This project works with those who are over 65 (Central Haringey) or over 75 (west Haringey) and identified as moderately frail. The service provides an in depth assessment of each patient at home covering a holistic overview of the clients health, daily living and social circumstances conducted by a care navigator. Any issues that are identified as part of the assessment can be discussed by a local team including a Healthcare assistant, Nurse, Pharmacist and GP as well as the local practice.
Initial actions or referrals can be processed quickly without the patient needing to attend the practice, this early intervention could reduce the patient need for further services and decrease any issues developing. The actions and outcomes of the assessment will be directly updated into the EMIS patient record.
This service is currently being piloted and will be available pan-Haringey in the future if found to be effective.