The BILT team is an integrated team of health and social care staff who provide case management and care navigation to adults with complex needs in the community.

Who we see

The team are based at one location and work with the person to identify person centred goals and coordinate their care. They have links to other specialist community services and the voluntary sector. The team also contribute to the Frailty MDT which is a consultant led meeting to review elderly people who are frequent attenders to hospital or have complex health needs.

Referral information

Risk stratification is in place to identify patients in GP practices who may benefit from case management. Patients are also referred via social care, acute hospitals and other community teams.

Only GPs can refer to this service.

Inclusion and exclusion criteria

Inclusion: 18+ complex needs in the community requiring integrated health and social care approach.

Exclusion: People whose needs are being well met by other services.

Home visits

Home visits are available for this service.

Locations and opening hours

Edgware Community Hospital

Burnt Oak Broadway, Edgware, HA8 0AD

Opening hours: 9am – 5pm