25 March 2020: service update
The ICAT team that provides most of the face-to-face care is now focused on more responsive, reactive care during the Covid-19 outbreak.
The ICAT team specialises in the assessment and management of frail older people. The consultant-led multidisciplinary team includes:
- consultant geriatrician input from UCLH and Whittington Health
- a GP with specialist interest in geriatrics
- two nurses specialising in older people
- two pharmacists
- an occupational therapist and a physiotherapist specialising in older people
The team works collaboratively with primary care to carry out a comprehensive geriatric assessment (CGA) and create a care plan that addresses the person’s needs. Where possible this is in a person’s own home.
If diagnostics are needed, the person can be seen in a ‘hot slot’ in ambulatory care by a geriatrician for rapid investigation.
The clinicians carrying out the CGA will report back to the patient’s GP via EMIS. The notes are directly accessible from the GP's EMIS records by clicking View All Records on the left hand side of the screen.
This is not a rapid response service: it aims to carry out first assessments within two weeks of referral.
ICAT Care Home Work
ICAT also provides support and in-reach into the care homes in Islington. Each care home and associated GP practice work in collaboration with a consultant geriatrician, pharmacist and pharmacy technician, who attend monthly MDTs at the care home and will see patients at the home.
- Patients aged 75+ will be triaged.
- Patients aged 70-75 years need to be discussed by the referrer with an ICAT doctor via 07920 756995.
- The patient should be in need of a comprehensive geriatric assessment (CGA).
Frailty is a complex syndrome to define but commonly presents as one of the following:
- increasing immobility
- general functional decline
- worsening confusion
- polypharmacy and issues with medications management
- multiple deteriorating long term conditions
- recurrent hospital admissions or new incontinence
A person with any of these problems is likely to benefit from a CGA.
- Patients who do not have an Islington GP
- Patients aged less than 70
- Patients who only need therapy or pharmacy input
How to refer
Referral methods: EMIS managed referral
Patients aged 70-75 years need to be discussed by the referrer with an ICAT doctor
t: 07920 756995
A referral form can be found in ISL EMIS under
ISL global documents > ICATS > ICATS Referral Form for GPs