These three concerns have found great space in the Commission's reform proposal. The basis of the care continuum that we have designed, in fact, is made up of network and monitoring services for the most fragile and the oldest, the 4 million over 80s who we would like to see all involved. I report here an excerpt from the summary document: «These (network) services essentially consist of a multidimensional evaluation procedure per year (thus bringing us closer to the European standard of many virtuous countries) which allows us to define, where necessary, a personalized care plan , and therefore the entry into the continuum and also into digital tracking. Three further elements characterize this low intensity but maximum diffusion service:
to. the facilitation and launch of social inclusion processes for a systematic fight against loneliness and social isolation, digital inclusion (use of programs and software, telemedicine elements) and cultural inclusion (courses, apprenticeships, cultural events, etc.)
b. Health education, health promotion and prevention
c. Help and support in emergency situations (heat waves, pandemics, natural disasters, etc.)
Study and experimentation through well-structured sector studies could confirm and quantify the benefits known in the literature, namely the good reduction in the use of emergency rooms and hospital admissions, care in RA or RSA and the best life expectancy in conditions of self-sufficiency. The planned experimentation will involve a large sample and will represent a first step in the process of implementing the entire continuum and the digital tools and systems to be introduced."
Another point to which we have dedicated a lot of energy is that of the "Day Centres" for those suffering from dementia or other chronic disabling pathologies, designed with the dual function of entertainment and care centres, I would say of urban but also social redevelopment, with a function already " restorative" and already of hospitality for these people. These structures also support families and caregivers, who could receive the relief of 8 hours a day during which their loved ones are cared for and a peaceful space of freedom opens up for other tasks.
Finally, the proposal commits the entire health and social system to an effort towards transparency and the fight against illegal activity, so that situations of real exploitation of the elderly in "illegal" homes (sometimes actual concentration camps) without accreditation rules are no longer tolerated. , without transparency and without controls. We do not want to forget the horrors seen during the pandemic and indeed we want to make it an opportunity for profound change and momentum towards a care system centered on housing.
The Charter outlines that mature civil sense of rights and duties that a "high" society and democracy must be able to offer to their elderly citizens. It is not a utopian proposal. Starting from the most vulnerable, putting them at the center of attention, will favor inclusive and widespread development: the elderly are also a crossroads of economies - the digital one, the service one, the green one and the consumption one.