2023-05-032022/23:SoU14 · p.1SoUHealth & social services
Skills Supply
A national approach to healthcare's staffing and skills supply
What's at stake: The shortage of qualified staff, not least specialist nurses in primary care, elderly care and emergency care, affects how quickly and safely patients can receive care. How the issue is handled determines whether measures are coordinated nationally across several policy areas or managed within existing structures.
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 the government should take a dedicated, coordinated approach - for example through a national commission - to address the shortage of qualified healthcare staff, or whether the ongoing work on a national mapping and plan for staffing supply is sufficient.
Yes Yes — the committee proposal
The committee rejects the motions on staffing supply. It points out that parliament has already directed statements to the government on staffing supply and continuous training, that under the coalition agreement the government is to map the need for medically trained healthcare staff nationally and identify what measures are needed, that the National Board of Health and Welfare has been tasked with producing a national plan to improve the staffing supply, and that the agreement on good, accessible care sets aside funding for staffing supply and further training of specialist nurses. Against that background, the committee considers that parliament does not need to take its own initiative.
No No — the reservations
Reservation 1 (S)
The reservation (S) points out that there is a shortage of staff with the right skills across large parts of healthcare, and that staffing supply is one of the most important issues for the coming years. It therefore calls for the government to set up a national commission on welfare's staffing supply, since the issues cut across several policy areas and also concern labour-market parties, and for addressing the particular need for more advanced specialist nurses in primary care, elderly care and emergency care.
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 1 by S.
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: KDKristdemokraterna, LLiberalerna, MModeraterna
Ja 152–94Nej 64–182
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 | not addressed |
| S | No | No 0/94/0/13 | match | confidence: high | explicit |
| MP | No | Abstain 0/0/14/4 | differs | confidence: medium | not addressed |
| C | No | Abstain 0/0/21/3 | differs | confidence: high | explicit |
| L | No | Yes 12/0/0/4 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 16/0/0/3 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 60/0/0/8 | differsagainst own programme | confidence: high | explicit |
| SD | No | Yes 63/0/0/9 | differs | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects the motions 2022/23:68 by Ann-Sofie Lifvenhage (M), 2022/23:94 by Ann-Sofie Lifvenhage (M), 2022/23:569 by Heléne Björklund and Annette Rydell (both S), 2022/23:598 by Marléne Lund Kopparklint (M), 2022/23:901 by Christofer Bergenblock et al. (C) demands 18 and 22, 2022/23:905 by Anders W Jonsson et al. (C) demands 19, 24, 31, 32, 34, 36 and 42, 2022/23:1234 by Nooshi Dadgostar et al. (V) demand 6, 2022/23:1520 by Gudrun Brunegård (KD), 2022/23:1847 by Sten Bergheden (M) and 2022/23:2061 by Fredrik Lundh Sammeli et al. (S) demand 17.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:68 av Ann-Sofie Lifvenhage (M), 2022/23:94 av Ann-Sofie Lifvenhage (M), 2022/23:569 av Heléne Björklund och Annette Rydell (båda S), 2022/23:598 av Marléne Lund Kopparklint (M), 2022/23:901 av Christofer Bergenblock m.fl. (C) yrkandena 18 och 22, 2022/23:905 av Anders W Jonsson m.fl. (C) yrkandena 19, 24, 31, 32, 34, 36 och 42, 2022/23:1234 av Nooshi Dadgostar m.fl. (V) yrkande 6, 2022/23:1520 av Gudrun Brunegård (KD), 2022/23:1847 av Sten Bergheden (M) och 2022/23:2061 av Fredrik Lundh Sammeli m.fl. (S) yrkande 17.
Riksdag decision: The Riksdag said no to approximately 110 proposals in motions submitted during the general motion period 2022 and refers primarily to ongoing work. Some of the proposals concern skills supply in healthcare, patients exposed to violence, register checks, working environment and working conditions, as well as authorization and licensing. Other proposals address digital infrastructure and health data, development of 1177 and healthcare preparedness.
Counter-proposals
- The counter-proposal wants the government to establish a national commission for welfare sector competence supply. (S) — Reservation 1
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 stipulates that hundreds of thousands of jobs have been lost from care and support and demands more resources for health and medical care and investments in staff to eliminate staff shortages.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan stipulates that hundreds of thousands of jobs have been lost from care and support and demands more resources for health and medical care and investments in staff to eliminate staff shortages. The state shall take greater responsibility for creating equal conditions and primary care is underdeveloped. A comprehensive national initiative on welfare's workforce planning, including more specialist nurses, thus aligns with the plan.
Original (Swedish)
Planen slår fast att hundratusentals jobb försvunnit ur vård och omsorg och kräver mer resurser till hälso- och sjukvården samt satsningar på personalen för att få bort personalbristen. Staten ska ta ett större ansvar för att skapa lika förutsättningar och primärvården är för dåligt utbyggd. Ett samlat nationellt grepp på välfärdens kompetensförsörjning, inklusive fler specialistsjuksköterskor, ligger därför i linje med planen.
- investment in care staffdecisive»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 health and medical care and elderly care, and invest in staff so that we simultaneously eliminate staff shortages and strengthen staff conditions and work environment.”
- state responsibility for equal health care»Lösningen är inte att förstatliga sjukvården men för att säkerställa en jämlik vård i Sverige måste staten ta ett större ansvar för att skapa lika förutsättningar.« (2022 manifesto ↗)“The solution is not to nationalize health care but to ensure equal health care in Sweden the state must take greater responsibility for creating equal conditions.”
- developed primary care»Men Sverige har idag minst antal vårdplatser i EU och en alldeles för dåligt utbyggd primärvård.« (2022 manifesto ↗)“But Sweden today has the fewest hospital beds in the EU and a far too underdeveloped primary care sector.”
- rebuild welfare staffing»Välfärdsskulden som uppstått innebär att hundratusentals jobb försvunnit ur skola, vård och omsorg sedan 1990-talet, och det behövs en politisk vilja för att successivt börja bygga upp en bättre kvalitet igen.« (2022 manifesto ↗)“The welfare debt that has arisen means that hundreds of thousands of jobs have been lost from schools, care and support since the 1990s, and there is a need for political will to gradually begin rebuilding better 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.
The election manifesto places state responsibility for ensuring skill supply in welfare, states that there is a shortage of properly trained staff in too many places and wants to provide more support for specialist training in healthcare.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto places state responsibility for ensuring skill supply in welfare, states that there is a shortage of properly trained staff in too many places and wants to provide more support for specialist training in healthcare. A comprehensive national approach to welfare skill supply and more advanced specialist nurses is thus directly in line with the plan's commitments.
Original (Swedish)
Valmanifestet lägger ett statligt ansvar för att säkra kompetensförsörjningen i välfärden, konstaterar att det på alltför många ställen råder brist på rätt utbildad personal och vill ge mer stöd till specialistutbildningar i vården. Ett samlat nationellt grepp om välfärdens kompetensförsörjning och fler avancerade specialistsjuksköterskor är därmed direkt i linje med planens åtaganden.
- state responsibility for skill supplydecisive»Staten har ett ansvar för att säkra kompetensförsörjningen, inte minst i välfärden.« (2022 manifesto ↗)“The state has responsibility for ensuring skill supply, not least in welfare.”
- support for specialist training»Vi vill se ett språklyft för barnomsorgen och mer stöd till specialistutbildningar i vården, exempelvis för sjuksköterskor och undersköterskor.« (2022 manifesto ↗)“We want to see a language boost for childcare and more support for specialist training in healthcare, for example for nurses and nursing assistants.”
- the staff shortage is acknowledged»På alltför många ställen råder brist på rätt utbildad personal.« (2022 manifesto ↗)“There is a shortage of properly trained staff in too many places.”
- secured access to staff»Säkerställ att det finns utbildad personal att anställa.« (2022 manifesto ↗)“Ensure that there is trained staff to employ.”
The plan wants to upgrade healthcare professions with higher salaries and good working conditions and requires that care has sufficient and trained staff.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to upgrade healthcare professions with higher salaries and good working conditions and requires that care has sufficient and trained staff. It also wants legitimate professional groups to take increased responsibility so that expertise is better utilized, which is precisely the point of more advanced specialist nurses in primary healthcare. A comprehensive national approach to welfare's supply of expertise is a means for these commitments.
Original (Swedish)
Planen vill uppvärdera vårdyrkena med höjda löner och god arbetsmiljö och kräver att omsorgen har tillräcklig och utbildad personal. Den vill dessutom att legitimerade yrkesgrupper får ta ökat ansvar så att kompetensen utnyttjas bättre, vilket är själva poängen med fler avancerade specialistsjuksköterskor i primärvården. Ett samlat nationellt grepp om välfärdens kompetensförsörjning är ett medel för dessa åtaganden.
- upgrade healthcare professionsdecisive»höja lönerna och säkra en god arbetsmiljö i vården.« (2022 manifesto ↗)“raise salaries and ensure good working conditions in healthcare.”
- utilize specialist expertise»andra legitimerade yrkeskategorier får möjlighet att ta ökat ansvar« (party programme ↗)“other legitimate professional groups have the opportunity to take increased responsibility”
- investment in primary healthcare»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary healthcare and increase access to mental health care.”
- trained staff in care»tillräcklig och utbildad personal.« (party programme ↗)“sufficient and trained staff.”
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 identifies skills recruitment as one of the most important challenges and promises concrete measures: examination bonus and salary during specialist study time to recruit more nurses and the right to skills development for all healthcare staff.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan identifies skills recruitment as one of the most important challenges and promises concrete measures: examination bonus and salary during specialist study time to recruit more nurses and the right to skills development for all healthcare staff. A comprehensive national approach with more advanced specialist nurses is exactly this commitment. The plan also connects more nurses to shorter queues and more hospital beds.
Original (Swedish)
Planen pekar ut kompetensförsörjningen som en av de viktigaste utmaningarna och lovar konkreta åtgärder: examenspremie och lön under specialiststudietiden för att rekrytera fler sjuksköterskor samt rätt till kompetensutveckling för all vårdpersonal. Ett samlat nationellt grepp med fler avancerade specialistsjuksköterskor är just detta åtagande. Planen kopplar också fler sjuksköterskor till kortare köer och fler vårdplatser.
- recruit specialist nursesdecisive»Vi vill rekrytera fler sjuksköterskor genom att införa en examenspremie och ge lön under specialiststudietiden.« (2022 manifesto ↗)“We want to recruit more nurses by introducing an examination bonus and providing salary during specialist study time.”
- right to skills 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 ↗)“Anyone who works in healthcare should be able to grow and develop in their profession. We want to give all nursing assistants and nurses the right to skills development.”
- skills recruitment as key issue»En av de viktigaste utmaningarna för företagen, och för hela Sveriges ekonomi, är den dåligt fungerande kompetensförsörjningen.« (2022 manifesto ↗)“One of the most important challenges for companies, and for Sweden's entire economy, is poorly functioning skills recruitment.”
- more nurses shorten queues»Vi vill korta köerna och skapa fler vårdplatser där det behövs genom satsningar på fler sjuksköterskor och bättre statligt stöd till regionerna« (2022 manifesto ↗)“We want to shorten queues and create more hospital beds where needed through investments in more nurses and better state support to regions.”
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 requires that the state take greater responsibility for healthcare's strategic planning and long-term workforce supply and that a national coordinated effort be made for more staffed hospital beds throughout the country.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that the state take greater responsibility for healthcare's strategic planning and long-term workforce supply and that a national coordinated effort be made for more staffed hospital beds throughout the country. A combined national approach to welfare's workforce supply is therefore precisely the plan's commitment, as is a strengthened primary healthcare where more specialist nurses are needed.
Original (Swedish)
Planen kräver att staten tar ett större ansvar för sjukvårdens strategiska planering och långsiktiga kompetensförsörjning och att en nationell kraftsamling görs för fler bemannade vårdplatser i hela landet. Ett samlat nationellt grepp på välfärdens kompetensförsörjning är därmed precis planens åtagande, liksom en stärkt primärvård där fler specialistsjuksköterskor behövs.
- state responsibility for workforce supplydecisive»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 workforce supply.”
- national coordinated effort for hospital beds»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 in the next term of office a national coordinated effort for more staffed hospital beds throughout the country so you as a patient can receive care faster.”
- strengthened primary healthcare»Primärvårdens roll i sjukvårdssystemet ska stärkas.« (party programme ↗)“Primary healthcare's role in the healthcare system shall be strengthened.”
- attractive shortage occupations»Bristyrken ska bli drömjobb.« (2022 manifesto ↗)“Shortage occupations shall become dream jobs.”
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 makes healthcare staffing a main issue: more personnel shall be trained, conditions in shortage occupations improved and the need for hired personnel reduced.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto makes healthcare staffing a main issue: more personnel shall be trained, conditions in shortage occupations improved and the need for hired personnel reduced. The plan also wants to transfer responsibility for healthcare to the state in a common organization, which is the very definition of a coordinated national approach. Expanded primary healthcare and increased medical competence in elderly care support the demand for more specialist nurses where needs are greatest.
Original (Swedish)
Valmanifestet gör vårdens personalförsörjning till en huvudfråga: mer personal ska utbildas, villkoren i bristyrkena förbättras och behovet av inhyrd personal minska. Planen vill dessutom flytta ansvaret för vården till staten i en gemensam organisation, vilket är själva definitionen av ett samlat nationellt grepp. Utbyggd primärvård och ökad medicinsk kompetens i äldreomsorgen stödjer kravet på fler specialistsjuksköterskor där behoven är störst.
- train more healthcare personneldecisive»Utbilda mer personal för sjukvården. Förbättrade villkor i vårdens bristyrken och minska behovet av dyr inhyrd personal.« (2022 manifesto ↗)“Train more personnel for healthcare. Improved conditions in healthcare's shortage occupations and reduce the need for expensive hired personnel.”
- state responsibility for healthcare»Avskaffa regionernas ansvar för sjukvården. Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare. Let the state take over responsibility for healthcare with a common organization instead of 21 different.”
- expanded primary healthcare»Fler vårdcentraler på landsbygden och enklare för enskilda läkare att starta egen verksamhet - så att vården finns nära till hands.« (2022 manifesto ↗)“More health centres in rural areas and easier for individual doctors to start their own operations - so that healthcare is close at hand.”
- competence in elderly care»Ökad medicinsk kompetens inom äldreomsorgen.« (2022 manifesto ↗)“Increased medical competence in elderly 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 establishes that competence supply must become better and wants to put in place a national coordination of society's need for training places, while care workers should be strengthened with further training and medical expertise in elderly care should be raised.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan establishes that competence supply must become better and wants to put in place a national coordination of society's need for training places, while care workers should be strengthened with further training and medical expertise in elderly care should be raised. This is substantially the same national approach to welfare competence supply that the counter-proposal demands, including more further trained specialist nurses.
Original (Swedish)
Planen slår fast att kompetensförsörjningen måste bli bättre och vill få på plats en nationell samordning över samhällets behov av utbildningsplatser, samtidigt som vårdens medarbetare ska stärkas med vidareutbildning och den medicinska kompetensen i äldreomsorgen höjas. Det är i sak samma nationella grepp om välfärdens kompetensförsörjning som motförslaget kräver, inklusive fler vidareutbildade specialistsjuksköterskor.
- national competence coordinationdecisive»Få på plats en nationell samordning över samhällets behov av antalet utbildningsplatser för att förbättra kompetensförsörjningen« (2022 manifesto ↗)“Put in place a national coordination of society's need for the number of training places to improve competence supply”
- further training 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”
- strengthened expertise in elderly care»Den medicinska kompetensen och kontinuiteten måste stärkas inom äldreomsorgen.« (2022 manifesto ↗)“Medical expertise and continuity must be strengthened in elderly care.”
- better competence supply»Kompetensförsörjningen på svensk arbetsmarknad måste bli bättre.« (2022 manifesto ↗)“Competence supply on the Swedish labor market must become better.”
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 points out that governance through 21 regions creates shortcomings in skills supply and therefore seeks to review healthcare organisation, with greater state primary responsibility.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan points out that governance through 21 regions creates shortcomings in skills supply and therefore seeks to review healthcare organisation, with greater state primary responsibility. A coordinated national approach to welfare's skills supply is precisely that conclusion. The plan's investments in primary care and more care places moreover presuppose more personnel with the right skills.
Original (Swedish)
Planen pekar ut att styrningen via 21 regioner skapar brister i kompetensförsörjningen och vill därför se över sjukvårdens organisation, med ett större statligt huvudansvar. Ett samlat nationellt grepp på välfärdens kompetensförsörjning är just den slutsatsen. Planens satsningar på primärvården och fler vårdplatser förutsätter dessutom mer personal med rätt kompetens.
- national approach to skills supplydecisive»Huvudproblemet handlar i betydande utsträckning om att styrningen via 21 olika regioner skapar otydlighet, målkonflikter, successivt ökande administration och brister i kompetensförsörjningen.« (2022 manifesto ↗)“The main problem consists to a significant extent of governance through 21 different regions creating lack of clarity, goal conflicts, progressively increasing administration and shortcomings in skills supply.”
- state primary responsibility»Sverigedemokraterna vill också se över hur staten i större utsträckning kan ta över huvudansvaret för sjukvården, med utgångspunkt i framgångsrika exempel i Norge och Danmark.« (2022 manifesto ↗)“The Sweden Democrats also wish to review how the state can to a greater extent take over primary responsibility for healthcare, proceeding from successful examples in Norway and Denmark.”
- strengthened primary care»Satsa på primärvården« (2022 manifesto ↗)“Invest in primary care”
- more care places»Öka antalet vårdplatser« (2022 manifesto ↗)“Increase the number of care places”
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.
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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