Description (EN): European population’s ageing challenges health and social services. Cooperation in several welfare sectors is required, since the demographic change involves both health and social issues. CO.N.S.E.N.SO project accepts the challenge by developing a care model that puts the elderly at the centre of health and social services. It builds on the pivotal role of the Family and Community Nurse (FCN). The FCN plays an innovative role, becoming the key actor who shapes and manages personalised services for the elderly and their families, particularly those living in isolated areas.The model aims to allow the elderly to live at home as long as possible: through periodical visits the FCN will evaluate their risk factors, manage minor health and social needs and promote healthier lifestyles. In selected Alpine communities the project will validate a model of transnational governance of processes required to deliver healthcare, prevention and active ageing. Families will benefit from reduced elderly home assistance and Regional Authorities will see a reduction of social and health costs. The project will also build capacity within the social economy by proposing innovative business models. The Alpine space, characterised by significant differences in healthcare models and cultures, is the ideal test area of a simple concept: a model of care that maximises the effect of the human relationship between the elderly and dedicated professionals. Expected Results (EN): Level of capacity of social organisations and public authorities to deliver innovation in the field of social services and services of general interest through transnational networking Expected Outputs (EN): a) improved access to services for ageing citizens by validating an innovative model based on FCN b) a new governance to deliver healthcare and prevention, reducing health expenditure by cutting hospitalisation costs c) powering-up a social market economy approach with trained professionals in the forefront. Transnational and multilevel governance know how needed to achieve these results will raise the capacity of PAs and social sector to “re-invent” themselves and deliver innovation in services