THE SOCIET? DOES THE HEALTH OF VALDICHIANA SENESE INTEND TO STRENGTHEN IT? RESPONDING TO THE CARE NEEDS OF PATIENTS ON DISCHARGE FROM HOSPITAL UNITS, INTERMEDIATE CARE OR REHABILITATION FACILITIES, IN ORDER TO CREATE FAVOURABLE CONDITIONS FOR RETURNING HOME. THE TARGETS? IN THE CASE OF ELDERLY PERSONS > 65A, WITH A TEMPORARY LIMITATION ON INDEPENDENCE OR THE RISK OF RELIANCE ON CARE AND SERIOUS DISABILITIES. WHAT IS THE TASK OF? ACOT? TO DRAW UP AN INDIVIDUALISED PLAN (PI), BEFORE DISCHARGE, TO RESPOND TO THE CARE NEEDS. ARE THE SERVICES AND SERVICES PROVIDED FOR IN THE IP TO BE CONSIDERED AS COMPLEMENTARY AND TO UPGRADE AND IMPLEMENT THE SERVICES PROVIDED FOR IN THE IP? PROVIDED BY YOUR CURRENT ORGANISATION? DO YOU WORK? THEY WILL BE PROVIDED WITH GOOD SERVICE, WHICH THE BENEFICIARIES WILL USE THROUGH ACCREDITED PROVIDERS, LISTED IN SPECIAL LISTS, FOLLOWING SELECTION BY THE PROCEDURE OF THE PUBLIC.