2024-05-162023/24:SoU21 · p.6SoUHealth & social services
Workplace environment
Administrative burden and work environment for healthcare staff
What's at stake: A heavy administrative burden and strained work environment contribute to staff leaving the profession and recruitment difficulties, which in turn affects patient safety and access to care. The decision concerns how quickly and comprehensively the issue is addressed.
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 a dedicated national crisis commission is needed to reduce doctors' administrative burden and improve the work environment in healthcare, or whether existing agreements and agency assignments are sufficient.
Yes Yes — the committee proposal
The committee rejects the motions for a dedicated crisis commission. It points to work already under way - including a national plan for healthcare staffing that covers work environment and administrative burden, funding under the Good and Close Care 2024 and Increased Accessibility 2024 agreements, and a report on work-environment risks among healthcare staff - and considers that the Riksdag should not pre-empt this work.
No No — the reservations
Reservation 8 (V)
The reservation (V) calls for reducing doctors' administrative burden to improve the work environment and strengthen patient safety. The reasoning is that healthcare is in a staffing crisis after prolonged cuts, and it proposes setting up a national crisis commission for healthcare staff's work environment.
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 8 by V.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have held
Explicit commitments that contradicted the vote: CCenterpartiet
Ja 274–19Ja 255–38
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 0/19/0/5 | match | confidence: high | explicit |
| S | No | Yes 93/0/0/13 | differs | confidence: medium | not addressed |
| MP | No | Yes 13/0/0/5 | differs | confidence: medium | not addressed |
| C | No | Yes 19/0/0/5 | differsagainst own programme | confidence: high | explicit |
| L | No | Yes 12/0/0/4 | differs | confidence: medium | not addressed |
| KD | No | Yes 14/0/0/5 | differs | confidence: medium | not addressed |
| M | No | Yes 60/0/0/8 | differs | confidence: medium | not addressed |
| SD | No | Yes 61/0/0/11 | differs | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects the motions 2023/24:2139 by Mattias Eriksson Falk and Roger Hedlund (both SD) and 2023/24:2344 by Nooshi Dadgostar et al. (V) demands 8 and 15.
Original (Swedish)
Riksdagen avslår motionerna 2023/24:2139 av Mattias Eriksson Falk och Roger Hedlund (båda SD) och 2023/24:2344 av Nooshi Dadgostar m.fl. (V) yrkandena 8 och 15.
Riksdag decision: The Riksdag rejected approximately 90 proposals in motions regarding skills supply, e-health and preparedness that were submitted during the general motion period in 2023. The motions dealt with, among other things, training of personnel in occupational health services, skills supply and qualifications, workplace environment, life science matters, healthcare in sparsely populated areas, and health and social care preparedness. The Riksdag referred to, among other things, ongoing work in the area.
Counter-proposals
- The counter-proposal wants the state to develop a long-term plan for healthcare personnel supply with focus on primary care. (V) — Reservation 8
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 election manifesto states that care above all needs resources and fewer administrative burdens, not more governance models, and that staff conditions and working environment should be strengthened so that staff shortages are eliminated.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto states that care above all needs resources and fewer administrative burdens, not more governance models, and that staff conditions and working environment should be strengthened so that staff shortages are eliminated. The counter-proposal's demand for reduced administrative burden on physicians and concentrated effort on healthcare staff's working environment thereby aligns with the plan's line. The plan also describes precisely the combination of market solutions, bureaucracy and resource shortage as the cause of inhumane conditions in care.
Original (Swedish)
Valplattformen slår fast att vården framför allt behöver resurser och färre administrativa pålagor, inte fler styrmodeller, och att personalens villkor och arbetsmiljö ska stärkas så att personalbristen byggs bort. Motförslagets krav på minskad administrativ börda för läkare och kraftsamling kring vårdpersonalens arbetsmiljö ligger därmed i planens linje. Planen beskriver dessutom just kombinationen av marknadslösningar, byråkrati och resursbrist som orsaken till de omänskliga villkoren i vården.
- resources before administrationdecisive»Det är resurser som främst behövs, inte formulär för kvalitetssäkring, nya bokningssystem för sjukhussängar eller ännu en managementkonsult som inte kan något om verksamheten.« (2022 manifesto ↗)“It is resources that are primarily needed, not forms for quality assurance, new booking systems for hospital beds or yet another management consultant who knows nothing about the business.”
- strengthened working environment in care»satsa på personalen så att vi samtidigt får bort personalbristen och stärker personalens villkor och arbetsmiljö« (2022 manifesto ↗)“invest in staff so that we at the same time eliminate staff shortage and strengthen staff conditions and working environment”
- bureaucracy exhausts staff»Kombinationen av marknadslösningar, byråkrati och resursbrist har skapat närmast omänskliga villkor för de samhällsbärare vi inte klarar oss utan.« (2022 manifesto ↗)“The combination of market solutions, bureaucracy and resource shortage has created almost inhumane conditions for the foundation-setters we cannot manage without.”
- increased resources for care»Resurserna till hälso- och sjukvården måste öka för att täcka behoven« (party programme ↗)“Resources for healthcare must increase to meet needs”
The election manifesto makes respect for welfare employees its own main point and explicitly requires that money goes to staff instead of more bureaucracy.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto makes respect for welfare employees its own main point and explicitly requires that money goes to staff instead of more bureaucracy. The counter-proposal's demand for reduced administrative burden for doctors and a mobilisation of healthcare personnel's working environment aligns with that commitment. The plan mentions no special crisis body, but the substantive direction is the same.
Original (Swedish)
Valmanifestet gör respekten för välfärdens medarbetare till en egen huvudpunkt och kräver uttryckligen att pengarna går till personalen i stället för till mer byråkrati. Motförslagets krav på minskad administrativ börda för läkare och en kraftsamling för vårdpersonalens arbetsmiljö ligger i linje med det åtagandet. Planen nämner inget särskilt krisorgan, men sakinriktningen är densamma.
- resources to staff, not bureaucracydecisive»Villkor ska ställas så att pengarna till välfärden verkligen går till dess medarbetare – inte mer byråkrati.« (2022 manifesto ↗)“Conditions should be set so that money for welfare really goes to its employees – not more bureaucracy.”
- staff conditions determine quality»Välfärden blir svagare när personalen inte har förutsättningar att göra sitt bästa jobb.« (2022 manifesto ↗)“Welfare becomes weaker when staff lack the conditions to do their best work.”
- better working conditions in welfare»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.”
- state responsibility for skills supply»Staten har ett ansvar för att säkra kompetensförsörjningen, inte minst i välfärden.« (2022 manifesto ↗)“The state has a responsibility to secure the supply of skills, not least in welfare.”
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's commitment on care is explicitly that wages shall be raised and a good working environment secured, and the party programme states the right to a good physical and psychosocial working environment.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan's commitment on care is explicitly that wages shall be raised and a good working environment secured, and the party programme states the right to a good physical and psychosocial working environment. The counter-proposal's demand for reduced administrative burden and a comprehensive effort on healthcare staff's working environment directly responds to this. The plan, however, does not address the committee's objection that work is already underway.
Original (Swedish)
Planens åtagande om vården är uttryckligen att löner ska höjas och en god arbetsmiljö säkras, och partiprogrammet slår fast rätten till en god fysisk och psykosocial arbetsmiljö. Motförslagets krav på minskad administrativ börda och ett samlat grepp om vårdpersonalens arbetsmiljö svarar direkt mot detta. Planen berör däremot inte utskottets invändning om att arbete redan pågår.
- good working environment in caredecisive»höja lönerna och säkra en god arbetsmiljö i vården« (2022 manifesto ↗)“raise wages and secure a good working environment in care”
- right to good working environment»god fysisk och psykosocial arbetsmiljö.« (party programme ↗)“good physical and psychosocial working environment.”
- sustainable working life»korta arbetstiden så att fler människor orkar jobba ett helt arbetsliv« (2022 manifesto ↗)“shorten working time so more people can manage to work a full working life”
- sufficient staff density»Personaltätheten måste hålla tillräcklig nivå så att« (party programme ↗)“Staff density must be maintained at a sufficient level so that”
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 establishes that the administrative burden in care must decrease and that working conditions for care staff shall be improved.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto explicitly establishes that the administrative burden in care must decrease and that working conditions for care staff shall be improved. That is precisely what the counter-proposal requires in substance: less administration for doctors and a focus on care staff's working environment. The plan furthermore points to more nurses and time for the core mission as the way there, which strengthens support for the requirement.
Original (Swedish)
Valmanifestet slår uttryckligen fast att den administrativa bördan inom vården måste minska och att arbetsvillkoren för vårdens medarbetare ska förbättras. Det är just vad motförslaget kräver i sak: mindre administration för läkare och en kraftsamling för vårdpersonalens arbetsmiljö. Planen pekar dessutom ut fler sjuksköterskor och tid för kärnuppdraget som vägen dit, vilket stärker stödet för kravet.
- reduced administration in caredecisive»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 in care must decrease, including with the help of digital tools that are useful and requested by staff.”
- better working conditions in care»Att förbättra arbetsvillkoren i vård och omsorg leder inte bara till bättre resultat utan ökar också möjligheterna för vårdpersonal att känna stolthet och utvecklas i sin yrkesroll.« (2022 manifesto ↗)“Improving working conditions in care and welfare not only leads to better results but also increases the opportunities for care staff to feel pride and develop in their professional role.”
- more nurses against stress»Att anställa fler sjuksköterskor leder till mindre stress på jobbet och bättre resultat för patienten.« (2022 manifesto ↗)“Hiring more nurses leads to less stress at work and better results for the patient.”
- focus on the 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 shall have the opportunity to focus on his or her core mission, pursue further education with retained salary, and recover when needed.”
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 states that detailed management and bureaucracy in care operations shall decrease and that personnel shall meet good working conditions and more colleagues.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan states that detailed management and bureaucracy in care operations shall decrease and that personnel shall meet good working conditions and more colleagues. The counter-proposal's demand for reduced administrative burden for doctors and a mobilization around working environment directly responds to these commitments. The plan does not mention a crisis commission for care's working environment, but the content is supported.
Original (Swedish)
Planen slår fast att detaljstyrningen och byråkratin i vårdens verksamheter ska minska och att personalen ska mötas av goda arbetsvillkor och fler kollegor. Motförslagets krav på minskad administrativ börda för läkare och en kraftsamling kring arbetsmiljön svarar direkt mot dessa åtaganden. Planen nämner ingen kriskommission för vårdens arbetsmiljö, men sakinnehållet stöds.
- decreased bureaucracy in caredecisive»Samtidigt ska detaljstyrningen och byråkratin minska i verksamheterna.« (2022 manifesto ↗)“At the same time detailed management and bureaucracy shall decrease in operations.”
- good working conditions in care»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 who work in care must meet good working conditions, more colleagues and good wage development.”
- attractive care occupations»Bristyrken ska bli drömjobb.« (2022 manifesto ↗)“Shortage occupations shall become dream jobs.”
- freed time for patients»Tiden i vården måste frigöras för« (party programme ↗)“Time in care must be freed for”
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 in healthcare's shortage occupations and more trained staff in healthcare, which is exactly what the counter-proposal wants to achieve by reducing administrative burden on doctors.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly promises improved conditions in healthcare's shortage occupations and more trained staff in healthcare, which is exactly what the counter-proposal wants to achieve by reducing administrative burden on doctors. The plan also wants patient information handled with national standards, which directly reduces double documentation. The plan does not take a stand on the form crisis commission, but in substance it supports strengthening the working environment for care staff.
Original (Swedish)
Valmanifestet lovar uttryckligen förbättrade villkor i vårdens bristyrken och fler utbildade i vården, vilket är just vad motförslaget vill uppnå genom minskad administrativ börda för läkare. Planen vill också att patientinformationen hanteras med nationella standarder, vilket direkt minskar dubbeldokumentation. Planen tar inte ställning till formen kriskommission, men i sak står den bakom att arbetsmiljön för vårdpersonal stärks.
- improved conditions in shortage occupationsdecisive»Utbilda mer personal för sjukvården. Förbättrade villkor i vårdens bristyrken och minska behovet av dyr inhyrd personal.« (2022 manifesto ↗)“Train more staff for healthcare. Improved conditions in healthcare's shortage occupations and reduce the need for expensive temporary workers.”
- national standards for healthcare information»Trygg patientsäkerheten med nationella standarder och tekniska specifikationer för all digital vårdinformation.« (2022 manifesto ↗)“Ensure patient safety with national standards and technical specifications for all digital healthcare information.”
- more hospital beds»Fler vårdplatser. Sverige har lägst antal vårdplatser per capita i Europa« (2022 manifesto ↗)“More hospital beds. Sweden has the lowest number of hospital beds per capita in Europe”
- appropriate and safe care»hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna« (party programme ↗)“healthcare shall be appropriate and cost-effective, safe for patients”
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 promises to strengthen care workers through better working environment and more hands in care, which in substance is what the counter-proposal wants to achieve for doctors and other care staff.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises to strengthen care workers through better working environment and more hands in care, which in substance is what the counter-proposal wants to achieve for doctors and other care staff. The plan also singles out split shifts as a working environment problem that should decrease. The form with a new crisis body is not the plan's method – it emphasizes that politics must prioritize – but the demand itself to reduce administrative burden and improve working environment is supported.
Original (Swedish)
Valmanifestet lovar att stärka vårdens medarbetare genom bättre arbetsmiljö och fler händer i vården, vilket i sak är det motförslaget vill uppnå för läkare och övrig vårdpersonal. Planen pekar dessutom ut delade turer som ett arbetsmiljöproblem som ska minska. Formen med ett nytt krisorgan är inte planens metod – den betonar att politiken måste prioritera – men själva kravet på minskad administrativ börda och bättre arbetsmiljö stöds.
- better working environment in caredecisive»Stärka vårdens medarbetare, bland annat genom att förbättra arbetsmiljön och möjligheterna till vidareutbildning« (2022 manifesto ↗)“Strengthen care workers, including by improving working environment and opportunities for further training”
- 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 elderly care”
- politics must prioritize»Politiken har en viktig uppgift att prioritera och välja bort,« (party programme ↗)“Politics has an important task to prioritize and exclude,”
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 administrative tasks should to an increasing extent be relieved from healthcare staff, which is exactly what the counter-proposal requires in substance.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan establishes that administrative tasks should to an increasing extent be relieved from healthcare staff, which is exactly what the counter-proposal requires in substance. It also explicitly links better working conditions and security for healthcare staff to the quality of welfare. The form crisis commission is not mentioned in the plan, but the substantive requirement to reduce administrative burden and strengthen working environment has direct support.
Original (Swedish)
Planen slår fast att administrativa uppgifter i ökad utsträckning ska avlastas från vårdgivande personal, vilket är precis vad motförslaget kräver i sak. Den kopplar också uttryckligen bättre arbetsvillkor och trygghet för vårdpersonal till välfärdens kvalitet. Formen kriskommission är inte omnämnd i planen, men sakkravet om minskad administrativ börda och stärkt arbetsmiljö har direkt stöd.
- relieve healthcare from administrationdecisive»Administrativa uppgifter bör i ökad utsträckning avlastas från vårdgivande personal.« (2022 manifesto ↗)“Administrative tasks should to an increasing extent be relieved from healthcare staff.”
- safe working environment in healthcare»Öka tryggheten för vårdpersonal och på akutmottagningar« (2022 manifesto ↗)“Increase security for care staff and in emergency departments”
- better conditions in care occupations»Förbättra status, arbetsvillkor samt öka företagshälsovård i kvinnodominerade yrken« (2022 manifesto ↗)“Improve status, working conditions and increase occupational health services in female-dominated occupations”
- importance of working environment»Arbetsmiljön har stor betydelse för arbetstagarnas psykiska och fysiska hälsa.« (party programme ↗)“The working environment is of great importance for workers' psychological and physical health.”
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 (2023/24:SoU21)
- Committee report full text (HB01SoU21)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1002 — Rätt till tolk inom hälso- och sjukvården av Helén Pettersson och Åsa Karlsson (båda S)
- Motion 2023/24:1041 — Digital vård av Carina Ödebrink m.fl. (S)
- Motion 2023/24:1084 — Bemötande av våldsutsatta kvinnor av Azra Muranovic m.fl. (S)
- Motion 2023/24:1092 — Svenskar i utlandet av Markus Wiechel m.fl. (SD)
- Motion 2023/24:1127 — En sömlös vård av Helena Storckenfeldt och Lars Püss (båda M)
- Motion 2023/24:1172 — Integritetsskydd vid Ivo-anmälningar av Markus Wiechel (SD)
- Motion 2023/24:1191 — Internationellt kris- och hälsosamarbete av Markus Wiechel (SD)
- Motion 2023/24:1208 — Nationella beredskapslager av Ann-Christine Frohm Utterstedt och Eric Westroth (båda SD)
- Motion 2023/24:1239 — Delegationer i sjukvården av Martina Johansson (C)
- Motion 2023/24:128 — Betalningsansvar för outnyttjade tolktjänster av Eric Palmqvist (SD)
- Motion 2023/24:1348 — Begränsning av bemanningsföretagen i vården av Peder Björk m.fl. (S)
- Motion 2023/24:1393 — Gemensamt it-system i vården av Peter Ollén (M)
- Motion 2023/24:1538 — Marknadsföring av nätläkare av Johan Löfstrand m.fl. (S)
- Motion 2023/24:1584 — Legitimation eller skyddad yrkestitel för ortoptister av Ulrik Nilsson (M)
- Motion 2023/24:1682 — Anonymisering av sjukvårdspersonal i patientjournaler av Eric Westroth (SD)
- Motion 2023/24:1812 — Osteopati av Elisabeth Thand Ringqvist (C)
- Motion 2023/24:19 — Insyn i barns läkemedelslista av Ann-Christine From Utterstedt (SD)
- Motion 2023/24:1929 — En nationell digital infrastruktur för sjukvård och äldreomsorg av Gunilla Carlsson och Amalia Rud Pedersen (båda S)
- Motion 2023/24:2069 — En stärkt psykisk hälsa i hela landet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2023/24:2072 — Folkhälsan i fokus av Carina Ståhl Herrstedt m.fl. (SD)
Source: The Swedish Parliament