The City of Helsinki will be responsible for organising the services, and it will not be part of the wellbeing services counties.  However, the same provisions will apply to health, social and rescue services as in the wellbeing services counties, and the City of Helsinki will receive funding for tasks based on the same criteria as the wellbeing services counties.
Since Helsinki is not a wellbeing services county, there will be no county elections. The Helsinki City Council will exercise the highest decision-making power with regard to health, social and rescue services. However, provisions on certain exceptions to the performance of the tasks are laid down by an act. It must, for example, separate the costs of healthcare, social welfare and rescue services from other municipal activities in its accounting.