2023-05-102022/23:SoU12 · p.4SoUHealth & social services

Ambulance care

Availability requirements for ambulance services

What's at stake: The question concerns how quickly sick or injured patients can be reached by ambulance, which can be decisive for survival. It affects patients across the country, particularly in sparsely populated areas where distances are greater.

Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.

What the vote decides

Whether the government should pursue national requirements for how quickly ambulances must be able to reach patients, or whether the committee considers the matter already sufficiently addressed within ongoing healthcare reforms.

Yes Yes — the committee proposal

The committee points to the extensive ongoing work to develop accessible, community-based care and finds no grounds for further calls on the government in this area, and therefore rejects the motion.

No No — the reservations

Reservation 7 (SD)

The reservation (SD) wants the government to introduce availability requirements for ambulances so that they can reach patients within a set time, arguing that no such requirements currently exist and that rapid ambulance response can be decisive for the survival of the injured or severely ill.

Summarised from the committee report. Party labels in the summary come from the report, not from the vote.

VSMPCLKDMSD
YesNoAbstainAbsent

What do the votes mean here?

Yes The committee proposal: rejecting the motions (keeping things as they are).

No Backing the counter-proposal: reservation 7 by SD.

Abstain The party marks a position of its own that is not one of the two final alternatives.

What each plan points to — and how the party voted

For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.

PlanVoteConfidenceEvidence
VNoYes 21/0/0/3departs from the planconfidence: mediumnot addressed
SNoYes 94/0/0/13departs from the planconfidence: mediumnot addressed
MPNoYes 13/0/0/5departs from the planconfidence: mediumnot addressed
CNoYes 21/0/0/3departs from the planconfidence: mediumnot addressed
LNoYes 14/0/0/2departs from the planconfidence: mediumnot addressed
KDNoYes 15/0/0/4departs from the planconfidence: mediumnot addressed
MNoYes 60/0/0/8departs from the planconfidence: mediumnot addressed
SDown reservationNoNo 0/63/0/9follows the planconfidence: mediumnot addressed

Committee proposal

The Riksdag rejects motion 2022/23:1141 by Linda Lindberg et al. (SD) point 16.

Original (Swedish)

Riksdagen avslår motion 2022/23:1141 av Linda Lindberg m.fl. (SD) yrkande 16.

Riksdag decision: The Riksdag said no to approximately 120 proposals in motions from the general motion period of 2022 on the organization of health and medical care. The Riksdag refers among other things to ongoing work. The motions deal among other things with primary care, choice of care provider and freedom of choice as well as accessibility.

Counter-proposals

Plan vs actual vote

Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.

VVänsterpartietNoYesdeparts from the plannot addressed

The election manifesto requires that healthcare be equitable and accessible regardless of where in the country one lives and that care is given according to need, not according to capacity in wrongly constructed systems.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto requires that healthcare be equitable and accessible regardless of where in the country one lives and that care is given according to need, not according to capacity in wrongly constructed systems. The right to quick help is emphasized particularly. Binding accessibility requirements for ambulances are a means for precisely the equivalence the plan demands, even though the plan does not address ambulance services as such.

Original (Swedish)

Valmanifestet kräver att sjukvården ska vara jämlik och tillgänglig oavsett var i landet man bor och att vård ges efter behov, inte efter kapaciteten i felaktigt konstruerade system. Rätten till snabb hjälp betonas särskilt. Bindande tillgänglighetskrav för ambulanser är ett medel för just den likvärdighet som planen kräver, även om planen inte behandlar ambulanssjukvården som sådan.

  • equitable care throughout the countrydecisive»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är. Så är det inte idag.« (2022 manifesto ↗)“Healthcare must be equitable, equal and accessible, regardless of where in the country you live and regardless of who you are. That is not the case today.”
  • right to quick help»Du ska ha rätt till hjälp snabbt oavsett om du har brutit benet eller blivit utbränd.« (2022 manifesto ↗)“You shall have the right to help quickly whether you have broken your leg or become burned out.”
  • care according to need»Vård måste ges efter människors behov och inte efter kapaciteten i felaktigt konstruerade system.« (2022 manifesto ↗)“Care must be given according to people's needs and not according to capacity in wrongly constructed systems.”
  • equivalent welfare everywhere»alla kommuner och landsting ska ha likvärdiga förutsättningar« (party programme ↗)“all municipalities and regions shall have equivalent preconditions”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

SSocialdemokraternaNoYesdeparts from the plannot addressed

The election manifesto establishes that no one should have to worry about getting care in time and binds the party to legally regulated guarantees with enhanced supervision, including a new elderly care law ensuring equal care throughout the country.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto establishes that no one should have to worry about getting care in time and binds the party to legally regulated guarantees with enhanced supervision, including a new elderly care law ensuring equal care throughout the country. The party programme requires equal access to care for all inhabitants throughout the country. Binding accessibility requirements for ambulances are an application of the same line, even though the plan does not mention ambulance services.

Original (Swedish)

Valmanifestet slår fast att ingen ska behöva känna oro över att få vård i tid och binder partiet till lagreglerade garantier med skärpt tillsyn, bland annat en ny äldreomsorgslag som säkerställer likvärdig omsorg i hela landet. Partiprogrammet kräver likvärdig tillgång till vård för alla invånare i hela landet. Bindande tillgänglighetskrav för ambulanser är en tillämpning av samma linje, även om planen inte nämner ambulanssjukvård.

  • legally established right to care in timedecisive»Ingen ska behöva känna oro över att få vård i tid. Om en region inte uppfyller vårdgarantin enligt lagen ska vård erbjudas i en annan region.« (2022 manifesto ↗)“No one should have to worry about getting care in time. If a region does not meet the care guarantee according to the law, care should be offered in another region.”
  • equal care throughout the country»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All inhabitants throughout the country should have equal access to school, care and social services.”
  • legally regulated accessibility requirements»Vi vill ha en ny äldreomsorgslag som säkerställer att alla får en lika bra omsorg i hela landet och tillgång till sjuksköterskor dygnet runt.« (2022 manifesto ↗)“We want a new elderly care law ensuring that all receive equal good care throughout the country and access to nurses around the clock.”
  • enhanced supervision of healthcare»Tillsynen av sjukvården ska växlas upp för att garantera kvaliteten.« (2022 manifesto ↗)“Supervision of healthcare must be stepped up to guarantee quality.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

MPMiljöpartietNoYesdeparts from the plannot addressed

The election manifesto's starting point is the right to good healthcare regardless of where in the country one lives, and the party programme demands that healthcare shall be accessible, distributed according to need and that the most seriously ill get healthcare quickly.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto's starting point is the right to good healthcare regardless of where in the country one lives, and the party programme demands that healthcare shall be accessible, distributed according to need and that the most seriously ill get healthcare quickly. Binding accessibility requirements on ambulances is one way to realize exactly that equivalent and fast emergency care. The plan does not specifically mention ambulance healthcare, so the position is derived from the commitment to healthcare on equal terms throughout the country.

Original (Swedish)

Valmanifestets utgångspunkt är rätten till bra vård oavsett var i landet man bor, och partiprogrammet kräver att vården ska vara tillgänglig, fördelas efter behov och att de svårast sjuka får vård snabbt. Bindande tillgänglighetskrav på ambulanser är ett sätt att förverkliga just den likvärdiga och snabba akutvården. Planen nämner inte ambulanssjukvård särskilt, så ställningstagandet är härlett ur åtagandet om vård på lika villkor i hela landet.

  • healthcare on equal termsdecisive»Du ska ha rätt till en bra vård, oavsett var i landet du bor.« (2022 manifesto ↗)“You shall have the right to good healthcare, regardless of where in the country you live.”
  • quick care according to need»De svårast sjuka ska få vård snabbt.« (party programme ↗)“The most seriously ill shall get healthcare quickly.”
  • accessible healthcare according to need»Vården ska hålla god kvalitet, vara tillgänglig, fördelas efter behov och vara solidariskt finansierad.« (party programme ↗)“Healthcare shall be of good quality, be accessible, be distributed according to need and be solidaristically financed.”
  • shorter waiting times throughout the country»korta köerna till behandling i hela landet.« (2022 manifesto ↗)“shorten queues for treatment throughout the country.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

CCenterpartietNoYesdeparts from the plannot addressed

The plan requires that public service is close and reliable throughout the country and that everyone shall have safe and close care regardless of where they live.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan requires that public service is close and reliable throughout the country and that everyone shall have safe and close care regardless of where they live. It also establishes that everyone shall be guaranteed access to healthcare and that quality shall be raised. Binding accessibility requirements for ambulances are one way to secure exactly the equality the plan requires, while how requirements are met can be solved locally.

Original (Swedish)

Planen kräver att offentlig service är nära och pålitlig i hela landet och att alla ska ha en trygg och nära vård oavsett var de bor. Den slår också fast att alla ska garanteras tillgång till sjukvård och att kvaliteten ska lyftas. Bindande tillgänglighetskrav för ambulans är ett sätt att säkra just den likvärdighet planen kräver, medan hur kraven nås kan lösas lokalt.

  • equal close care throughout countrydecisive»Offentlig service ska vara nära och pålitlig i hela landet. Alla ska ha en trygg polisnärvaro, en likvärdig skola och en trygg och nära vård och omsorg — oavsett var de bor.« (2022 manifesto ↗)“Public service shall be close and reliable throughout the country. Everyone shall have a safe police presence, an equal school and safe and close care and elderly care — regardless of where they live.”
  • guaranteed access to healthcare»Alla människor ska garanteras tillgång till sjukvård, utbildning och omsorg« (party programme ↗)“All people shall be guaranteed access to healthcare, education and care”
  • raised healthcare quality»Kvaliteten i sjukvården och äldreomsorgen ska lyftas.« (2022 manifesto ↗)“Quality in healthcare and elderly care shall be raised.”
  • same quality for all»Det som det offentliga finansierar ska vara likvärdigt för alla och med samma goda kvalitet till alla.« (party programme ↗)“What the public finances shall be equal for all and with the same good quality for everyone.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

LLiberalernaNoYesdeparts from the plannot addressed

The plan stipulates that healthcare shall be equitable and that everyone has the right to good healthcare regardless of residence, and requires expanded national coordination and governance as well as greater state responsibility for healthcare preparedness.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan stipulates that healthcare shall be equitable and that everyone has the right to good healthcare regardless of residence, and requires expanded national coordination and governance as well as greater state responsibility for healthcare preparedness. Binding accessibility requirements for ambulances are exactly such a national requirement that ensures equivalent healthcare throughout the country. The plan's desire to reduce detailed control weighs less than the commitment to equitable and fast healthcare.

Original (Swedish)

Planen slår fast att vården ska vara jämlik och att var och en har rätt till god vård oavsett bostadsort, och kräver utökad nationell samordning och styrning samt ett större statligt ansvar för sjukvårdens beredskap. Bindande tillgänglighetskrav på ambulanser är just ett sådant nationellt krav som säkrar likvärdig vård i hela landet. Planens vilja att minska detaljstyrningen väger lättare än åtagandet om jämlik och snabb vård.

  • equitable healthcare regardless of circumstancesdecisive»Vården ska vara jämlik. Var och en har rätt till god vård och omsorg oavsett bakgrund, kön, ålder, ekonomi« (party programme ↗)“Healthcare shall be equitable. Everyone has the right to good healthcare and care regardless of background, gender, age, or economic circumstances”
  • state responsibility for preparedness»Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“The state shall take greater responsibility for healthcare's strategic planning, placement of highly specialized care, preparedness, and long-term competence supply.”
  • national mobilization in healthcare»Vi vill därför nästa mandatperiod se en nationell kraftsamling för fler bemannade vårdplatser i hela landet så att du som patient kan få vård snabbare.« (2022 manifesto ↗)“We therefore want to see during the next term a national mobilization for more staffed care beds throughout the country so that you as a patient can receive healthcare faster.”
  • healthcare guarantee for the entire chain»Vårdgarantin ska omfatta hela vårdkedjan, från diagnostik och undersökningar till återbesök och rehabilitering.« (party programme ↗)“The healthcare guarantee shall cover the entire healthcare chain, from diagnosis and examinations to follow-up visits and rehabilitation.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

KDKristdemokraternaNoYesdeparts from the plannot addressed

The plan's central commitment is that the place of residence shall not determine what healthcare one gets and that healthcare shall be equal and accessible throughout the country, with healthcare and dignity guarantees.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan's central commitment is that the place of residence shall not determine what healthcare one gets and that healthcare shall be equal and accessible throughout the country, with healthcare and dignity guarantees. Binding accessibility requirements for ambulance service is such a guarantee and points in the same direction as the requirement for national governance instead of 21 different regional solutions. The plan does not specifically mention ambulance service, which is why the conclusion is derived.

Original (Swedish)

Planens bärande åtagande är att bostadsorten inte ska avgöra vilken sjukvård man får och att vården ska vara jämlik och tillgänglig i hela landet, med vård- och värdighetsgarantier. Bindande tillgänglighetskrav för ambulans är en sådan garanti och pekar i samma riktning som kravet på nationell styrning i stället för 21 olika regionala lösningar. Planen nämner inte ambulanssjukvård särskilt, varför slutsatsen är härledd.

  • equal healthcare throughout the countrydecisive»Var i landet du bor ska inte avgöra vilken sjukvård du får.« (2022 manifesto ↗)“Where in the country you live shall not determine what healthcare you get.”
  • healthcare guarantees shall exist»Vård- och värdighetsgarantier, som grundar sig på etiska prioriteringar, ska finnas.« (party programme ↗)“Healthcare and dignity guarantees, which are based on ethical priorities, shall exist.”
  • state responsibility»Avskaffa regionernas ansvar för sjukvården.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare.”
  • accessible healthcare for all»Vården ska vara jämlik och tillgänglig för hela« (party programme ↗)“Healthcare shall be equal and accessible for the entire population.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

MModeraternaNoYesdeparts from the plannot addressed

The plan is prepared to legislate on time limits in healthcare: a new statutory healthcare guarantee for children and a strengthened guarantee for cancer patients with the right to another healthcare provider if the time is exceeded.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan is prepared to legislate on time limits in healthcare: a new statutory healthcare guarantee for children and a strengthened guarantee for cancer patients with the right to another healthcare provider if the time is exceeded. It also establishes that everyone has the right to equivalent healthcare at the right time regardless of where in the country they live, and the ideological programme calls queues for welfare services a failure. Binding accessibility requirements for ambulances align with that logic, even though ambulance healthcare is not mentioned specifically.

Original (Swedish)

Planen är beredd att lagstifta om tidsgränser i vården: en ny lagstadgad vårdgaranti för barn och en förstärkt garanti för cancerpatienter med rätt till annan vårdgivare om tiden överskrids. Den slår också fast att alla har rätt till likvärdig vård i rätt tid oavsett var i landet man bor, och idéprogrammet kallar köer till välfärdstjänster ett misslyckande. Bindande tillgänglighetskrav för ambulanser ligger i linje med den logiken, även om ambulanssjukvården inte nämns särskilt.

  • statutory healthcare guaranteedecisive»Införa en ny lagstadgad vårdgaranti för barn« (2022 manifesto ↗)“Introduce a new statutory healthcare guarantee for children”
  • equivalent healthcare throughout the country»Du ska kunna känna dig trygg med att välfärden fungerar oavsett var i landet du bor.« (2022 manifesto ↗)“You should be able to feel secure that welfare works regardless of where in the country you live.”
  • national management of accessibility»Inrätta en nationell vårdförmedling som ska hjälpa patienter med lång väntetid att få vård i en annan del av landet där det finns ledig kapacitet« (2022 manifesto ↗)“Establish a national healthcare brokerage that shall help patients with long waiting times to get healthcare in another part of the country where there is available capacity”
  • accessibility is the state's responsibility»Köer till välfärdstjänster är ett misslyckande« (party programme ↗)“Queues for welfare services are a failure”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

SDSverigedemokraternaNoNofollows the plannot addressed

The plan wants to introduce a proper care guarantee as rights legislation and ensure emergency care throughout the country, even in sparsely populated regions.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan wants to introduce a proper care guarantee as rights legislation and ensure emergency care throughout the country, even in sparsely populated regions. Binding requirements that ambulances reach patients within a certain time are the same kind of rights guarantee applied to emergency care. The plan also establishes that national quality requirements in healthcare must exist and must not fall below.

Original (Swedish)

Planen vill införa en riktig vårdgaranti som rättighetslagstiftning och säkerställa akutvård över hela landet, även i glest befolkade regioner. Bindande krav på att ambulans ska nå patienten inom viss tid är samma slags rättighetsgaranti tillämpad på det akuta omhändertagandet. Planen slår också fast att nationella kvalitetskrav i vården måste finnas och inte får underskridas.

  • binding care guaranteedecisive»En riktig vårdgaranti bör införas som en rättighetslagstiftning för medborgarna.« (2022 manifesto ↗)“A proper care guarantee should be introduced as rights legislation for citizens.”
  • emergency care nationwide»En viktig uppgift är att säkerställa att det finns akut- och förlossningsvård över hela landet, även i glest befolkade regioner« (2022 manifesto ↗)“An important task is to ensure that there is emergency and maternity care throughout the country, even in sparsely populated regions”
  • accessibility nationwide»Svensk sjukvård ska alltid ha en mycket hög medicinsk kvalitet med väl utbyggd tillgänglighet över hela Sverige.« (2022 manifesto ↗)“Swedish healthcare should always have very high medical quality with well-developed accessibility throughout Sweden.”
  • national quality requirements»Nationella kvalitetskrav inom vård och omsorg måste finnas och får inte underskridas.« (party programme ↗)“National quality requirements in care and nursing must exist and must not fall below.”

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Sources and documents

Documents under consideration

Source: The Swedish Parliament