Medical Notes Summariser

The Methodist Church in Britain; England; On-site; GBP 20,000 - 26,000; Full time

Benefits offered by this job

25 days leave plus bank holidays

NHS pension

Job summary

Bridgewater Surgeries is seeking a Medical Notes Summaris er to read paper and GP2GP transfers, then summarise and read-code the relevant clinical history into patients’ SystmOne records following the practice protocol.

The role combines records management with achieving summarising targets and provides general admin support to clinical staff. NHS pension and 25 days leave are offered.

Qualifications

• GCSE grade A-C in English and Maths.
• Experience as a medical notes summariser.
• Experience working in general practice.

Responsibilities

• Review patient records from paper sources and GP2GP electronic transfers.
• Accurately summarise and read-code relevant clinical information into SystmOne records.
• Monitor summarising progress to ensure practice targets are met.
• Follow the Bridgewater Surgeries Summarising Protocol to maintain quality assurance.
• Record immunisations, allergies and sensitivities accurately.
• File, store and dispose of records in line with practice policies.
• Dispose of duplicate or unnecessary documents under the shred-all policy.
• Keep records neat, tidy, up to date, correctly labelled and repaired where needed.
• Support data quality and confidentiality standards.
• Photocopy or prepare documentation as required.
• Undertake general administrative tasks to support clinical staff when required.

Education

GCSE English & Maths

Tools

SystmOne

Job description

The Medical Notes Summariser post sits within Bridgewater Surgeries, a large teaching practice across four sites. The work centres on reading paper and electronic records and summarising and read-coding the relevant clinical history into patients' records in SystmOne, following the practice summarising protocol. It combines records management with meeting summarising targets and some general administrative support for clinical staff. Applicants need prior summarising and general practice experience.

What the job involves

• Review patient records from paper sources and GP2GP electronic transfers
• Accurately summarise and read-code relevant clinical information into patients' SystmOne records
• Monitor summarising progress to ensure practice targets are met
• Follow the Bridgewater Surgeries Summarising Protocol to maintain quality assurance
• Record immunisations, allergies and sensitivities accurately
• File, store and dispose of records in line with practice policies
• Dispose of duplicate or unnecessary documents under the shred-all policy
• Keep records neat, tidy, up to date, correctly labelled and repaired where needed
• Support data quality and confidentiality standards
• Photocopy or prepare documentation as required
• Undertake general administrative tasks to support clinical staff when required

What’s required

Qualifications

• GCSE grade A to C in English and Maths

Experience

• Experience as a medical notes summariser
• Experience working in general practice

Nice to have

• SystmOne experience

What’s offered

• 25 days paid leave plus bank holidays
• NHS pension