2023-05-032022/23:SoU14 · p.4SoUHealth & social services
Working environment and working conditions
Working environment and conditions in healthcare, including protection against violent patients
What's at stake: The decision affects healthcare staff's working conditions, such as influence over working hours and protection from violence at work, as well as how hospitals can manage aggressive or criminal patients without compromising the safety of other patients and staff.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
The question is whether healthcare staff's working hours and protection against criminal or aggressive patients - including through dedicated security-classified care wards - should be addressed through new parliamentary initiatives, or handled within the ongoing work on healthcare's staffing supply.
Yes Yes — the committee proposal
The committee rejects the motions on working environment and conditions in healthcare. It points to the ongoing, broader work on staffing supply - including a national mapping of healthcare staff's needs and a national plan for the competence supply - and the targeted efforts already under way to support healthcare staff on issues of exposure to violence, and judges that further parliamentary initiatives are not needed.
No No — the reservations
Reservation 6 (SD)
The reservation (SD) calls for healthcare staff to have significant influence over their working hours, with the right to both full-time and part-time work, and to avoid involuntary split shifts and unwanted shift work. It also calls for the government to examine the possibility of introducing security-classified care wards where criminal or aggressive patients and visitors can be quickly separated, in order to guarantee the safety of both patients and staff.
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 6 by SD.
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: MModeraterna, SSocialdemokraterna
Ja 183–64Nej 29–218
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 | Abstain 0/0/20/4 | differs | confidence: high | explicit |
| S | No | Yes 94/0/0/13 | differsagainst own programme | confidence: high | explicit |
| MP | No | Abstain 0/0/14/4 | differs | confidence: high | explicit |
| C | No | Abstain 0/0/21/3 | differs | confidence: medium | not addressed |
| L | No | Yes 13/0/0/3 | differs | confidence: medium | derived |
| KD | No | Yes 16/0/0/3 | differs | confidence: medium | derived |
| M | No | Yes 60/0/0/8 | differsagainst own programme | confidence: high | explicit |
| SD | No | No 0/63/0/9 | match | confidence: high | explicit |
Committee proposal
Parliament rejects the motions 2022/23:905 by Anders W Jonsson et al. (C) demands 29, 30 and 35, 2022/23:927 by Linda Lindberg et al. (SD) demand 18, 2022/23:1141 by Linda Lindberg et al. (SD) demands 3 and 4, 2022/23:1234 by Nooshi Dadgostar et al. (V) demand 5, 2022/23:1634 by Martina Johansson (C) and 2022/23:2016 by Paula Holmqvist et al. (S) demand 3.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:905 av Anders W Jonsson m.fl. (C) yrkandena 29, 30 och 35, 2022/23:927 av Linda Lindberg m.fl. (SD) yrkande 18, 2022/23:1141 av Linda Lindberg m.fl. (SD) yrkandena 3 och 4, 2022/23:1234 av Nooshi Dadgostar m.fl. (V) yrkande 5, 2022/23:1634 av Martina Johansson (C) och 2022/23:2016 av Paula Holmqvist m.fl. (S) yrkande 3.
Riksdag decision: Parliament rejected approximately 110 proposals in motions submitted during the general motion period of 2022 and refers primarily to ongoing work. Some of the proposals dealt with competence recruitment within healthcare, patients subjected to violence, registration checks, working environment and working conditions, and licensing and permits. Other proposals concerned digital infrastructure and health data, development of 1177 (healthcare information line), and healthcare preparedness.
Counter-proposals
- The counter-proposal wants to strengthen healthcare support for women who have experienced intimate partner violence and ensure staff training. (SD) — Reservation 6
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 that split shifts be abolished, that full-time employment become the norm and that power over working time, staffing and work organization be transferred to employees.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan explicitly requires that split shifts be abolished, that full-time employment become the norm and that power over working time, staffing and work organization be transferred to employees. It also wants to invest in staff so that staff shortages disappear and work environment is strengthened. Care staff's influence over working hours and protection against workplace violence are thus requirements that the plan bears.
Original (Swedish)
Planen kräver uttryckligen att delade turer avskaffas, att heltid blir norm och att makten över arbetstid, bemanning och arbetets organisering överförs till de anställda. Den vill också satsa på personalen så att personalbristen försvinner och arbetsmiljön stärks. Vårdpersonalens inflytande över arbetstiderna och skydd mot våld på arbetsplatsen är därmed krav som planen bär.
- abolish split shiftsdecisive»Avskaffande av delade turer, fasta anställningar på heltid« (party programme ↗)“Abolition of split shifts, permanent full-time employment”
- power over working time to employees»Den offentliga sektorn kan här gå före och genom beslut och avtal överföra makten över frågor som arbetstid, bemannings- och anställningsfrågor och arbetets organisering till de anställda.« (2022 manifesto ↗)“The public sector can lead the way here and through decisions and agreements transfer power over matters such as working time, staffing and employment matters and work organization to the employees.”
- staff conditions and work environment»satsa på personalen så att vi samtidigt får bort personalbristen och stärker personalens villkor och arbetsmiljö« (2022 manifesto ↗)“invest in staff so that we simultaneously eliminate staff shortages and strengthen staff conditions and work environment”
- expanded employee influence»De anställda i välfärden bör också få ett kraftigt utökat inflytande över verksamheterna de arbetar i.« (2022 manifesto ↗)“Employees in welfare should also gain significantly expanded influence over the activities they work in.”
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 wants welfare to come first so that more people can work full-time in permanent jobs, criticizes minute-by-minute scheduling and demands that supervision of staff working conditions be improved.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto wants welfare to come first so that more people can work full-time in permanent jobs, criticizes minute-by-minute scheduling and demands that supervision of staff working conditions be improved. The party programme wants to reduce working hours in ways that increase employees' own influence. Demands for significant influence over working hours, right to full-time and part-time work, fewer involuntary split shifts and protection against threats and violence in care are thus the plan's own line.
Original (Swedish)
Valmanifestet vill att välfärden går före så att fler kan arbeta heltid i fasta jobb, kritiserar minutschemana och kräver att tillsynen av personalens arbetsmiljö förbättras. Partiprogrammet vill förkorta arbetstiden i former som ökar den anställdes eget inflytande. Krav på stort inflytande över arbetstiderna, rätt till heltid och deltid, färre ofrivilligt delade turer samt skydd mot hot och våld i vården är därmed planens egen linje.
- full-time and permanent jobsdecisive»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 that more people can work full-time in permanent jobs.”
- better working conditions supervision in care»Fler ska utbildas och anställas inom äldreomsorgen och tillsynen av personalens arbetsmiljö ska förbättras.« (2022 manifesto ↗)“More shall be educated and employed in elderly care and supervision of staff working conditions shall be improved.”
- influence over working time»Vi vill förkorta arbetstiden i former som ökar detta det egna inflytandet och« (party programme ↗)“We want to reduce working hours in ways that increase this own influence and”
- criticism of tight schedules»Det går ut över alla som använder välfärdens tjänster och som drabbas av att hemtjänstpersonalen springer på minutschema« (2022 manifesto ↗)“It affects everyone who uses welfare services and who are affected by home care staff running on minute-by-minute schedules”
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 gives employees in publicly financed activities the right to full-time work with the option to go down to part-time and wants to give workers influence over both the content of work and working hours, which is precisely the counter-proposal's core demand.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan gives employees in publicly financed activities the right to full-time work with the option to go down to part-time and wants to give workers influence over both the content of work and working hours, which is precisely the counter-proposal's core demand. It also wants to ensure good working conditions in healthcare and reasonable terms in female-dominated sectors, where split shifts are most common. The question of security-classified care units is not addressed by the plan and does not support the position.
Original (Swedish)
Planen ger anställda i offentligt finansierad verksamhet rätt till heltid med möjlighet att gå ner till deltid och vill ge arbetstagare inflytande över både arbetets innehåll och arbetstiden, vilket är precis motförslagets kärnkrav. Den vill också säkra en god arbetsmiljö i vården och rimliga villkor i kvinnodominerade branscher, där delade turer är vanligast. Frågan om säkerhetsklassade vårdplatser berörs inte av planen och bär inte ställningstagandet.
- right to full-time and part-timedecisive»finansierad verksamhet ska ha rätt till heltid med« (party programme ↗)“financed activity should have the right to full-time with”
- influence over working hours»Vi vill värna en fungerande arbetsrätt och ge« (party programme ↗)“We want to protect a functioning labour law and give”
- good working conditions in healthcare»höja lönerna och säkra en god arbetsmiljö i vården.« (2022 manifesto ↗)“raise salaries and ensure good working conditions in healthcare.”
- conditions in female-dominated sectors»anställningsformer i det som i dag är kvinnodominerade branscher.« (party programme ↗)“employment forms in what today are female-dominated sectors.”
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 makes better working conditions in healthcare a separate commitment: staff should be able to focus on their core mission and recover, because better conditions lead to better care.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan makes better working conditions in healthcare a separate commitment: staff should be able to focus on their core mission and recover, because better conditions lead to better care. Influence over working hours and fewer involuntary split shifts are exactly such working condition improvements. That staff safety against threats and violence is secured follows from the same commitment, which the plan moreover sees as a gender equality issue.
Original (Swedish)
Planen gör bättre arbetsvillkor i vård och omsorg till ett eget åtagande: personalen ska kunna fokusera på kärnuppdraget och återhämta sig, eftersom bättre villkor ger bättre vård. Inflytande över arbetstider och färre ofrivilligt delade turer är just sådana villkorsförbättringar. Att personalens trygghet mot hot och våld säkras följer av samma åtagande, som planen dessutom ser som en jämställdhetsfråga.
- better working conditions in healthcaredecisive»Arbetsvillkoren inom vård och omsorg måste förbättras« (2022 manifesto ↗)“Working conditions in healthcare must be improved.”
- recovery and core mission»Hon eller han ska ha möjlighet att fokusera på sitt kärnuppdrag, vidareutbilda sig med bibehållen lön och återhämta sig när det behövs.« (2022 manifesto ↗)“He or she should have the opportunity to focus on their core mission, continue their education with maintained pay and recover when needed.”
- conditions give care quality»Bättre arbetsvillkor leder till bättre vård.« (2022 manifesto ↗)“Better working conditions lead to better care.”
- equal working conditions»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 enhance the status of female-dominated professions and improve working conditions in the public sector, among other things through career positions and the right to skills development.”
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 plan establishes that those working in healthcare must be met with good working conditions and more colleagues, that more employees should have influence over their own working hours and that involuntary part-time work should be countered in publicly funded activities.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan establishes that those working in healthcare must be met with good working conditions and more colleagues, that more employees should have influence over their own working hours and that involuntary part-time work should be countered in publicly funded activities. The counter-proposal's requirement for influence over working hours and avoiding involuntarily split shifts follows from this. The plan also requires care environments that protect safety and integrity, which supports a review of secure care units.
Original (Swedish)
Planen slår fast att de som arbetar i vården måste mötas av goda arbetsvillkor och fler kollegor, att fler anställda bör ha inflytande över sin egen arbetstid och att ofrivillig deltid ska motverkas i offentligt finansierad verksamhet. Motförslagets krav på inflytande över arbetstider och att ofrivilligt delade turer undviks följer av detta. Planen kräver också vårdmiljöer som värnar trygghet och integritet, vilket stöder en översyn av säkra vårdplatser.
- good working conditions in healthcaredecisive»För att klara det måste de som arbetar inom vården mötas av goda arbetsvillkor, fler kollegor och bra löneutveckling.« (2022 manifesto ↗)“To manage this, those working in healthcare must be met with good working conditions, more colleagues and good wage development.”
- influence over own working hours»Fler anställda bör ha inflytande över sin egen arbetstid, till exempel genom en timbank eller en arbetstid som« (party programme ↗)“More employees should have influence over their own working hours, for example through a time bank or working hours that”
- counter involuntary part-time work»att motverka ofrivillig deltid, något som särskilt drabbar kvinnor« (party programme ↗)“to counter involuntary part-time work, something that particularly affects women”
- safe care environments»Vårdmiljöer ska utformas med hänsyn till patienternas välbefinnande och integritet.« (party programme ↗)“Care environments shall be designed with regard to patients' wellbeing and integrity.”
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 commits to improved conditions in healthcare's shortage occupations and that the split shifts in care are removed, which directly supports the demand for influence over working hours and the right to full-time or part-time work.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto commits to improved conditions in healthcare's shortage occupations and that the split shifts in care are removed, which directly supports the demand for influence over working hours and the right to full-time or part-time work. The plan requires occupational health protection that covers both physical and mental health. Safety is also a fundamental value in healthcare, which supports a review of security-classified care places for threatening patients.
Original (Swedish)
Valmanifestet åtar sig förbättrade villkor i vårdens bristyrken och att de delade turerna i omsorgen tas bort, vilket direkt bär kravet på inflytande över arbetstider och rätt till heltid eller deltid. Planen kräver ett arbetarskydd som omfattar både fysisk och psykisk hälsa. Trygghet är dessutom ett grundvärde i vården, vilket stödjer en översyn av säkerhetsklassade vårdplatser för hotfulla patienter.
- better conditions in shortage occupationsdecisive»Förbättrade villkor i vårdens bristyrken och minska behovet av dyr inhyrd personal.« (2022 manifesto ↗)“Improved conditions in healthcare's shortage occupations and reduce the need for expensive hired personnel.”
- away with split shifts»Förbättrade villkor för personalen i äldreomsorgen - bort med delade turer.« (2022 manifesto ↗)“Improved conditions for staff in elderly care - away with split shifts.”
- occupational health protection»arbetsmiljö ska ta hänsyn till såväl fysisk som psykisk« (party programme ↗)“occupational health must take account of both physical and mental”
- safety as a value in healthcare»Trygghet, tillit och självbestämmande är, utöver grundläggande värden som liv« (party programme ↗)“Safety, trust and self-determination are, in addition to basic values such as life”
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 plan explicitly commits itself to reducing the prevalence of split shifts in public care and reducing involuntary part-time work, as well as strengthening care workers through a better working environment.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan explicitly commits itself to reducing the prevalence of split shifts in public care and reducing involuntary part-time work, as well as strengthening care workers through a better working environment. This is precisely what the counter-proposal demands regarding working hours and influence. The demand for security-classified care places for threatening patients is not addressed in the documents, but the plan's line about staff security does not contradict it.
Original (Swedish)
Planen åtar sig uttryckligen att minska förekomsten av delade turer i offentlig vård och omsorg och att minska det ofrivilliga deltidsarbetet, samt att stärka vårdens medarbetare genom en bättre arbetsmiljö. Det är precis vad motförslaget kräver i fråga om arbetstider och inflytande. Kravet på säkerhetsklassade vårdplatser för hotfulla patienter behandlas inte i dokumenten, men planens linje om personalens trygghet talar inte emot det.
- fewer split shiftsdecisive»Minska förekomsten av delade turer i offentlig vård och omsorg« (2022 manifesto ↗)“Reduce the prevalence of split shifts in public care”
- better working environment in care»Stärka vårdens medarbetare, bland annat genom att förbättra arbetsmiljön och möjligheterna till vidareutbildning« (2022 manifesto ↗)“Strengthen care workers, among other things by improving working conditions and opportunities for further training”
- right to desired level of employment»Minska det ofrivilliga deltidsarbetet« (2022 manifesto ↗)“Reduce involuntary part-time work”
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 seeks to increase safety for care personnel and at accident and emergency departments, where threats and violence have increased, and states that split shifts shall be eliminated and shift work in care and welfare shall be reviewed.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan explicitly seeks to increase safety for care personnel and at accident and emergency departments, where threats and violence have increased, and states that split shifts shall be eliminated and shift work in care and welfare shall be reviewed. The counter-proposal's requirement for influence over working hours without involuntary split shifts and for security-classified care places for aggressive patients is the same thing in substance. The plan furthermore seeks to improve working conditions in female-dominated professions.
Original (Swedish)
Planen vill uttryckligen öka tryggheten för vårdpersonal och på akutmottagningar, där hot och våld ökat, och slår fast att delade turer ska slopas och skiftarbetet inom vård och omsorg ses över. Motförslagets krav på inflytande över arbetstider utan ofrivilligt delade turer och på säkerhetsklassade vårdplatser för aggressiva patienter är samma sak i sak. Planen vill dessutom förbättra arbetsvillkoren i kvinnodominerade yrken.
- safety for care personneldecisive»Öka tryggheten för vårdpersonal och på akutmottagningar« (2022 manifesto ↗)“Increase safety for care personnel and at accident and emergency departments”
- 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, especially in our care and welfare, needs to be reviewed.”
- threats and violence in care»En ytterligare konsekvens av den nya samhällsbilden är oroligheter på akutmottagningar och ökade inslag av hot och våld mot vårdpersonal.« (2022 manifesto ↗)“A further consequence of the new social development is upheaval at accident and emergency departments and increased instances of threats and violence against care personnel.”
- better working conditions in welfare»Förbättra status, arbetsvillkor samt öka företagshälsovård i kvinnodominerade yrken« (2022 manifesto ↗)“Improve status, working conditions and increase occupational health services in female-dominated professions”
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Sources and documents
- The committee report on riksdagen.se (2022/23:SoU14)
- Committee report full text (HA01SoU14)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:1120 — Nordiskt samarbete av Catarina Deremar m.fl. (C)
- Motion 2022/23:1141 — En tillgänglig sjukvård i världsklass av Linda Lindberg m.fl. (SD)
- Motion 2022/23:1150 — Tillståndsplikt för utförande av laserbehandling av Angelika Bengtsson (SD)
- Motion 2022/23:1234 — En hälso- och sjukvård för jämlikhet och jämställdhet i hela landet av Nooshi Dadgostar m.fl. (V)
- Motion 2022/23:1396 — Journalinformation knuten till patienten, inte till regionerna av Mathias Bengtsson (KD)
- Motion 2022/23:1412 — Gemensamt it-system i vården av Peter Ollén (M)
- Motion 2022/23:1417 — Produktionsomställning vid samhällskris av Ann-Christine From Utterstedt och Eric Westroth (båda SD)
- Motion 2022/23:1438 — Beredskapslager för medicin och medicinsk utrustning av Monica Haider och Tomas Eneroth (båda S)
- Motion 2022/23:1520 — Avancerad specialistsjuksköterska av Gudrun Brunegård (KD)
- Motion 2022/23:1529 — Vårdsamverkan över gränsen av Kjell-Arne Ottosson (KD)
- Motion 2022/23:1537 — Beredskapslager av Zara Leghissa m.fl. (S)
- Motion 2022/23:1566 — Reglering av nätdoktorers reklam av Zara Leghissa m.fl. (S)
- Motion 2022/23:1603 — Föräldrars tillgång till sina barns journaler av Catarina Deremar (C)
- Motion 2022/23:1634 — Delegationer i sjukvården av Martina Johansson (C)
- Motion 2022/23:1673 — Jämställdhet för hållbar utveckling av Annie Lööf m.fl. (C)
- Motion 2022/23:1685 — Nationella beredskapslager av Eric Westroth och Ann-Christine From Utterstedt (båda SD)
- Motion 2022/23:1686 — Anonymisering av sjukvårdspersonal i patientjournaler av Eric Westroth (SD)
- Motion 2022/23:1725 — Marknadsföring av nätläkare av Johan Löfstrand m.fl. (S)
- Motion 2022/23:1847 — Fortbildningsansvaret för läkare av Sten Bergheden (M)
- Motion 2022/23:1853 — Beredskapslager med skydd och mediciner av Sten Bergheden (M)
Source: The Swedish Parliament