Medical Summariser

We are currently looking for a Medical Summariser to join our friendly, GP Practice team in East London. The post holder will be responsible for the read coding of relevant information into patients\’ electronic healthcare records on EMIS clinical system, adhering to the organisation coding policy. In addition, the post holder will also support the multi-disciplinary team, providing administrative support as required, in line with the needs of the organisation.

Main duties of the job

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

The main duties are:

1. To be responsible for the coding of relevant information into patients electronic medical records on EMIS web clinical system.

2. Reviewing medical records and producing an accurate summary of the patients medical history.

3. Read coding the information into the practice clinical system.

4. Auditing data collection standards in the practice monitoring progress of notes summarising against practice targets.

5. Streamlining the flow of clinical correspondence through the organization reducing the number of letters with a GP needs to process. Where there is uncertainty, to forward the letter to a clinician for safety.

6. To maintain patient confidentiality at all times, to respect patient\’s privacy and act appropriately in the performance of the duties outlined in this post.

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

1. Review and update the Practice summarising policy as required, in conjunction with the Management team and Partners

2. Partake in audits as

4. Complete opening and closing procedures in accordance with the duty rota

About us

We are a friendly GP Practice based in East London with a list size of 12,000 patients. We are a friendly, supportive, teaching, patient-centred practice committed to providing excellent patient care to the local community.

We have 3 GP Partners, 1 Salaried GP, 4 Long-term Locum Locum GPs, 3 Practice Nurses, 2 Clinical Pharmacists, 1 Pharmacy Technician, 2 Physiotherapists, 1 Paramedic, 1 Social Prescriber, 1 Mental Health Occupational Therapist and 1 Nursing Associate.

We offer in-house services such as Phlebotomy, ECGs and Travel Injections.

We have a large building to accomodate our patients and services. Car park is available and East Ham underground station is a 5 minute walk from the Practice.

Job responsibilities

Reviewing medical records and producing an accurate summary of the patients medical history.

Read coding the information into the practice clinical system. Auditing data collection standards in the practice monitoring progress of notes summarizing against practice targets, monitoring patient call and recall systems.

Filing and retrieving paperwork.

Streamlining the flow of clinical correspondence through the organization reducing the number of letters with a GP needs to process- where there is uncertainty, it will be forwarded to a clinician for safety. 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 organization.All such information from any source is to be regarded as strictly confidential.

Wordsworth Health Centre information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorized 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 Health & Safety manual, and the practice Infection Control policy and published procedures. This will include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way free from hazards actively reporting health and safety hazards and infection hazards immediately when recognized 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 jobholders role. Undertaking periodic infection control training (minimum annually) reporting potential risks identified. Demonstrate due regard for safeguarding and promoting the welfare of children. Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues 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: Participation in an annual individual performance review,

Quality: The post-holder will strive to maintain quality within the practice, and will: Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision 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 Work effectively with individuals in other agencies to meet patients needs 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: Communicate effectively with other team members Communicate effectively with patients and carers Recognize peoples needs for alternative methods of communication and respond accordingly

Contribution to the implementation of services: The post-holder will: Apply practice policies, standards and guidance Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit where appropriate

Person Specification

Qualifications

• GCSE Grade A-C in English and Maths
• Medical Records Summarisation Qualification
• NVQ Level 2 in Health and Social Care

Experience

• Experience working as a Medical Summariser in a GP Practice using EMIS WEB for at least 1 year
• Admin experience in Health Care

Knowledge and Skills

• EMIS user skills Understanding of clinical coding
• Excellent communication skills (written and oral)
• 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

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.

#J-18808-Ljbffr