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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.  We work in partnership with Haringey GP practices to identify those who may benefit from our support.
 
We are an integrated team of professionals from multiple disciplines and agencies. The team includes:
 
  • Multi-disciplinary team (MDT) tele-conference
  • Social workers
  • Mental health workers
  •  Occupational therapists
  • Physiotherapists
  • Navigators
  • Pharmacists
  • Community matrons
  • A general practitioner
 
The role of the team is to support patients to maintain health, well-being, independence and self-management of their health conditions. We are the Haringey Hub for Integrated Working.

What do we offer?
As an anticipatory care service we aim to keep people well, work towards their goals and reduce avoidable hospital attendances or crises.
 
Referrals will be triaged by a senior clinician and if accepted may be proposed to MDT teleconference, and or receive a holistic assessment (comprehensive geriatric assessment where appropriate).
We can provide tailored interventions to support the client’s medical, functional, mental health and social care needs. Adopting a patient centred approach, we set goals with our clients and create personalised care and crisis plans.
 
The team can coordinate care needs and will work in partnership with professionals already involved in a client’s care to provide wraparound multi-disciplinary support. We are well placed to link our clients with other services and support they need to make a positive difference to their health and wellbeing.
 
Integrated working
The MACCT team is made up of staff from Whittington Health, North London Foundation Trust, Haringey Adult Social Services, and the Bridge Renewal Trust. They work collaboratively across the three neighbourhoods in Haringey to deliver integrated care and support.
 
 
If you would like the team to work with you  in a development capacity to share our learning about integrated learning, 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.

Appointments

After receiving and screening your referral a member of the Multi Agency Care and Coordination Team (MACCT) will contact you or your family to discuss the options of assessment and possible interventions.

Telephone Assessment: The team may be able to offer you a telephone assessment and telephone support depending on your situation.
 
Outpatient Appointment: You may be asked to visit the team in a community setting such as a health centre if you are able to get out of your home and engage with treatment.
 
Home Visit: You may be offered a home visit by one or more members of the team to visits you in your home to complete the assessment and any interventions. We are professionals and will not judge anyone’s home environment we want to work with you to improve your independence and wellbeing, support your carers and reduce the likelihood for you to have to go into hospital.
 
If you wish to cancel or change the time of your appointment, please contact the team on 0203 074 2958.
 
Choosing the Right Treatment
 
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.
 
To access evening and weekend GP appointments 
Call 0330 053 9499 during the following times:
Monday to Friday (6:30pm - 8:30pm)
Saturday and Sunday (8am - 8pm)
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
     
Referral 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.
 
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.
 
GPs can refer to service by submitting a completed MACCT referral form. It would be beneficial to also include an EMIS summary or any other relevant documents to provide a more comprehensive overview of the patient’s needs.

Self- Referral
 
You can contact the team to make a self- referral over the phone. If you are new to the Haringey Coordination and Prevention Service (HCAPS), we will ask you GP to send us some information on your long term health conditions.
 
If you have worked with the team previously we will review your situation and offer advice on the next steps.
 
You can self-refer 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 and Coordination Team (MACCT), 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 to service by submitting a completed MACCT referral form. It would be beneficial to also include an EMIS summary or any other relevant documents to provide a more comprehensive overview of the patient’s needs.
 
Professional or Supporting Role Referral
 
Health & Social Care Professionals, Volunteers and other workers can refer into the team using the Community Adults Referral Form (CRAT) or the Haringey Integrated Referral Form Document.
 
Proactive Referral
 
Referrals to the MACCT team can be made using the MACCT referral form available on EMIS and the Whittington Health Intranet. Alternatively, the internal Adult Community Service (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.
Last updated20 Nov 2025