The role sits in the Medical Summarising team at Woodgrange Medical Practice, a large primary care practice with 16 doctors and about 16,000 patients. The work is reviewing incoming hospital letters, discharge summaries and other records, then coding and summarising key diagnoses, treatments and history into the clinical system. It also covers processing records through GP Links, tracking progress against targets and covering administrative gaps when needed. Fit depends on GCSEs in English and maths plus medical terminology or clinical coding training.
What the job involves
- Review new and incoming patient records and summarise relevant past medical history
- Read and process hospital letters, discharge summaries and other correspondence within agreed timescales
- Identify and record diagnoses, procedures, medications, allergies and other clinical information
- Code relevant patient data into EMIS Web in line with practice procedures and coding standards
- Sort patient documents in preparation for summarising
- Process records using GP Links
- Identify missing, unclear or significant information and refer or liaise with the relevant clinician or team member
- Monitor the progress of notes summarised against practice targets
- Manage data quality issues and keep records accurate, consistent and within deadlines
- Provide coding and summarising support and guidance to administrative and clinical staff
- Work flexibly to cover administrative gaps arising from absences and extraordinary workload
- Follow practice procedures on confidentiality, GDPR, safeguarding and information security
What's required
Qualifications
- GCSEs or equivalent, including English and Mathematics
- Qualification or training in medical terminology, medical administration or clinical coding
Skills & knowledge
- Good understanding of medical terminology
- Excellent attention to detail and accuracy
- Ability to accurately interpret and record information from medical documentation
- Good IT and administrative skills, with confidence using electronic clinical records
- Understanding of confidentiality and the importance of protecting patient information
Other
- Good written and verbal communication skills
- Strong organisational and time-management skills
- Ability to work independently and manage workload effectively
- Ability to work as part of a multidisciplinary team
Nice to have
- NVQ/QCF Level 2 or 3 in Business Administration, Health and Social Care or a related subject
- Previous NHS or primary care-related training
- Knowledge or training in SNOMED CT, Read coding, EMIS or System One
- Previous experience in an NHS, GP practice or other healthcare environment
- Experience of reviewing and summarising medical records
- Knowledge of clinical coding systems such as Read Codes or SNOMED CT
- Previous experience using primary care clinical systems such as EMIS or System One
What's offered
- Support to develop professionally, in a practice that encourages training
- Weekly educational meetings with in-house or external speakers
- Weekly clinical meetings on hot topics, difficult cases and notices
- Monthly whole-practice lunch