Medical Notes Summariser

To accurately review, summarise, and input clinical information from patient medical records, ensuring that notes are clear, concise, and accessible to support effective patient care and clinical decision-making.

Main duties of the job:

• Review and clean up patient medical records by ensuring that the problem list is accurate and up to date, removing duplicate or irrelevant entries, and streamlining notes to improve clarity and usability for clinicians.
• Ensure that only relevant and active clinical problems appear on the problem list, supporting effective patient care and decision-making.
• Ensure summaries are accurate, clear, and compliant with clinical and data governance standards.
• Assist with backlog clearance and ongoing summarisation tasks to support clinicians and improve record quality.
• Add bulk childhood immunisations and seasonal vaccines onto the clinical system.
• Undertake audits of work to ensure compliance and support quality improvement projects.
• Identify and flag any discrepancies, safeguarding concerns, or urgent clinical issues to appropriate staff promptly.

About us:

We are a patient-centred GP practice committed to delivering high-quality, compassionate healthcare to our community. We pride ourselves on being a young, fun, and dedicated team that works hard while maintaining a supportive and social atmosphere. Although healthcare can be fast-paced and demanding, we believe that a positive workplace culture is essential to providing the best care for our patients.

Our practice is made up of a diverse and skilled multidisciplinary team, including GPs, nurses, healthcare assistants, pharmacists, physiotherapists, and a highly organised administrative team. Each member of staff plays a vital role, and we strongly value collaboration, mutual respect, and open communication across all roles. New team members are welcomed and supported, with a strong emphasis on teamwork and shared learning.

The atmosphere within the practice is friendly, approachable, and inclusive. While we take our responsibilities to patients very seriously, we also believe in enjoying our work and supporting one another. The team is social, approachable, and always willing to help, whether that's during a busy clinic or outside of work hours.

Our work ethic is built on dedication, professionalism, and continuous improvement. Staff are encouraged to take ownership of their roles, contribute ideas, and develop their skills. We foster a culture where people feel comfortable asking questions, learning from one another, and striving to improve patient outcomes together.

Job responsibilities:

Please see the attached Job Description to understand the full role and the personal specification for the Medical Summariser Role.

Person Specification:

• Medical Terminology Training.
• Experience of working with clinical records or medical documentation, ideally within primary care or healthcare.
• Excellent attention to detail and accuracy in summarising clinical information.
• Good IT skills, including experience with electronic patient record systems (EMIS preferred).
• Understanding of medical terminology and clinical language.
• Ability to maintain confidentiality and handle sensitive information appropriately.
• Strong organisational skills and ability to manage workload effectively.
• Good knowledge of data regulations.

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.