
The recent decision by the Italian Court of Cassation (no. 6241/2015) represents a significant turn around on the joint responsibilities of the Local Health Authorities in cases of negligence by accredited physicians at the expense of the citizen-user. The article will analyze the innovative scope of this decision, illustrated through comparisons with the previously established case law. The decisions of the Supreme Court also bring up questions of a practical nature, influenced not only by purely legal factors, but also by social aspects, given the constant economic deficit faced by the Italian Healthcare System.