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Haringey Multi-Agency Care and Coordination Team (MACCT)

Haringey Multi-Agency Care and Coordination Team (MACCT)

Main Address

  • Lordship Lane Primary Care Centre
    239 Lordship Lane
    Tottenham
    London
  • N17 6AA
  • 020 3074 2958
Haringey Multi-Agency Care and Coordination Team (MACCT)
Managing health, wellbeing and preventing crises through innovative partnership working
 
Who are we?
The Multi Agency Care and Coordination Team (MACCT) is a proactive and preventative care service for adults living with frailty or complex long term health care needs.
 
The Haringey’s Multi-Agency Care and Coordination Team is an early example of an integrated neighbourhood team model, driven by the fundamental first question of “what matters to you”.  It brings together more than 30 professionals from a wide range of disciplines.
 
The team includes: 

  • Multi-disciplinary team (MDT) tele-conference
  • Social workers
  • Mental health workers
  •  Occupational therapists
  • Physiotherapists
  • Navigators
  • Pharmacists
  • Community matrons
  • A general practitioner
 
What do we offer?
The MACCT work together to identify, plan and coordinate care for people with complex needs. Most people supported are older adults living with frailty, but not exclusively.
 
It is a partnership between Whittington Health NHS Trust, Haringey GP Federation, North London Foundation Trust (who provide specialist mental health services), Haringey Council and Bridge Renewal Trust. We work across three neighbourhoods – East, West and Central – in line with other local community services.
 
 
If you would like the team to work with you  in a development capacity to share our learning about integrated working, improve links with your Haringey Service or any other development opportunities please do not hesitate to contact the team managers on whh-tr.MACCT@nhs.net to discuss further or call on 020 3074 2958.
Referrals to the MACC team are triaged by an experienced senior clinician within 24 hours. We review information across multiple record systems (GP, hospital and social care) and use professional judgement to direct the person to the right support stream:

  • Stream 0: Weekly multidisciplinary team meetings. A forum for discussing complex needs and agreeing shared actions.

  • Stream 1: Outreach and early identification. Case-finding people with mild to moderate frailty from GP lists for early support.

  • Stream 2: Escalations from stream 1. Managed by a single professional. Includes people whose referrals were rejected elsewhere or don’t meet criteria for other services.

  • Stream 3: Prompt action on rising risk. Joint working by two or more professionals to address complex needs early and avoid crisis.[AS1] [LM2]
 
All referrals are responded to, even if not suitable for the MACC team. Residents are referred on or signposted to the right service. Referrals are only returned to the GP if no other option is available.

Referral Criteria
 
  • Adults living in borough of Haringey registered with a Haringey GP.
  • Adults living in Haringey or within a mile of the Haringey boundary and have 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.
 
Referral 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 = NLFT; rehab therapy input = HART / HURRT; specific nursing intervention (continence assessment, wound care, medication support = District Nursing Team)).
  • Immediate admission avoidance cases or those who need to be seen within 12-24 hour (Rapid Response 0207 288 3670).
     
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.
 
GP Referral
 
GPs can refer to the service by submitting a completed MACCT referral form via EMIS.

Self- Referral
 
Residents can self-refer if they have worked with the team in the last 6 months to a year. The MACCT will review the resident situation and offer advice on the next steps.
 
For all new referrals, residents are kindly asked to contact their GP to make a referral.

Professional or Supporting Role Referral
 
Health & Social Care Professionals, Volunteers and other workers can refer into the team using the MACCT referral form (Whittington staff can use the internal ACS form).  If you require a copy of the referral form, please contact the team via email at whh-tr.MACCT@nhs.net
 
Proactive Referral
 
Residents may be contacted by us, by a letter through the post and a follow up phone call. Residents details will have been gathered from data relating to the Emergency Department and London Ambulance contact, and/ or their GP in the best interest in of improving your care.
 
We will offer to review residents health and social care situation and may offer support in working to improve the residents health and wellbeing. The resident can accept or decline this offer.

Referral Form
 
Referrals to the MACCT team can be made using the MACCT referral form available on EMIS and the Whittington Health Intranet. Alternatively, the internal ACS referral form can be used.
 
If you require a copy of the referral form, please contact the team via email at whh-tr.MACCT@nhs.net.
 
For further discussion regarding referrals or to leave a message for the team, please call 020 3074 2958.
 
Appointments
 
After receiving and screening a referral a member of the Multi Agency Care and Coordination (MACC) Team will contact the resident or their family to discuss the options of assessment and possible interventions.
 
Telephone Assessment: The team may be able to offer a telephone assessment and telephone support depending on the situation.
 
Home Visit: In the instance that the resident is unable to leave their house due to their long-term condition, the team will offer a home visit to complete the assessment and any interventions.
 
Outpatient Appointment: The resident may be asked to visit the team in a community setting such as a health centre if they are able to get out of their home and engage with treatment.
 
If a resident needs to cancel or change the time of their appointment, please contact the team on 0203 074 2958.
 
Choosing the Right Treatment
 
To all our clients: We would ask everyone to review the following information on choosing the right treatment to ensure you and your clients get the best care at the correct time by choosing the NHS service that can best treat your symptoms.
Last updated20 Jan 2026