Medical Summariser

Job description

Job responsibilities

Main duties/key tasks:

The following are the core responsibilities of the Medical Summariser. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

Culling and sorting patient records and letters in preparation for summarising

Reviewing records and accurately producing a summary of the patients medical history

Read coding the information into the practice clinical system (EMIS Web)

Auditing data collection standards in the practice

Monitoring progress of notes summarising against practice targets

Monitoring patient call and recall systems

Filing and retrieving paperwork

Reviewing progress of summarising, ensuring practice targets are achieved

Photocopy documentation as required

Input data into patients healthcare records as necessary

Conduct system searches as requested

Maintain a clean, tidy, effective working area at all times

Support all clinical staff with general administrative tasks as requested

Summarise Docman letters, paper notes, do GP2GP

Additional call and recall for QOF, QOF data entry

Call and recall for LCS, immunisations

Update diaries in patient notes

In addition to the primary responsibilities, the Medical Summariser may be requested to:

Review and update the practice summarising policy as required (in conjunction with the Practice Manager)

Partake in audit as directed by the audit lead

Support reception staff, providing cover during staff absences

Confidentiality:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, the practice Infection Prevention Control policy and published procedures. This will include:-

o Using personal security systems within the workplace according to practice guidelines

o Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

o Making effective use of training to update knowledge and skills

o Using appropriate infection control procedures, maintaining work areas in a tidy and safe way free from hazards

o Actively reporting health and safety hazards and infection hazards immediately when recognised

o Keeping own work areas and general/patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

o Undertaking periodic infection control training (minimum annually)

o Reporting potential risks identified

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:-

o Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

o Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

o Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:-

o Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

o Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Quality:

The post-holder will strive to maintain quality within the practice, and will:-

o Alert other team members to issues of quality and risk

o Assess own performance and take accountability for own actions, either directly or under supervision

o Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

o Work effectively with individuals in other agencies to meet patients needs

o Effectively manage own time, workload and resources

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:-

o Communicate effectively with other team members

o Communicate effectively with patients and carers

o Recognize peoples needs for alternative methods of communication and respond accordingly

Contribution to the implementation of services:

The post-holder will:-

o Apply practice policies, standards and guidance

o Discuss with other members of the team how the policies, standards and guidelines will affect own work

o Participate in audit where appropriate

Person Specification

Qualifications

Essential

• Educated to GCSE level or equivalent

Desirable

• GCSE Mathematics and English (C or above)
• NVQ Level 2 in Health and Social Care
• Medical records summarisation qualification
• HCA NVQ or pre or post PLAB Dr

Other requirements

Essential

• Pass a Disclosure Barring Service (DBS) check (paid for by the practice)
• High levels of integrity and loyalty
• Empathetic in sensitive situations
• Ability to work under pressure
• Polite and confident

Desirable

• Flexible and cooperative
• Motivated Forward thinker

Experience

Essential

• At least 1 year working as a Medical Summariser

Desirable

• Worked in General Practice

Skills

Essential

• Excellent communication skills (written and oral)
• Strong IT skills Clear, polite telephone manner
• Competent in the use of Office and Outlook
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills Problem solving and analytical skills
• Ability to follow policy and procedure

Desirable

• EMIS user skills
• Understanding of clinical coding

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

St. George's Medical Centre

Address

7 Sunningfields Road

London

NW4 4QR

Employer's website

https://www.stgeorgesmc.co.uk/ (Opens in a new tab)