have stopped doing everything I usually do
2. I feel ill, but can do some of my usual activities
3. No - I feel well enough to do most of my usual daily activities
4. I'd rather speak to someone

Turn 6 (10304 ms, status 200)

Patient: Yes - I have stopped doing everything I usually do. I had to drive home from a meeting earlier and now I'm just sitting in the dark with the curtains drawn, trying not to move much. I can't concentrate on anything. (rationale: The patient does not have a rash or new spots/marks/bruises/bleeding under the skin as per the ground truth.)

Olly: That sounds very difficult to deal with.

Do you have any new spots or marks like bruises or bleeding under your skin?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 7 (7670 ms, status 200)

Patient: No. No, no rash or anything like that. (rationale: Patient does not have any stroke-like symptoms according to the brief.)

Olly: Have you had any of these symptoms in the last 7 days?

• You cannot lift both arms up without one dropping down
• You have new problems speaking, understanding, or you're slurring your words
• Your face has suddenly dropped on one side
  1. I cannot lift my arms up without one dropping down
  2. I have new problems speaking, understanding or I'm slurring my words
  3. My face has suddenly dropped on one side
  4. I'm not sure
  5. No
  6. I'd rather speak to someone

Turn 8 (6073 ms, status 200)

Patient: No. No, I don't have any of those, thankfully. (rationale: The patient does not have weakness in arms or legs.)

Olly: That's good to hear.

Has one leg suddenly become weak in the last 7 days?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 9 (5566 ms, status 200)

Patient: No. No, I don't have any weakness in my arms or legs. (rationale: Patient does not have vision loss or double vision.)

Olly: Did you suddenly lose some or all of your sight in the last 24 hours?

1. Yes
2. I'm not sure
3. No
4. I'd rather speak to someone

Turn 10 (6465 ms, status 200)

Patient: No. No, I haven't had any vision loss or double vision.

Olly: Call 999 now

Call 999 now

What to do next: Phone 999 and stay on the line. They'll tell you what to do next.

A severe headache that stops you from doing everyday tasks can be very serious. Do not try to drive yourself to the hospital. Stay where you are and try to keep calm until help arrives.

If you develop any of these while waiting, tell the operator: • a very stiff neck • a high temperature • being sick • a rash that does not fade when you press a glass against it • any confusion or problems speaking

[TERMINAL]