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Multi-Agency Care & Coordination Team (MACCT)

Haringey
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The Multi-Agency Care and Coordination Team (MACCT) identifies, plans, and coordinates care for individuals with complex needs, involving professionals such as social workers, mental health practitioners, therapists, and pharmacists. The team conducts multidisciplinary conferences to manage cases and offers various care streams to address mild to moderate frailty and prevent crises. 

Eligibility Criteria

Inclusions

  • adults living in the 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.

Exclusions

  • 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 = North London Foundation Trust; community rehab therapy input = HURT/HART; 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 020 7288 3670)

Though MACCT is not an acute service. They aim to triage referrals within 24 hours (excluding weekends and bank holidays). Following triage, your patient will be contacted and assessed dependant on clinician prioritisation (the service operates on a 6 week maximum waiting time).

If you feel that a person is at immediate risk of hospital admission or imminent care breakdown, refer to the Rapid Response service via their registered GP or directly.

How to Refer

MACCT

020 3074 2958

Call to discuss a potential referral to the service with a triager.

EMIS form

Referral methods: Email

Complete the Multi-Agency Care & Coordination Team Haringey Referral Form – Whittington and send with any supporting documentation/information (e.g. EMIS/recent clinical letters) to whh-tr.MACCT@nhs.net.

Whittington staff can use the internal ACS form. If you require a copy of the referral form, email the team at whh-tr.MACCT@nhs.net.

Where to find the form

  • Haringey: HAR Global Documents > Community Services

Self-referral

Residents can self-refer if they have worked with the team in the last 6-12 months. The MACCT will review their situation and offer advice on the next steps.

For all new self referrals, residents are kindly asked to contact their GP to make the referral via the GP. 

Residents may be contacted by letter, messaging service and a follow up phone call. Their details will come from data relating to Emergency department, London Ambulance Service or their GP to help improve their care.

Review date: Friday, 15 January 2027