After the exit of Scarborough managagment duo Neil Redfearn and his assistant Eric Winstanley, in the 2006 close season, Patterson took over as manager. Due to injuries and a small playing squad Patterson, at the age of 41, had to register as a player and has sat on the bench. He left the club on 4 May 2007 by mutual consent, having failed to agree a new deal.
After the departure of Scarborough's managers, Neil Redfearn and Eric Winstanley in the 2006 summer transfer window, Patterson took over as manager. Due to injuries and a small team, Patterson, at age 41, had to play himself and has been relegated to the bench. He left the club on May 4th, 2007 by mutual agreement after failing to reach an agreement for a new contract.