In Sweden a majority of the public risk and crisis management, termed RCM, has recently been relocated from the national level to the local. The chapter describes how local municipal administrations in general, and the healthcare administrations in particular, have been taking on this new field of responsibility. From the results of four empirical studies the chapter discusses how risk and crisis management has turned from being macro-oriented towards being micro-oriented. In order to meet the emerging problems from this shift, such as fuzzy networks with dispersed responsibilities, trust may serve as an opportunity to facilitate the integration of risk and crisis management with existing services in local administrations. Some of these notions are possibly transferable to other contexts.