Community housing "flops": 660 are activated and only 46 provide all services to citizens.

Less than a year from the NRRP's June 2026 target, the latest Agenas report on the reorganization of community care, as envisioned by the National Recovery and Resilience Plan, is merciless: it certifies that only 660 community homes—out of the 1,038 European target and the 1,723 planned facilities—have at least one active service. Meanwhile, just 46 are fully equipped with all services and the necessary staffing of doctors and nurses.

A flop that affects the country in general but is dramatic in the South: the Regional Health Services Agency in its Report last June on the monitoring of Ministerial Decree 77/2022 - which redesigned out-of-hospital care - certifies in black and white the advantage of the Northern regions and the stalemate in the South even in mandatory services in the "hub" community homes: basic diagnostic services, continuity of care, and blood sampling points are dramatically absent in the southern part of the country, as are other items such as integration with social services, primary care provided by multi-professional teams, home care, and single access points.

Leading the way in activating a community home with at least one active service is Valle d'Aosta (all four planned community homes have already been activated), followed by Friuli Venezia Giulia with 30 active community homes out of 32 planned, Veneto with 63 out of 99, Emilia Romagna (140 community homes out of 187), Lombardy with 142 out of 204, and Tuscany with 70 out of 157. While Abruzzo, Basilicata, Campania and Bolzano still have zero facilities (monitoring, we remind you, in the first half of the year) and Calabria (2 out of 63 community homes), Molise (2 out of 13), Puglia (1 out of 123), Sardinia (27 out of 80) and Sicily (9 out of 161) are doing little better.

However, when considering staffing in terms of medical and nursing presence as required by Ministerial Decree 77, the situation is different for almost all: nine regions fall short of the target with zero facilities: Abruzzo, Basilicata, Calabria, Campania, Friuli Venezia Giulia, Bolzano, Trento, Puglia, and Sardinia. This is a discouraging picture, far from the standard: 24/7 medical presence in hub CDCs and at least 12 hours a day, 6 days a week in spoke CDCs. Meanwhile, nurses are required to work at least 12 hours a day, 7 days a week, in hub CDCs and at least 12 hours a day, 6 days a week, in spoke CDCs.

The region performing best in this regard is Lombardy, with 12 fully equipped community homes out of a total of 204 planned. Emilia-Romagna follows (8 fully staffed community homes out of 187 planned) and Tuscany (7 out of 157), followed by Lazio, with 5 fully staffed community homes, complete with doctors and nurses, out of 146 planned.