Ensure that appropriate clinic follow up is actioned as appropriate, i.e. out patient appointments, investigations, add patients to waiting list, re-admissions and referrals to other Consultants/departments. Cover reception when required Ensure timely despatch of clinical letters to GPs. Obtain results ensuring that Consultant /or Medical team see them and action in a timely manner. Inform GPs of patient results via letter dictated by Consultant. Ensure that all results, reports and letters are accurately filed in medical notes. General Admin, including adding referrals to IPM Provide other secretarial assistance to the team as required, typing up correspondence, references for junior staff and administration and maintain filing system of this correspondence. Exposure to distressing/emotional circumstances i.e. typing letters of a distressing nature, dealing with distressed, anxious and angry patients and relatives in person or by telephone. Requirement to exert physical effort when dealing with quantities of notes and x-rays and when retrieving notes from outpatients after Consultant clinics each week and filing them in the office to await typing. Requirement to work at a VDU screen for at least 75% of the working day.