Demographic changes together with scarce resources means that a transformation is needed in healthcare. A national work is on-going in Sweden to change the healthcare system to get it closer to the patients and users. In this transition work mobile local care is an important area. The aim of this paper is to learn and find out important flows of action that drive the healthcare transformation in mobile local care to evolve in a timely movement. A main challenge is the larger number of involved partners with different autonomous political governance, different in size and with different cultures. The study is based on a qualitative study and the collected data is analysed in accordance with the three modalities timing, attentionally, and undergoing as defined Baygi, et al (2021). The used approach opened the horizon of possibilities in a novel way, to understand the phenomenon of transformation in healthcare. The work also reveals that the used modalities have different possibilities for learning related to organizational, digital, and medical conditions. In the further work it would be crucial to study how the learning is interweaved by coinciding flows of action in this context.