# Italy community health house rollout > Live situation record from CLSTR: https://clstr.news/situations/italy-community-health-house-rollout > Updated: 2026-07-29T06:02:41.000Z. Sources: 4. Developments: 2. In early July 2026 the Italian government signed an agreement expanding the role of family doctors within the newly built Community Houses, a pillar of the National Recovery and Resilience Plan (PNRR). The move was intended to strengthen primary‑care provision by integrating doctors more fully into territorial health services. By the end of July, the national health agency Agenas released technical guidelines outlining the composition of multiprofessional teams for these centers. The guidelines define roles for central nurses, shared leadership, case‑management processes and outcome indicators, translating the requirements of Ministerial Decree 77/2022. However, reports from physicians indicate that many Community Houses remain understaffed; funding has covered only buildings and technology, leaving a shortage of medical and nursing staff. Doctors describe makeshift offices, mandatory extra shifts, long travel distances and heavy bureaucracy, highlighting the gap between the policy ambition and operational reality. ## Timeline ### 2026-07-29: Italy's community health centers plagued by staff shortages despite new guidelines Italy’s community health centers remain underused due to severe doctor and nurse shortages, even as Agenas releases new guidelines on multiprofessional teams to improve care. 4 sources. https://clstr.news/cluster/italys-community-health-centers-plagued-by-staff-shortages-despite-new-guidelines ### 2026-07-04: Italy expands family doctors' role in Community Houses under new agreement Italy's new collective agreement formalises family doctors' hours, duties and 24/12‑hour coverage in Community Houses, with a regional pact in Ascoli Piceno to implement the changes under the PNRR. 3 sources. https://clstr.news/cluster/italy-expands-family-doctors-role-in-community-houses-under-new-agreement --- Cite as: Italy community health house rollout. CLSTR, https://clstr.news/situations/italy-community-health-house-rollout