Many social workers that are working within the current healthcare system, feel that their profession is being marginalized, and they are worried that the social perspective might be lost, which would affect both the healthcare system and the patient in an undesirable way. This is a situation that is described by the social workers that were interviewed for the work of this assay. There is a proposition about a special legitimisation for social workers within the healthcare system. The main aim of this proposition is to secure the patient safety.  A second aim is to secure that the social perspective will remain with in the healthcare system.   The governance of the public sector of today, focuses on increasing the efficiency by control and review of measurable goals, which has affected the professionals' use of their skills and lead to de-professionalization. In today's knowledge management, measurable treatment through manuals is seemingly more important than professional competence, which has weakened the curators' profession role in healthcare. This picture is clearly stated in this essay's empirical study and is confirmed by the literature studied.   The trust delegation has the task to develop a reform that will better use the employees' skills so that the Swedish citizens receive their needed services through trust-based governance. The proposed introduction of legitimisation and the work of the trust delegation can both lead to changes for the social workers and the social perspective. For the social workers, the proposal raises hope. A legitimisation might strengthen their occupational role and at the same time indicate that the social perspective in healthcare is a specific and necessary area, which can lead to the development of the profession's jurisdiction.