Medical Notes Summariser (Park Leys)

Job summary
Coventry North Primary Care Network

As a Medical Notes Summariser, you'll play an important role in ensuring our patient records are accurate, clear and up to date, helping our clinical teams quickly access the information they need to provide safe and effective patient care.

You'll review and summarise medical records, maintain accurate problem lists, record relevant clinical information and help improve the overall quality of our patient records.

As the practice operates across Keresley Green, Keresley End and Fillongley, you will need to be able to work across our sites. You'll be part of a friendly, professional team where accuracy, confidentiality and attention to detail are essential, and where the work you do behind the scenes makes a genuine difference to both patients and clinicians.

The role also offers variety beyond day-to-day summarising, including supporting the maintenance and improvement of patient records, adding immunisation and seasonal vaccination information, undertaking audits and helping us continually improve the quality of the information held within our clinical system.

You'll benefit from ongoing, practice-specific training to support your development and keep your knowledge and skills up to date. If you're organised, methodical and take pride in getting the detail right, this is an opportunity to develop your career in primary care while making an important contribution to the care we provide to our local community.

Main duties of the job
The Medical Notes Summariser will be responsible for reviewing patient medical records and ensuring key clinical information is accurately captured and easy for clinicians to access. The role will involve summarising records, maintaining accurate and relevant problem lists and helping to ensure patient information is clear, consistent and up to date.

You will also support the quality of our clinical records through audit work, immunisation and vaccination data entry, and identifying information that may require clarification or escalation to a clinician. You will manage records through the summarising process, ensuring they are appropriately tracked, filed, retained or transferred as required.

This is a role requiring excellent attention to detail, confidentiality and the ability to work independently while recognising when clinical input is needed.

About us
At Park Leys Medical Practice, you'll join a warm, supportive and professional team that prides itself on collaboration and high-quality patient care. Our administrative and clinical teams work closely together across our three sites, creating an environment where communication is open, everyone is respected and teamwork is central to how we operate.

We're a practice that values reliability, integrity and a strong work ethic. We recognise that general practice can be busy, so we focus on supporting one another, maintaining high standards and creating a positive and organised working environment. From the moment you join, you'll receive structured training, clear guidance and support from experienced colleagues.

Working with us means being part of a practice rooted in its community, with strong patient relationships and a commitment to continuous improvement. You'll have the opportunity to develop your knowledge and skills, contribute to improving the quality of our services and build a meaningful career in primary care as part of a dedicated and welcoming team.

Job responsibilities
Role Summary
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.

Key Responsibilities

• Review and summarise patient medical notes, including clinical letters, test results and hospital discharge summaries.
• 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 promptly flag any discrepancies, safeguarding concerns or urgent clinical issues to the appropriate member of staff.
• Manage patient medical records received for summarising, ensuring they are processed and tracked appropriately and, once completed, filed or retained within the practice or returned/transferred to the appropriate organisation as required.

General Administration

• Attend meetings as required.
• Attend relevant training sessions.
• Keep up to date with all statutory and mandatory training.
• Maintain confidentiality at all times.
• Work in line with all practice policies and standard operating procedures.
• Complete any other reasonable management instruction.

Person Specification
Experience
Essential

• Experience of working with clinical records or medical documentation, ideally within a healthcare setting.
• Good understanding of medical terminology, confidentiality and the handling of sensitive patient information.

Desirable

• Previous experience of summarising medical records within general practice.
• Experience of clinical coding and electronic patient record systems, preferably EMIS Web.
• Previous experience of working within general practice or primary care.

Qualifications
Essential

• Good standard of general education, including English and Maths (or equivalent).
• Training in medical terminology, or demonstrable equivalent knowledge gained through relevant experience.

Desirable

• Relevant qualification in medical terminology, medical/healthcare administration or health records management.
• Information Governance/Data Protection training.

Knowledge & Skills
Essential

• Good understanding of medical terminology.
• Excellent attention to detail and accuracy when reviewing and recording clinical information.
• Ability to identify and accurately record relevant information from clinical correspondence and patient records.
• Good IT skills and ability to use electronic patient record systems.
• Ability to recognise when information requires clarification or escalation to a clinician.

Desirable

• Knowledge of GDPR, DSPT and NHS Information Governance requirements.

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.