2025-03-192024/25:SoU21 · p.9SoUHealth & social services
Working environment and conditions
Working environment and conditions for elderly-care staff
What's at stake: Elderly care today struggles to recruit and retain trained staff, and the question is whether the state should do more, beyond existing efforts, to improve working conditions and hours for employees. It affects both elderly-care staff and the older people who depend on continuity and competence in their care.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The motions called for statements urging better working environment and conditions for elderly-care staff, including influence over working hours and split shifts, while the committee held that ongoing government measures to strengthen the quality of care already address the issue and that no new statement was needed.
Yes Yes — the committee proposal
The committee rejects the motions on working environment and conditions for elderly-care staff, pointing to several measures the government has already taken to strengthen the quality of care and staff conditions, including a sector grant for elderly care, a protected professional title for nursing assistants, and an extended, expanded Elderly Care Boost skills initiative, and therefore sees no need for further statements on working environment, conditions, or hours.
No No — the reservations
Reservation 9 (S, V, MP)
The reserving parties (S, V, MP) hold that elderly care should maintain high quality throughout the country and be staffed by trained personnel with good working conditions, pointing out that today's inadequate working environment and conditions make it difficult to recruit and retain skilled staff. They want the government to take initiatives leading to more secure employment, a better working environment, and higher status for the profession.
Summarised from the committee report. Party labels in the summary come from the report, not from the vote.
What do the votes mean here?
Yes The committee proposal: rejecting the motions (keeping things as they are).
No Backing the counter-proposal: reservation 9 by S, V, MP.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have gone the other way
Explicit commitments that contradicted the vote: CCenterpartiet, KDKristdemokraterna, MModeraterna, SDSverigedemokraterna
Ja 175–131Nej 16–290
Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.
How the AI parties would have voted
For each party: what its own plan – election manifesto and party programme – argues for in this case, next to how the party actually voted. The AI can only answer Yes or No; a party can also abstain.
| AI | Vote | Confidence | Evidence | ||
|---|---|---|---|---|---|
| V | No | No 0/21/0/3 | match | confidence: high | explicit |
| S | No | No 0/93/0/13 | match | confidence: high | explicit |
| MP | No | No 0/16/0/2 | match | confidence: high | explicit |
| C | No | Yes 20/0/0/4 | differsagainst own programme | confidence: high | explicit |
| L | No | Yes 15/0/0/1 | differs | confidence: medium | not addressed |
| KD | No | Yes 17/0/0/2 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 60/0/0/8 | differsagainst own programme | confidence: high | explicit |
| SD | No | Yes 62/0/0/10 | differsagainst own programme | confidence: high | explicit |
Committee proposal
The Riksdag rejects the motions 2024/25:1365 by Carina Ståhl Herrstedt et al. (SD) clause 9 and 2024/25:3022 by Fredrik Lundh Sammeli et al. (S) clause 86.
Original (Swedish)
Riksdagen avslår motionerna 2024/25:1365 av Carina Ståhl Herrstedt m.fl. (SD) yrkande 9 och 2024/25:3022 av Fredrik Lundh Sammeli m.fl. (S) yrkande 86.
Riksdag decision: The Riksdag rejected approximately 60 proposals on elderly care in motions from the general motion period 2024. The proposals concern, among other things, the organization and function of elderly care, health and medical care within elderly care, and elderly care personnel. The Riksdag refers, among other things, to ongoing work in the area.
Counter-proposals
- The counter-proposal wants the government to implement an elderly care act to ensure equivalent care quality throughout the country. (S, V, MP) — Reservation 9
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.
The plan explicitly requires investments in elderly care personnel to eliminate the staffing shortage and strengthen conditions and work environment, and that society takes greater responsibility for wages and work conditions in welfare.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly requires investments in elderly care personnel to eliminate the staffing shortage and strengthen conditions and work environment, and that society takes greater responsibility for wages and work conditions in welfare. The counter-proposal's demands for more secure employment, better work environment and higher status for the profession are the same thing in substance. The plan additionally points out insecure employment and women-dominated occupations' conditions as central problems.
Original (Swedish)
Planen kräver uttryckligen satsningar på äldreomsorgens personal för att få bort personalbristen och stärka villkor och arbetsmiljö, och att samhället tar ett större ansvar för löner och arbetsvillkor i välfärden. Motförslagets krav på fler trygga anställningar, bättre arbetsmiljö och högre status för yrket är samma sak i sak. Planen pekar dessutom ut otrygga anställningar och de kvinnodominerade yrkenas villkor som centrala problem.
- investment in care personneldecisive»Därför vill Vänsterpartiet satsa mer resurser på hälso- och sjukvården och äldreomsorgen, samt satsa på personalen så att vi samtidigt får bort personalbristen och stärker personalens villkor och arbetsmiljö.« (2022 manifesto ↗)“Therefore the Left Party wants to invest more resources in healthcare and elderly care, and invest in staff so we simultaneously eliminate the staffing shortage and strengthen staff's conditions and work environment.”
- good work conditions in welfare»välfärden har goda arbetsvillkor och löner.« (party programme ↗)“welfare has good work conditions and wages.”
- away with insecure employment»Otryggheten skapas genom tillfälliga anställningar, sms-jobb, gig-jobb, deltidsjobb och bemanningsjobb.« (2022 manifesto ↗)“Insecurity is created through temporary employment, text jobs, gig work, part-time work and staffing agency work.”
- right to full-time»Vi vill att alla anställda ska ha lagstadgad rätt till heltid och större makt« (party programme ↗)“We want all employees to have statutory right to full-time and greater power”
The election manifesto explicitly promises more trained and employed staff in elderly care and improved supervision of staff's working environment, and that more people shall be able to work full-time in permanent jobs in welfare.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto explicitly promises more trained and employed staff in elderly care and improved supervision of staff's working environment, and that more people shall be able to work full-time in permanent jobs in welfare. That is exactly what the counter-proposal requires: secure employment, better working environment and higher status for the profession. The plan also speaks of skills development on working time, which touches the committee's reference to ongoing skills initiatives.
Original (Swedish)
Valmanifestet lovar uttryckligen fler utbildade och anställda i äldreomsorgen och förbättrad tillsyn av personalens arbetsmiljö, samt att fler ska kunna arbeta heltid i fasta jobb inom välfärden. Det är exakt vad motförslaget kräver: trygga anställningar, bättre arbetsmiljö och högre status för yrket. Planen talar också om kompetensutveckling på arbetstid, vilket berör utskottets hänvisning till pågående kompetenssatsningar.
- better working environment in elderly caredecisive»Fler ska utbildas och anställas inom äldreomsorgen och tillsynen av personalens arbetsmiljö ska förbättras.« (2022 manifesto ↗)“More people shall be trained and employed in elderly care and supervision of staff's working environment shall be improved.”
- full-time and permanent jobs»Vi vill att välfärden ska gå före och att fler ska kunna arbeta heltid i fasta jobb.« (2022 manifesto ↗)“We want welfare to come first and more people to be able to work full-time in permanent jobs.”
- upgraded working conditions»Arbetsvillkoren i välfärden måste spegla hur centrala jobben är för att samhället ska fungera.« (2022 manifesto ↗)“Working conditions in welfare must reflect how central these jobs are for society to function.”
- skills development on working time»Vi vill fortsätta satsningen på att anställda inom äldreomsorgen ska kunna utbildas på arbetstid.« (2022 manifesto ↗)“We want to continue the initiative to enable employees in elderly care to be trained on working time.”
The election manifesto commits to raising wages and ensuring a good working environment in care and raising wages in female-dominated professions.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto commits to raising wages and ensuring a good working environment in care and raising wages in female-dominated professions. The party programme says that elderly care needs measures to become a good employer and that employees in publicly funded activities shall have the right to full-time work. The counter-proposal's requirements for more secure employment, better working environment and higher professional status are precisely these commitments.
Original (Swedish)
Valmanifestet åtar sig att höja lönerna och säkra en god arbetsmiljö i vården och att höja lönerna i kvinnodominerade yrken. Partiprogrammet säger att äldreomsorgen behöver åtgärder för att bli en bra arbetsgivare och att anställda i offentligt finansierad verksamhet ska ha rätt till heltid. Motförslagets krav på fler trygga anställningar, bättre arbetsmiljö och högre yrkesstatus är just dessa åtaganden.
- raised wages and working environment in caredecisive»höja lönerna och säkra en god arbetsmiljö i vården.« (2022 manifesto ↗)“raise wages and ensure a good working environment in care.”
- elderly care as good employer»För äldreomsorgen handlar det om åtgärder för att bli en bra arbetsgivare.« (party programme ↗)“For elderly care it is about measures to become a good employer.”
- secure employment in welfare»Anställda inom offentligt finansierad verksamhet ska ha rätt till heltid med möjligheten att gå ner till deltid.« (party programme ↗)“Employees in publicly funded activities shall have the right to full-time with the possibility of reducing to part-time.”
- revalued female professions»höja lönerna i kvinnodominerade yrken till samma nivåer som i mansdominerade yrken med motsvarande ansvar och utbildningskrav.« (2022 manifesto ↗)“raise wages in female-dominated professions to the same levels as in male-dominated professions with equivalent responsibility and educational requirements.”
The election manifesto has its own commitment that working conditions within care and nursing must be improved and that status for female-dominated professions be raised.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto has its own commitment that working conditions within care and nursing must be improved and that status for female-dominated professions be raised. The counter-proposal's requirement for secure employments, better working environment and higher professional status in elder care is precisely this. The plan moreover points out right to competence development, reduced administrative burden and better management support as the means.
Original (Swedish)
Valmanifestet har ett eget åtagande om att arbetsvillkoren inom vård och omsorg måste förbättras och om att uppvärdera statusen för kvinnodominerade yrken. Motförslagets krav på trygga anställningar, bättre arbetsmiljö och högre yrkesstatus i äldreomsorgen är just detta. Planen pekar dessutom ut rätt till kompetensutveckling, minskad administrativ börda och bättre chefsstöd som medlen.
- raise status of female-dominated professionsdecisive»Vi vill uppvärdera statusen för kvinnodominerande yrken och förbättra arbetsvillkoren inom offentlig sektor, bland annat genom karriärtjänster och rätt till kompetensutveckling.« (2022 manifesto ↗)“We want to raise the status of female-dominated professions and improve working conditions within public sector, among other things through career services and right to competence development.”
- right to competence development»Den som jobbar i vård och omsorg ska kunna växa och vidareutvecklas i sitt yrke. Vi vill ge alla undersköterskor och sjuksköterskor rätt till kompetensutveckling.« (2022 manifesto ↗)“The one who works in care and nursing shall be able to grow and further develop in their profession. We want to give all assistant nurses and nurses right to competence development.”
- reduced administrative burden»Den administrativa bördan inom vården måste minska, bland annat med hjälp av digitala verktyg som är användbara och efterfrågade av medarbetarna.« (2022 manifesto ↗)“The administrative burden within healthcare must decrease, among other things with the help of digital tools that are usable and sought after by staff.”
- better management support in care»Mer och bättre stöd från chefer skapar trygghet på jobbet.« (2022 manifesto ↗)“More and better support from management creates safety on the job.”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The plan's decisive commitment is that those working in care and elderly care shall be met with good working conditions, more colleagues and good wage development so that shortage occupations become dream jobs.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan's decisive commitment is that those working in care and elderly care shall be met with good working conditions, more colleagues and good wage development so that shortage occupations become dream jobs. It also wants to counteract involuntary part-time and improve wage career in female-dominated welfare occupations, which is exactly what the counter-proposal requires in the form of secure employment, better working environment and higher occupational status. The plan also sees the differences in elderly care quality between municipalities as a problem.
Original (Swedish)
Planens avgörande åtagande är att de som arbetar i vård och omsorg ska mötas av goda arbetsvillkor, fler kollegor och bra löneutveckling så att bristyrken blir drömjobb. Den vill också motverka ofrivillig deltid och förbättra lönekarriären i kvinnodominerade välfärdsyrken, vilket är just det motförslaget kräver i form av trygga anställningar, bättre arbetsmiljö och högre yrkesstatus. Planen ser dessutom skillnaderna i äldreomsorgens kvalitet mellan kommunerna som ett problem.
- good working conditions in caredecisive»För att klara det måste de som arbetar inom vården mötas av goda arbetsvillkor, fler kollegor och bra löneutveckling. Bristyrken ska bli drömjobb.« (2022 manifesto ↗)“To manage it, those working in care must be met with good working conditions, more colleagues and good wage development. Shortage occupations shall become dream jobs.”
- secure employment»motverka ofrivillig deltid« (party programme ↗)“counteract involuntary part-time”
- wage career in female occupations»förbättra möjligheterna till lönekarriär i kvalificerade kvinnodominerade yrken som lärare,« (party programme ↗)“improve opportunities for wage career in qualified female-dominated occupations such as teachers,”
- more equal quality in elderly care»Skillnaderna i äldreomsorgens kvalitet är alltför stora mellan kommunerna.« (party programme ↗)“Differences in elderly care quality are far too large between municipalities.”
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.
The election manifesto explicitly promises improved conditions for staff in elderly care with eliminated split shifts and continuous skills development for staff in home care and care homes.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly promises improved conditions for staff in elderly care with eliminated split shifts and continuous skills development for staff in home care and care homes. It also identifies shortage professions' conditions and reduced need for expensive hired staff. The counter-proposal's demand for secure employment, better working conditions and higher status for the profession is therefore precisely what the plan has committed to.
Original (Swedish)
Valmanifestet lovar uttryckligen förbättrade villkor för personalen i äldreomsorgen med slopade delade turer och kontinuerlig kompetensutveckling för personal inom hemtjänst och äldreboenden. Det utpekar också bristyrkenas villkor och minskat behov av dyr inhyrd personal. Motförslagets krav på trygga anställningar, bättre arbetsmiljö och högre status för yrket är därmed just det planen åtagit sig.
- better conditions in elderly caredecisive»Förbättrade villkor för personalen i äldreomsorgen - bort med delade turer.« (2022 manifesto ↗)“Improved conditions for staff in elderly care - no more split shifts.”
- skills development for staff»Säkerställ att personal inom hemtjänst och äldreboenden har möjlighet till kontinuerlig kompetensutveckling.« (2022 manifesto ↗)“Ensure that staff in home care and care homes have the opportunity for continuous skills development.”
- conditions in shortage professions»Utbilda mer personal för sjukvården. Förbättrade villkor i vårdens bristyrken och minska behovet av dyr inhyrd personal.« (2022 manifesto ↗)“Train more staff for health care. Improved conditions in health care shortage professions and reduce the need for expensive hired staff.”
- well-developed elderly care»väl utbyggd med hemtjänst och hemsjukvård« (party programme ↗)“well-developed with home care and home health care”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The plan explicitly commits to strengthening healthcare staff through better working conditions and further training and to reducing split shifts and involuntary part-time work in public care and nursing.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan explicitly commits to strengthening healthcare staff through better working conditions and further training and to reducing split shifts and involuntary part-time work in public care and nursing. It also establishes that competence and continuity in elderly care must be strengthened. The counter-proposal's demands for better working conditions, more secure employment and higher professional status thus align with the plan.
Original (Swedish)
Planen åtar sig uttryckligen att stärka vårdens medarbetare genom bättre arbetsmiljö och vidareutbildning samt att minska delade turer och ofrivilligt deltidsarbete i offentlig vård och omsorg. Den slår också fast att kompetensen och kontinuiteten i äldreomsorgen måste stärkas. Motförslagets krav på bättre arbetsmiljö, tryggare anställningar och högre yrkesstatus ligger därmed i linje med planen.
- better working conditions in healthcaredecisive»Stärka vårdens medarbetare, bland annat genom att förbättra arbetsmiljön och möjligheterna till vidareutbildning – det behövs fler händer i vården som kan korta vårdköerna och avlasta personalen« (2022 manifesto ↗)“Strengthen healthcare staff, among other things by improving working conditions and opportunities for further training – more hands in healthcare are needed to shorten care queues and relieve personnel”
- fewer split shifts»Minska förekomsten av delade turer i offentlig vård och omsorg« (2022 manifesto ↗)“Reduce the occurrence of split shifts in public care and nursing”
- reduced involuntary part-time work»Minska det ofrivilliga deltidsarbetet« (2022 manifesto ↗)“Reduce involuntary part-time work”
- strengthened competence in elderly care»Den medicinska kompetensen och kontinuiteten måste stärkas inom äldreomsorgen.« (2022 manifesto ↗)“Medical competence and continuity must be strengthened within elderly care.”
flags: citat_migrerat
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The election manifesto explicitly undertakes to improve status and working conditions in female-dominated care and welfare professions, eliminate split shifts and review shift work in care and welfare.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly undertakes to improve status and working conditions in female-dominated care and welfare professions, eliminate split shifts and review shift work in care and welfare. The counter-proposal's requirement for initiatives for better working environment, safer employment and higher professional status thereby coincides with the plan's own commitments. The party programme furthermore emphasizes that high staffing levels are a basic prerequisite in elderly care.
Original (Swedish)
Valmanifestet åtar sig uttryckligen att förbättra status och arbetsvillkor i de kvinnodominerade vård- och omsorgsyrkena, slopa delade turer och se över skiftarbetet inom vård och omsorg. Motförslagets krav på initiativ för bättre arbetsmiljö, tryggare anställningar och högre yrkesstatus sammanfaller därmed med planens egna åtaganden. Partiprogrammet understryker dessutom att en hög personaltäthet är en grundförutsättning i äldreomsorgen.
- better conditions in care professionsdecisive»Förbättra status, arbetsvillkor samt öka företagshälsovård i kvinnodominerade yrken« (2022 manifesto ↗)“Improve status, working conditions and increase occupational health services in female-dominated professions”
- eliminate split shifts»Delade turer ska slopas och skiftarbete, främst inom vår vård och omsorg, behöver ses över« (2022 manifesto ↗)“Split shifts shall be eliminated and shift work, mainly in our care and welfare, needs to be reviewed”
- improved professional status»Vidare behöver statusen i dessa yrkesgrupper stärkas, exempelvis genom karriärvägar och förbättrad löneutveckling.« (2022 manifesto ↗)“Furthermore, the status in these professional groups needs to be strengthened, for example through career paths and improved wage development.”
- high staffing levels in welfare»grundförutsättning för att detta skall vara möjligt är en hög personaltäthet« (party programme ↗)“a basic prerequisite for this to be possible is high staffing levels”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
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Sources and documents
- The committee report on riksdagen.se (2024/25:SoU21)
- Committee report full text (HC01SoU21)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2024/25:1029 — Kvalitet i äldrevården av Kerstin Lundgren (C)
- Motion 2024/25:1364 — Folkhälsan i fokus av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1365 — God vård och omsorg för äldre av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1412 — Jämställdhet och diskriminering av Michael Rubbestad m.fl. (SD)
- Motion 2024/25:1527 — Skydds- och tvångsåtgärder inom vården och omsorgen för äldre personer av Peder Björk och Malin Larsson (båda S)
- Motion 2024/25:1635 — Språkkrav i välfärden av Lawen Redar (S)
- Motion 2024/25:183 — Förbättrade måltider för äldre i det offentliga av Catarina Deremar (C)
- Motion 2024/25:1851 — Lagen om valfrihetssystem (LOV) inom välfärdsområdet av Jessica Rodén och Petter Löberg (båda S)
- Motion 2024/25:2224 — Språkkrav inom vård och äldreomsorg av Johanna Rantsi (M)
- Motion 2024/25:2234 — Utdrag ur belastningsregister för personer som arbetar med äldre av Johanna Rantsi (M)
- Motion 2024/25:2358 — Svenska språket inom äldreomsorgen av Peter Hultqvist (S)
- Motion 2024/25:2392 — Kognitiva sjukdomar som leder till demens av Mats Sander (M)
- Motion 2024/25:2395 — Heltäckande registerutdrag för personal inom offentlig verksamhet av Caroline Högström (M)
- Motion 2024/25:2493 — Bemanning i verksamheter nära medborgarna av Gunilla Svantorp m.fl. (S)
- Motion 2024/25:2515 — Lagen om valfrihetssystem av Markus Kallifatides m.fl. (S)
- Motion 2024/25:2553 — Språktest för arbete i omsorg och äldreomsorg av Ann-Sofie Lifvenhage (M)
- Motion 2024/25:2675 — Möjlighet att anställa kommunala läkare av Ann-Sofie Lifvenhage (M)
- Motion 2024/25:2701 — Pilotprojekt - seniorhälsa av Ann-Sofie Lifvenhage (M)
- Motion 2024/25:2772 — Språkkrav för vissa jobb inom omsorgen av Sten Bergheden (M)
- Motion 2024/25:2774 — Äldres möjligheter att få bo kvar i sin hemkommun av Sten Bergheden (M)
Source: The Swedish Parliament