South Coast Specialist Geriatric & Stroke Clinic — Dr N. Nkabane

Recognise Any Of This?

Our Services

A fall that's happened more than once. A memory that isn't what it was. A medicine list no one has reviewed in years. These are the moments we exist for.

A nurse helping an older woman stand up safely at home

Falls & Balance

A fall last month, or a fear that the next one is coming. We look at why it happened — strength, balance, blood pressure, vision, medication — and build a practical plan to protect your independence.

A family laughing together over a card game at home

Brain Health & Memory

Staying sharp, staying connected. Early screening for cognitive impairment and dementia, and practical strategies to support memory and brain health — so you stay engaged with the people and activities you love.

A physiotherapist guiding an older man through an arm-strengthening exercise

Stroke Prevention & Follow-Up

A stroke or TIA already happened, or the risk factors are quietly building — blood pressure, heart rhythm, cholesterol, circulation. Specialist follow-up and proper prevention, not just a prescription.

A doctor reviewing a knee X-ray with a patient

Bone Health

A simple stumble that shouldn't have caused a fracture — or the worry that it might. Osteoporosis assessment and fracture-risk review, so a broken hip is never the first warning sign.

Close-up of hands holding medication tablets and a pill bottle

Medication Review

Five, eight, twelve medicines, prescribed by different doctors at different times — and no one has looked at the whole list together. We do, and we simplify what we safely can.

A carer dancing with a resident in a retirement estate day room

Estate & Home Visits

Getting to an appointment is part of the problem. We come to you — retirement estates, care facilities, and home visits across the South Coast, where travelling to rooms isn't realistic.

For Facility Managers & Decision-Makers

When a resident falls at 2am, who decides whether they go to hospital?

And who reviews why it happened, so it doesn't happen again? That gap — not a lack of good staff, but a lack of structured specialist oversight — is what facility retainers exist to close.

Worth asking, before reading further

Who currently reviews polypharmacy across your residents, on a structured and recurring basis?

When a resident's mobility or cognition changes, wouldn't it help to have a specialist geriatrician on hand for quick assessment and referral, rather than waiting for the next routine visit?

If a family asked what your falls-prevention protocol is, could your team answer in one sentence?

Is there documented specialist oversight your facility could point to, if asked by a family, insurer, or regulator?

What a Retainer Looks Like, in Practice

Specialist oversight, built into your routine

Scheduled Specialist Rounds

Regular on-site review of complex or high-risk residents, by appointment, fitted around your facility's routine.

Falls & Polypharmacy Oversight

Structured review of residents at risk of falls or on multiple medications — the two most common, most preventable sources of harm.

Parkinson's & Movement Review

Medication titration, motor and non-motor symptom management, falls risk specific to Parkinson's residents.

Nursing Team Support

Direct conversation with your care staff after each visit — not just a chart note, but a plan they understand and can act on.

Documented Governance

A record of specialist oversight your facility can point to — for families, for insurers, and for your own peace of mind.

A Genuine, Local Perspective

Trained at UKZN and UCT, with family on this coastline — this is a practice built from inside the community it serves, not parachuted in.

Established Elsewhere

Visiting consultant geriatrician models are standard practice in healthcare systems such as Ireland and the UK — specialist oversight of frail care residents built into routine governance, not treated as an exception.

The Need, Documented

South Africa's frailty and chronic disease burden in older adults is well documented in national scheme data — the demand for specialist geriatric oversight is rising, not speculative.

A Simple Next Step

A short conversation — what your facility currently has in place, and where a specialist partnership could help.

A tailored proposal — built around your residents and your team, not a generic package.

A clear monthly retainer — a defined fee, a defined start date, a simple yes.

Start the Conversation

For Referring GPs

The patient on eight medications, three specialists, and a fall last month

Doesn't quite fit any single referral, and absorbs more of your consultation time than any other patient on your list. This clinic exists so complexity doesn't have to sit entirely on your list.

Trained at UKZN and UCT, with postgraduate specialisation in Ireland and Switzerland — this practice brings a referral pathway modelled on systems where geriatric medicine is an established, well-integrated specialty, adapted to the realities of practising on the KZN South Coast.

When to Refer

— Recurrent falls, unexplained falls, or fall with injury

— Syncope or pre-syncope in an older adult

— Cognitive complaint — patient, family, or clinical concern

— Suspected or confirmed Parkinson's disease

— Polypharmacy (≥5 medications) with frailty, falls, or delirium

— Post-stroke review — function, cognition, secondary prevention

— Fracture risk assessment, especially where DEXA unavailable

— Family requesting capacity assessment or goals-of-care planning

A Simple Referral, A Useful Letter Back

Contact the clinic by email or WhatsApp with patient name, date of birth, and reason for referral — no formal letter required to get started.

Send what you have — clinical background, current medications, your specific question, however brief.

Patient is seen — outpatient clinic or facility visit, depending on mobility and setting.

A structured letter, back to you within 48 hours — findings, plan, and specific recommendations, written so it's immediately usable in your next consultation with this patient.

Refer a Patient

Ageing well isn't one destination. Whatever yours looks like, that is the journey we work for.

Why Choose This Clinic

Specialist care, done properly

Direct access

You don't need a GP referral. Patients and families can contact the clinic directly and be seen by a specialist from the first visit.

Time to be heard

Longer consultations designed for older adults — unhurried, thorough, with family welcome in the room or on the call.

The whole picture

Falls, memory, bones, blood pressure and medicines reviewed together — because in later life they are never separate problems.

Care that comes to you

Rooms consultations, estate and home visits on the South Coast, and online consultations for reviews and family discussions.

Common Questions

Frequently Asked Questions

Do I need a referral from my GP?

No. This is a direct-access specialist clinic — you, or a family member on your behalf, can contact us directly to arrange a consultation. We will always keep your GP informed if you'd like us to.

Can I enquire on behalf of my mother or father?

Absolutely — many of our first conversations are with adult children. Tell us what you've noticed, and we'll guide you on whether a consultation would help and how to arrange it.

Do you visit retirement estates and care homes?

Yes. We consult on-site at retirement estates and frail care facilities along the KZN South Coast, and offer home visits where travelling to rooms is difficult.

What should I bring to my appointment?

Bring all your medicines (or a full list, including over-the-counter items and supplements), any recent test results or hospital letters, your glasses and hearing aids if you use them, and a family member if you'd like — a second pair of ears is always welcome.

Do you offer online consultations?

Online consultations for follow-up reviews and family discussions are planned as the clinic establishes — please ask when you contact us.

Get in Touch

Contact Information

For appointments, estate visits, or enquiries — for yourself or a loved one — we will be happy to help.

Dr Nkabane trained in KwaZulu-Natal and still has family living along this coastline. Her interest in geriatric medicine began at home, watching how hard it can be for a family to find the right specialist care for an ageing parent — and she returned to help close that gap, here, where it matters to her personally.

Dr Ntombenkosi Nkabane — MBChB (UKZN) · FCP(SA) · MMed (UCT) · Dip Med Older Persons (RCPI) · MAS Stroke Medicine (Unibe)

Email Us

dr.nkabane@southcoastgeriatrics.co.za

+27 71 644 6406

Where We Work

Scottburgh & the KZN South Coast
Rooms, retirement estates, care facilities & home visits

Dr Nkabane — Specialist Geriatric & Stroke Medicine Physician