Team Care (formerly known as PINOT) supports family physicians by offering wraparound health and social services to patients who are:
- Not connected to an interprofessional care team
- Facing barriers to care due to the social determinants of health
- Without private medical insurance, or who have exhausted their coverage
We work in partnership with physicians to enhance patient care – not replace it. Our goal is to reduce silos by creating a collaborative, communicative relationship between the primary care provider, the client, and our interprofessional team.
Through Team Care, eligible patients can access a wide range of services – including mental health supports, physiotherapy, system navigation, housing support, and more – at no cost. The program helps bridge gaps in care for individuals with limited financial resources and complex health or social needs.
Eligibility
Team Care is intended for patients who:
- Belong to the lowest income quintile (bottom 20%)
- Live in East London (please note – this may change based on program capacity)
- Do not have private health insurance or have exhausted all EAP/benefit supports
- Face barriers to accessing care due to income, housing, mental health, or other social factors
Note: Team Care clients must be referred by their primary care physician. The Newcomer Clinic and Family Doctor Program are not available to Team Care clients.
What Services are Offered?
Team Care connects eligible clients to a range of wraparound supports, including:
- Mental health counselling and support
- Physiotherapy
- Diabetes support
- Respiratory therapy
- System navigation
- Housing and income-related support
- Harm reduction and addiction services
- Other Health Centre and external programs
Frequently Asked Questions
Will patients stay on my roster?
Yes, clients remain your patients. Team Care provides supplementary services only.
Are there fees?
No. Services are funded through the Ministry of Health and are free for clients. We do not bill OHIP.
Can community agencies refer clients?
Agencies can assist by providing the physician’s contact information to the Team Care team.
Is this a pilot program?
No. Team Care is funded as part of the Health Centre’s ongoing base operations.
Can patients self-refer?
No. Patients must be referred by their family doctor.
To get started contact:
Renee, Systems Navigator for Team Care
rprimeau@lihc.on.ca
519-660-0874 ext2100
For physicians – How to Refer a Patient
Physicians must register in order to refer to Team Care. The process:
Register online with contact information (name, phone, email, fax)
A systems navigator sends a welcome package, including the referral form
Once registered, the physician can begin referring patients
Clients complete an intake with a systems navigator, who assesses eligibility and connects them to appropriate supports
Related Programs
Social Work
Our team of registered social workers provide counselling, support, and practical tools to help you navigate life’s challenges and transitions.
Respiratory Therapy
Our respiratory therapy team works with clients to support lung health, manage chronic respiratory conditions, and improve breathing.
Physiotherapy
Our physiotherapy team works with people to treat injuries, increase mobility, reduce pain, and prevent new injuries from occurring.