Acknowledgement of Law 104: criticalities and novelties in the digital trial in 60 Italian provinces

Unlike in the past, where the citizen first had to obtain the certificate from the doctor and then submit the administrative application to Inps independently (or through a patronage), today the two stages coincide:

- Single submission: the general practitioner (or paediatrician) sends the certificate telematically, which already contains all the data required for the application.

- Automatic protocol: once the certificate has been sent, the disability application is considered to have been submitted. The citizen immediately receives the protocol and the date of the possible visit (if no assessment on the record is possible).

- Simplified revisions: for revisability examinations, Inps sends a communication via e-mail/sms allowing the citizen to upload the health documentation on the portal ('Attachment of health documentation'), thus avoiding having to physically go to the medical examination.

It should be noted that the reform currently concerns 'only' the 60 provinces subject to the trial, in the other provinces the procedure remains the classic one (doctor's certificate and disability application).

The trial currently involves 60 provinces, including.
North: Milan, Turin, Genoa, Bologna, Venice, Piacenza, Bergamo, Udine. Centre: Rome, Ancona, Macerata, Ascoli Piceno. South and Islands: Naples, Caserta, Bari, Lecce, Reggio Calabria, Palermo, Cagliari

The report highlights how the transition to the single certificate is suffering from criticalities in the technological 'run-in'.

This is not a lack of will on the part of health professionals, but a digital infrastructure that still has several hiccups: complex profiling procedures for doctors (AP110 form), digital signature malfunctions and a proxy system for family members that is not always smooth.

This generates a domino effect that falls entirely on citizens, who are forced to bear the burden of technical inefficiencies that slow down access to their rights. Cittadinanzattiva intervened immediately to prevent a reform that has been necessary and desired for so many years from turning into an insurmountable barrier for the most vulnerable.

In this start-up phase, it is crucial that critical issues emerge so that corrective measures can be put in place quickly and that citizens are informed about the new procedures.

It is possible to participate in a monitoring to report critical issues and consult the citizens' guide

For further information and protection, please visit the site of Cittadinanzattiva, while to consult the list of pilot provinces, please visit the institutional portal of the Inps.