2023-03-082022/23:SoU8 · p.1SoUHealth & social services
Hospital beds, queues, competence supply and working environment
Government report on hospital beds, care queues and healthcare staff's working environment
What's at stake: The decision affects how much continued pressure is placed on the government to address the shortage of hospital beds and staff, which directly matters to patients waiting for care and to healthcare workers' working conditions.
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's account of measures for more hospital beds, shorter queues and a better working environment in healthcare should be considered sufficient and the matter closed, or whether further follow-up and new government action are required.
Yes Yes — the committee proposal
The committee considers that through its report the government has fulfilled its reporting duty to parliament on the earlier instruction concerning healthcare issues. Although not all measures are fully implemented, the committee judges that the government's direction shows sufficient insight and resolve, so the instruction can be regarded as concluded without further government reports.
No No — the reservations
Reservation 1 (S, V)
The Social Democrats and the Left Party consider the instruction on healthcare issues cannot be regarded as concluded, since the measures for more hospital beds are imprecise and the actions on working environment and occupational health services have not been met. They want the government to promptly start a broad review of the working environment in healthcare and of occupational health services, and to report back with a fourth communication on progress.
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, V.
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, SDSverigedemokraterna
Ja 151–112Nej 0–263
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 0/91/0/16 | match | confidence: high | explicit |
| MP | No | Abstain 0/0/15/3 | differs | confidence: high | explicit |
| C | No | Abstain 0/0/21/3 | differs | confidence: high | explicit |
| L | No | Yes 14/0/0/2 | differsagainst own programme | confidence: high | explicit |
| KD | No | Yes 16/0/0/3 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 57/0/0/11 | differsagainst own programme | confidence: medium | explicit |
| SD | No | Yes 64/0/0/9 | differsagainst own programme | confidence: high | explicit |
Committee proposal
Parliament rejects the motions 2022/23:2300 by Karin Rågsjö et al. (V), 2022/23:2301 by Anders W Jonsson et al. (C) demands 1-4 and 2022/23:2302 by Ulrika Westerlund (MP) demands 1-4.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:2300 av Karin Rågsjö m.fl. (V), 2022/23:2301 av Anders W Jonsson m.fl. (C) yrkandena 1-4 och 2022/23:2302 av Ulrika Westerlund (MP) yrkandena 1-4.
Riksdag decision: Parliament has considered a letter from the government. The letter contains a report on the government's work on healthcare issues. It is a response to a formal request (tillkännagivande) made by Parliament on 23 March 2022. The formal request urged the then government to take measures to, among other things, increase the number of hospital beds and shorten queues in healthcare. The previous government has previously returned to Parliament with two letters. Parliament assessed at that time that the government had taken some of the measures listed in the formal request. The new letter is submitted by the current government, which took office after the election in September 2022. Thus, the government has finished its reporting to Parliament. Parliament considers, with reference to, among other things, the 2023 budget and the Tidö agreement (Tidöavtalet), that the government has demonstrated understanding of the need to improve healthcare. The formal request on healthcare issues is thus concluded. Parliament filed the letter among the records, that is, concluded the matter.
Counter-proposals
- The counter-proposal wants to increase the number of care places through higher staff density and ensure long-term state funding to improve the work environment in healthcare. (S, V) — 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 requires more resources for healthcare and investments in staff so that staff shortages disappear and working conditions are strengthened, and notes that Sweden has the fewest hospital beds in the EU.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan requires more resources for healthcare and investments in staff so that staff shortages disappear and working conditions are strengthened, and notes that Sweden has the fewest hospital beds in the EU. It describes the conditions for healthcare staff as almost inhumane. A prompt broad review of working conditions in healthcare and occupational health services, with continued reporting, is therefore precisely what the plan requires.
Original (Swedish)
Planen kräver mer resurser till hälso- och sjukvården och satsningar på personalen så att personalbristen försvinner och arbetsmiljön stärks, och konstaterar att Sverige har minst antal vårdplatser i EU. Den beskriver villkoren för vårdens personal som närmast omänskliga. En skyndsam bred översyn av arbetsmiljön i vården och av företagshälsovården, med fortsatt rapportering, är därför precis vad planen begär.
- investment in staff and working conditionsdecisive»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 ↗)“That is why the Left Party wants to invest more resources in healthcare and elderly care, and invest in staff so that we simultaneously get rid of staff shortages and strengthen staff's conditions and working environment”
- more hospital beds»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 far too poorly developed primary care”
- unsustainable working conditions in welfare»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 shortages has created almost inhumane conditions for the societal mainstays we cannot do without”
- care queues and staff shortages»Om personalen redan går på knäna och vårdköerna redan är för långa är det svårt att hantera en kris utan att både personal och patienter blir lidande« (2022 manifesto ↗)“If staff are already on their knees and care queues are already too long, it is difficult to handle a crisis without both staff and patients suffering”
The plan makes respect for welfare workers a main point: working conditions shall reflect how central these jobs are, oversight of employees' working environment shall be improved and the state has responsibility for skills supply in welfare.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan makes respect for welfare workers a main point: working conditions shall reflect how central these jobs are, oversight of employees' working environment shall be improved and the state has responsibility for skills supply in welfare. It also establishes that no one shall have to worry about receiving care in time. A prompt comprehensive review of working conditions in healthcare and of occupational health services is thereby in the plan's line.
Original (Swedish)
Planen gör respekten för välfärdens medarbetare till en egen huvudpunkt: arbetsvillkoren ska spegla hur centrala jobben är, tillsynen av personalens arbetsmiljö ska förbättras och staten har ansvar för kompetensförsörjningen i välfärden. Den slår också fast att ingen ska behöva känna oro över att få vård i tid. En skyndsam bred översyn av arbetsmiljön i vården och av företagshälsovården ligger därmed i planens linje.
- better working conditions in welfaredecisive»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.”
- improved working environment oversight»Fler ska utbildas och anställas inom äldreomsorgen och tillsynen av personalens arbetsmiljö ska förbättras.« (2022 manifesto ↗)“More people shall be educated and employed in elderly care and oversight of employees' working environment shall be improved.”
- state responsibility for skills supply»Staten har ett ansvar för att säkra kompetensförsörjningen, inte minst i välfärden.« (2022 manifesto ↗)“The state has responsibility for securing skills supply, not least in welfare.”
- care in a timely manner»Ingen ska behöva känna oro över att få vård i tid.« (2022 manifesto ↗)“No one shall have to worry about receiving care in time.”
The plan's decisive commitment is to raise wages and secure a good working environment in care and to upgrade care and support professions with a working environment that is sustainable for life.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan's decisive commitment is to raise wages and secure a good working environment in care and to upgrade care and support professions with a working environment that is sustainable for life. It also wishes to reduce waiting times across the country. A prompt broad review of the working environment in care and of occupational health services is therefore precisely what the plan requires.
Original (Swedish)
Planens avgörande åtagande är att höja lönerna och säkra en god arbetsmiljö i vården och att uppvärdera vård- och omsorgsyrkena med en arbetsmiljö som är hållbar hela livet. Den vill också korta köerna i hela landet. En skyndsam bred översyn av arbetsmiljön i vården och av företagshälsovården är därmed just det planen kräver.
- 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”
- upgrade care professions»det är hög tid att också uppvärdera« (2022 manifesto ↗)“it is high time to also upgrade”
- shorter care waiting times»korta köerna till behandling i hela landet« (2022 manifesto ↗)“reduce waiting times for treatment across the country”
- right to good working environment»god fysisk och psykosocial arbetsmiljö« (party programme ↗)“good physical and psychosocial working environment”
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 more care places and shorter queues a main priority and states that working conditions in care and health services must be improved because better working conditions lead to better care.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan makes more care places and shorter queues a main priority and states that working conditions in care and health services must be improved because better working conditions lead to better care. It also explicitly describes stress-related illness and poor working conditions in healthcare professions as something to be changed, and places greater preventive responsibility on employers. The counter-proposal's demand for a swift review of the work environment and occupational health thus falls within the plan's core.
Original (Swedish)
Planen gör fler vårdplatser och kortare köer till en huvudprioritering och slår fast att arbetsvillkoren i vård och omsorg måste förbättras eftersom bättre arbetsvillkor leder till bättre vård. Den beskriver också uttryckligen den stressrelaterade ohälsan och de sämre arbetsvillkoren i vårdyrkena som något som ska ändras, och lägger ett större förebyggande ansvar på arbetsgivarna. Motförslagets krav på en skyndsam översyn av arbetsmiljön och företagshälsovården ligger därför inom planens kärna.
- more care places and shorter queuesdecisive»Köerna måste kortas och man ska ha rätt att välja bort köerna genom att söka vård i andra regioner. Vi vill skapa fler vårdplatser där det behövs med hjälp av en platsmiljard och bättre stöd till regionerna.« (2022 manifesto ↗)“Queues must be shortened and one must have the right to avoid queues by seeking care in other regions. We want to create more care places where needed with the help of a bed billion and better support to regions.”
- working conditions in healthcare must be improved»Människor som jobbar inom vården drabbas oftare av stressrelaterad psykisk ohälsa än i mansdominerade yrken, och i många fall har de sämre arbetsvillkor och lägre löner. Det ska vi ändra på.« (2022 manifesto ↗)“People working in healthcare suffer more often from stress-related mental illness than in male-dominated professions, and in many cases they have worse working conditions and lower salaries. We must change that.”
- working conditions provide care quality»Bättre arbetsvillkor leder till bättre vård.« (2022 manifesto ↗)“Better working conditions lead to better care.”
- employer responsibility for prevention»Arbetsgivare bör ta ett större ansvar för förebyggande insatser och rehabilitering.« (2022 manifesto ↗)“Employers should take greater responsibility for prevention and rehabilitation.”
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 a national mobilization for more staffed care places throughout the country and states that this requires good working conditions, more colleagues and good wage development for healthcare personnel.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan requires a national mobilization for more staffed care places throughout the country and states that this requires good working conditions, more colleagues and good wage development for healthcare personnel. Skills shortage is pointed out as the cause of queues, and the state shall take greater responsibility for long-term competence supply. The counter-proposal's demands for rapid review of working conditions in healthcare and continued reporting thus follow directly from the plan.
Original (Swedish)
Planen kräver en nationell kraftsamling för fler bemannade vårdplatser i hela landet och slår fast att detta förutsätter goda arbetsvillkor, fler kollegor och bra löneutveckling för vårdens personal. Kompetensbristen pekas ut som orsak till köerna, och staten ska ta större ansvar för långsiktig kompetensförsörjning. Motförslagets krav på skyndsam översyn av arbetsmiljön i vården och fortsatt rapportering följer därför direkt av planen.
- working conditions in healthcaredecisive»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 this, those working in healthcare must be met by good working conditions, more colleagues and good wage development. Shortage occupations shall become dream jobs.”
- more staffed care places»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 a national mobilization for more staffed care places throughout the country so that you as a patient can receive care faster.”
- state responsibility for competence supply»Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“The state shall take greater responsibility for healthcare's strategic planning, placement of highly specialized care, preparedness and long-term competence supply.”
- skills shortage causes queues»Kompetensbristen har orsakat långa vårdköer och färre vårdplatser än våra nordiska grannländer.« (2022 manifesto ↗)“The skills shortage has caused long care queues and fewer care places than our Nordic neighbours.”
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 more hospital beds and improved conditions in care shortage occupations explicit commitments.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto makes more hospital beds and improved conditions in care shortage occupations explicit commitments. The party programme requires well-functioning employee protection that takes account of both physical and mental health and that the state actively works for an improved work environment. The counter-proposal's demand for a prompt broad review of the work environment in care and of occupational health services, with continued reporting, therefore follows from the plan.
Original (Swedish)
Valmanifestet gör fler vårdplatser och förbättrade villkor i vårdens bristyrken till uttalade åtaganden. Partiprogrammet kräver ett väl fungerande arbetarskydd som tar hänsyn till både fysisk och psykisk hälsa och att staten aktivt verkar för en förbättrad arbetsmiljö. Motförslagets krav på en skyndsam bred översyn av arbetsmiljön i vården och av företagshälsovården, med fortsatt rapportering, följer därför av planen.
- more hospital bedsdecisive»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”
- better conditions in shortage occupations»Utbilda mer personal för sjukvården. Förbättrade villkor i vårdens bristyrken och minska behovet av dyr inhyrd personal.« (2022 manifesto ↗)“Educate more personnel for healthcare. Improved conditions in care shortage occupations and reduce the need for expensive hired staff.”
- good physical and mental work environment»Ett väl fungerande arbetarskydd och god arbetsmiljö ska ta hänsyn till såväl fysisk som psykisk hälsa hos arbetstagarna.« (party programme ↗)“Well-functioning employee protection and good work environment shall take account of both physical and mental health among workers.”
- the state works for the work environment»Staten ska bland annat genom rådgivning, stöd och kontroll aktivt verka för en förbättrad arbetsmiljö.« (party programme ↗)“The state shall, among other things through advice, support and inspection, actively work for an improved work environment.”
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 education, reducing split shifts and shortening healthcare queues because four out of ten patients wait longer than the healthcare guarantee.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan explicitly commits to strengthening healthcare staff through better working conditions and further education, reducing split shifts and shortening healthcare queues because four out of ten patients wait longer than the healthcare guarantee. Queues for welfare services are described as a failure. Therefore, the plan bears the requirement that the issue of healthcare beds and working conditions cannot be considered concluded but needs a prompt broad review.
Original (Swedish)
Planen åtar sig uttryckligen att stärka vårdens medarbetare genom bättre arbetsmiljö och vidareutbildning, att minska delade turer och att korta vårdköerna eftersom fyra av tio patienter väntar längre än vårdgarantin. Köer till välfärdstjänster beskrivs som ett misslyckande. Därför bär planen kravet att frågan om vårdplatser och arbetsmiljö inte kan betraktas som avslutad utan behöver en skyndsam bred översyn.
- 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 education - more hands are needed in healthcare to shorten queues and relieve staff”
- fewer split shifts»Minska förekomsten av delade turer i offentlig vård och omsorg« (2022 manifesto ↗)“Reduce the occurrence of split shifts in public healthcare and care”
- healthcare queues must be shortened»Fyra av tio patienter har i år väntat längre än lagstadgad tid på sin operation eller annan behandling.« (2022 manifesto ↗)“Four out of ten patients have this year waited longer than the statutory time for their operation or other treatment.”
- queues are a failure»Köer till välfärdstjänster är ett misslyckande« (party programme ↗)“Queues for welfare services are a failure”
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 plan has explicit commitments about more care beds, better working conditions in care services and increased occupational health services in female-dominated professions.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan has explicit commitments about more care beds, better working conditions in care services and increased occupational health services in female-dominated professions. The counter-proposal's demand for a prompt broad review of the working environment in healthcare and of occupational health services, with continued reporting, is thereby the plan's own line. The plan says nothing, however, about the committee's reasons that the government's report fulfils reporting requirements and that the matter can be concluded.
Original (Swedish)
Planen har uttryckliga åtaganden om fler vårdplatser, bättre arbetsvillkor i vård och omsorg och ökad företagshälsovård i kvinnodominerade yrken. Motförslagets krav på en skyndsam bred översyn av arbetsmiljön i vården och av företagshälsovården, med fortsatt rapportering, är därmed planens egen linje. Planen säger däremot inget om utskottets skäl att regeringens redovisning uppfyller rapporteringskraven och att frågan kan avslutas.
- increased occupational health services in healthcaredecisive»Förbättra status, arbetsvillkor samt öka företagshälsovård i kvinnodominerade yrken« (2022 manifesto ↗)“Improve status, working conditions and increase occupational health services in female-dominated professions”
- more care beds»Öka antalet vårdplatser« (2022 manifesto ↗)“Increase the number of care beds”
- better working conditions in healthcare»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 services, needs to be reviewed.”
- security for healthcare staff»Öka tryggheten för vårdpersonal och på akutmottagningar« (2022 manifesto ↗)“Increase security for healthcare staff and at emergency departments”
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 (2022/23:SoU8)
- Committee report full text (HA01SoU8)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:2300 — med anledning av skr. 2022/23:27 Vissa frågor inom hälso- och sjukvårdsområdet av Karin Rågsjö m.fl. (V)
- Motion 2022/23:2301 — med anledning av skr. 2022/23:27 Vissa frågor inom hälso- och sjukvårdsområdet av Anders W Jonsson m.fl. (C)
- Motion 2022/23:2302 — med anledning av skr. 2022/23:27 Vissa frågor inom hälso- och sjukvårdsområdet av Ulrika Westerlund (MP)
- Regeringens skrivelse 2022/23:27 — Vissa frågor inom hälso- och sjukvårdsområdet
Source: The Swedish Parliament