Thesis in Healt Care Administration, C-level. Author: Madelaine Kjellström. Supervisor: Alf Sundin. Autumn semester 2017. Title: Management system as a Planning Instrument in Health Care Services -        A Study of Management System for Systematic Quality Work in three swedish municipalities in Värmland; Karlstad, Sunne and Storfors – In the year 2011 the Swedish authority Socialstyrelsen published a prescription (SOSFS 2011:9) and also a recommendation who where adressed to the municipalities, who are responsible for  the public servises in Sweden, to implement a Management System for Quality Work within Health and Social Care Services. The aim of this study is to examine how municiapilities in Sweden is planning for implementation and evaluation of the Management system for Quality Work within Health and Social Care Services. The question for approaching the thesis choice of subject are: Is the Management System for Quality Work Work within Health and Social Care Services more likely to succed in the municipality of Karlstad which is a bigger municipality comparing to Sunne and Storfors municipalities, which is smaller municipalities comparing to the size of budget and population? Is there any similarities and/or differences between the different municipalities capacity to planning for implementation and evaluation of the Management System for Quality Work within Health ans Social Care Services? As mentioned above there are three municipalities that has been selected as cases in this comparative case-study. All three municipalities is located in the region of Värmland, Sweden. The main findings and the result of this comparative case-study is that; all of the three municipalities independent of their respective sixe have capacities to fullfill the prescription and recommendation according to the authority Socialstyrelsen intentions concerning the planning of implementation and evaluation of the Management System.                                            Keywords: Planning, implementation, evaluation, Mangagement system, quality work, health and social care service.