Haringey Coordination and Prevention Service (HCAPS) (previously Haringey Integrated Locality Team)

You can refer people with multiple long term conditions impacting on daily life or people that have frailty with rising risk, and require a multi-disciplinary approach to support to maintain health, well-being and independence.
An example of such are those who:
• Recently returned home from an unplanned admission to hospital
• Are at risk of falls or repeat falls
• Live with dementia which is having an impact on daily function and/or those who are carers themselves
• Have medication compliance or polypharmacy issues
• Are not engaging with services and at risk of frailty deteriorating


Service Criteria
• Adults living in borough of Haringey registered with a Haringey GP.
• People living with moderate or severe frailty with rising risk; Electronic Frailty Index (eFI) ?0.25 or Rockwood Clinical Frailty Score of 5 or above. Please see Clinical frailty scale (nice.org.uk)
• People living with multiple and/or complex long-term health conditions (including dementia) who would benefit from MDT input.
• People who require coordination of their care, whether already known to multiple services or not.
• People who have frequent unplanned hospital admissions and are at future risk of this continuing.
• People who are carers themselves where the care is at risk of breaking down.

Exclusion Criteria
• Where the sole need can be met by a single service (e.g., Package of care only or for major adaptation = Social services; acute mental health crisis = BEH; rehab therapy input = ICTT ).
• Immediate admission avoidance cases or those who need to be seen within 12-24 hour (Rapid Response).


Please send this form and any supporting documentation/information (e.g., EMIS/recent clinical letters) to: whh-tr.MACCT@nhs.net
Contact: 020 3074 2958 to discuss referrals or leave messages for the team.

Though the MACC Team are not an acute service. We aim to triage our referrals within 24 hours (excluding weekends and bank holidays). Following triage, your client will be contacted and assessed dependant on clinician prioritisation (We operate on a 6 week maximum waiting time).

If you feel that a person is at immediate risk of hospital admission or imminent care breakdown, please refer to the Rapid Response service via their registered G.P or directly on 0207 288 3670

Self- Referral
If you have worked with the team previously you can contact the team to make a self- referral over the phone, we will review your situation and offer advice on the next steps. If you are new to The Multi Agency Care & Coordination (MACC) Team, we will ask your GP to make the referral and to send us some information on your long term health conditions.

GP Referral

GPs can refer into the service using a variety of ways to make the process easier for each individual GPs preference. From GPs we accept ), a completed MACC referral form or an email with a brief statement of need along with an EMIS summary.