Clinical Summariser

**Job Title**:
Clinical Summariser

**Main Purpose of Job**:
This is a key role with the aim of reducing the paperwork of the practice’s GPs using a workflow process overseen by a GP Partner to ensure robust clinical governance.

To assist the doctors in the practice by dealing with clinical paperwork; to complete medical insurance/solicitors reports and the like using information obtained from patients’ medical records.

**Main Duties**:

- Completing medical insurance reports and the like, using information obtained from patients’ medical records
- Logging and processing all requests for medical reports; requests for access to and copies of medical records
- Liaising with the Finance Manager to ensure all work is invoiced for
- Entering electronic and paper correspondence onto the clinical system; reviewing each document, coding and filing them into the patient records or where appropriate sending it on to the most appropriate member of either the clinical or administrative teams
- Process information within the practice’s clinical workflow system
- Generate succinct accurate clinical summaries of the primary care records of all new patients and those who are in active treatment, and to enter these on the practice clinical computer system according to agreed (and National) protocols/READ codes.
- Data input to assist with chronic disease management and quality information. Undertaking computer reports, audits and recalls as required by the doctors, nurses and practice manager
- Data Validation; downloading and analysing activity data

**Scope**:
Your key responsibility is in the area of clinical clerical administration and it is therefore essential that you have knowledge of medical terminology. You will need fast and accurate computer skills, (including experience of spreadsheets/ Excel), be well organised and methodical with the ability to analyse and interpret data if appropriate.

**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, to 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 and free from hazards
- Reporting potential risks identified.

**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 people’s 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, such training to include:

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

- 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 team’s perfor