2023-03-222022/23:SoU22 · p.20SoUHealth & social services
Preventive health work
Preventive health work against involuntary loneliness among older people
What's at stake: The issue concerns older people at risk of involuntary loneliness and isolation, especially those without home care or assisted living, and whether all older people should be guaranteed an annual conversation about their life situation.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
Parliament decides whether a separate parliamentary statement on regular health check-in conversations and other health-promoting measures for older people is needed, or whether the existing state grant and check-in conversations are enough to counter involuntary loneliness and isolation.
Yes Yes — the committee proposal
The committee rejects the motions. It welcomes the new state grant to break and prevent involuntary loneliness and isolation among older people, which is meant to develop check-in and health conversations aimed especially at older people without home care or assisted living, and considers that parliament need not take any further initiative.
No No — the reservations
Reservation 39 (SD)
The reservation (SD) calls for the government to review how elderly care can offer measures for healthy ageing, for example by offering every older person an annual conversation about their everyday situation to identify needs for social activities or health-promoting support.
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 39 by SD.
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: KDKristdemokraterna
Ja 183–64Ja 166–81
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 0/0/21/3 | differs | confidence: medium | not addressed |
| S | No | Yes 92/0/1/14 | differs | confidence: low | not addressed |
| MP | No | Abstain 0/0/16/2 | differs | confidence: medium | derived |
| C | No | Abstain 0/0/21/3 | differs | confidence: medium | not addressed |
| L | No | Yes 14/0/0/2 | differs | confidence: medium | derived |
| KD | No | Yes 17/0/0/2 | differsagainst own programme | confidence: high | explicit |
| M | Yes | Yes 60/0/0/8 | match | confidence: low | not addressed |
| SD | No | No 0/64/0/9 | match | confidence: high | explicit |
Broke with the party line
| STomas Eneroth (S, Kronobergs län) | Abstain — party line: Yes |
MPs whose vote differs from their party's majority position in this division. Marked with a dark ring in the chamber view.
Committee proposal
The Riksdag rejects the motions 2022/23:85 by Karin Rågsjö et al. (V) demand 13, 2022/23:90 by Ann-Sofie Lifvenhage (M), 2022/23:856 by Anders W Jonsson et al. (C) demand 23, 2022/23:901 by Christofer Bergenblock et al. (C) demand 28 and 2022/23:927 by Linda Lindberg et al. (SD) demand 10.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:85 av Karin Rågsjö m.fl. (V) yrkande 13, 2022/23:90 av Ann-Sofie Lifvenhage (M), 2022/23:856 av Anders W Jonsson m.fl. (C) yrkande 23, 2022/23:901 av Christofer Bergenblock m.fl. (C) yrkande 28 och 2022/23:927 av Linda Lindberg m.fl. (SD) yrkande 10.
Riksdag decision: The Riksdag rejected approximately 90 proposals in motions submitted during the general motion period 2022, primarily citing ongoing work. The proposals in the motions concerned, among other things, the rights of the elderly, the organisation and financing of elderly care, staff continuity and conditions, language requirements for staff in elderly care, and nutrition and meals for the elderly.
Counter-proposals
- The counter-proposal wants to see elderly care laws as rights-based with 'good living conditions' as the standard and an elderly ombudsman in each municipality. (SD) — Reservation 39
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 wants to invest more resources in elderly care and opposes care where older people almost never get to go out and where time shortage governs the everyday life.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to invest more resources in elderly care and opposes care where older people almost never get to go out and where time shortage governs the everyday life. Offering every older person an annual conversation about their daily situation to identify needs for social activities and health-promoting support realises the plan's demands for needs-based care and strengthened autonomy. The investigation the counter-proposal requests thereby aligns with the plan.
Original (Swedish)
Planen vill satsa mer resurser på äldreomsorgen och vänder sig mot en omsorg där äldre nästan aldrig får gå ut och där tidsbrist styr vardagen. Att varje äldre erbjuds ett årligt samtal om sin vardagssituation för att fånga upp behov av sociala aktiviteter och hälsofrämjande stöd förverkligar planens krav på behovsstyrd omsorg och stärkt självbestämmande. Utredningen som motförslaget begär ligger därmed i linje med planen.
- more resources to elderly caredecisive»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 health and medical care and elderly care, and invest in personnel so that we at the same time eliminate personnel shortages and strengthen personnel's conditions and working environment.”
- elderly people's quality of life»Vittnesmålen om äldre som nästan aldrig får gå ut eller som måste äta sin middag tidigt på eftermiddagen för att personalen ska få tiden att gå ihop vittnar om en förskjutning i synen på människovärde.« (2022 manifesto ↗)“Accounts of older people who almost never get to go out or who must eat their supper early in the afternoon so that staff can make time work testify to a shift in the view of human worth.”
- autonomy in care»Att du är beroende av omsorg ska inte, som idag, begränsa dina möjligheter att styra över ditt liv.« (2022 manifesto ↗)“That you are dependent on care should not, as it is today, limit your opportunities to govern your own life.”
- broad social services act»Socialtjänstlagen ska tolkas extensivt.« (party programme ↗)“The Social Services Act shall be interpreted broadly.”
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 wants it to be safe to grow old and that all with home care receive a fixed care contact, i.e.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants it to be safe to grow old and that all with home care receive a fixed care contact, i.e. a personal and follow-up contact within elderly care. The counter-proposal's requirement to investigate interventions for healthy aging with annual conversations is close to this and close to the programme's requirement for equivalent access to care and welfare services throughout the country. There is no commitment to specifically annual health conversations, which is why the confidence is low.
Original (Swedish)
Planen vill att det ska vara tryggt att åldras och att alla med hemtjänst får en fast omsorgskontakt, alltså en personlig och uppföljande kontakt inom äldreomsorgen. Motförslagets krav på att utreda insatser för hälsosamt åldrande med årliga samtal ligger nära detta och nära programmets krav på likvärdig tillgång till vård och omsorg i hela landet. Något åtagande om just årliga hälsosamtal finns inte, varför säkerheten är låg.
- safe agingdecisive»Det ska vara tryggt att åldras i Sverige.« (2022 manifesto ↗)“It shall be safe to grow old in Sweden.”
- fixed care contact»Vi vill att alla med hemtjänst ska ha en fast omsorgskontakt för ökad trygghet.« (2022 manifesto ↗)“We want all with home care to have a fixed care contact for increased safety.”
- equivalent care in the country»Alla invånare i hela landet ska ha likvärdig tillgång till skola, vård och omsorg.« (party programme ↗)“All residents throughout the country shall have equivalent access to school, care and welfare services.”
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 party programme holds that a long-term investment in public health with a focus on living conditions is as important as healthcare and wants to see a national public health programme, and that also elderly people should be able to experience socializing and participation.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme holds that a long-term investment in public health with a focus on living conditions is as important as healthcare and wants to see a national public health programme, and that also elderly people should be able to experience socializing and participation. That investigating how elderly care can offer annual conversations and health-promoting measures follows directly from this. The election manifesto also wants to improve care for elderly people.
Original (Swedish)
Partiprogrammet menar att en långsiktig satsning på folkhälsa med fokus på livsvillkor är lika viktig som sjukvården och vill se ett nationellt folkhälsoprogram, samt att även äldre ska kunna uppleva samvaro och delaktighet. Att utreda hur äldreomsorgen kan erbjuda årliga samtal och hälsofrämjande insatser följer direkt av detta. Valmanifestet vill dessutom förbättra vård och omsorg för äldre.
- public health equal to healthcaredecisive»Vi menar att en långsiktig satsning på folkhälsa« (party programme ↗)“We hold that a long-term investment in public health”
- national public health programme»därför se ett nationellt folkhälsoprogram och stödja« (party programme ↗)“therefore see a national public health programme and support”
- elderly participation and socializing»Ett rikt liv kännetecknas av självbestämmande,« (party programme ↗)“A rich life is characterized by self-determination,”
- strengthened elderly care»förbättra vård och omsorg för äldre och stärka resurserna till hemsjukvården.« (2022 manifesto ↗)“improve care for elderly people and strengthen resources for home healthcare.”
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 party programme makes a preventive approach a prerequisite for sustainable welfare and requires that a public health perspective permeates the entire society.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme makes a preventive approach a prerequisite for sustainable welfare and requires that a public health perspective permeates the entire society. The election manifesto furthermore wants to do more to prevent ill health and give everyone a secure old age with high quality of life. A recurring conversation that captures the elderly's need for social activities and health-promoting support is an application of that line, which is why the counter-proposal's demand is supported.
Original (Swedish)
Partiprogrammet gör ett förebyggande förhållningssätt till en förutsättning för hållbar välfärd och kräver att folkhälsoperspektivet genomsyrar hela samhället. Valmanifestet vill dessutom göra mer för att förebygga ohälsa och ge alla en trygg ålderdom med hög livskvalitet. Ett återkommande samtal som fångar upp äldres behov av sociala aktiviteter och hälsofrämjande stöd är en tillämpning av den linjen, varför motförslagets krav stöds.
- preventive welfaredecisive»En förutsättning för en hållbar välfärd är ett förebyggande förhållningssätt.« (party programme ↗)“A prerequisite for sustainable welfare is a preventive approach.”
- more preventive health work»Gör mer för att förebygga, motverka och rehabilitera stressrelaterad psykisk ohälsa.« (2022 manifesto ↗)“Do more to prevent, counteract and rehabilitate stress-related mental ill health.”
- secure old age»Alla ska kunna få en trygg ålderdom med hög livskvalitet och värdighet.« (party programme ↗)“Everyone should be able to get a secure old age with high quality of life and dignity.”
- nearby care throughout the country»Alla ska ha en trygg polisnärvaro, en likvärdig skola och en trygg och nära vård och omsorg — oavsett var de bor.« (2022 manifesto ↗)“Everyone should have secure police presence, an equivalent school and secure and nearby care and support — regardless of where they live.”
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 party programme makes it the task of elderly care to break involuntary loneliness and establishes that it should be service-oriented and that the individual's motivation should guide the services.
Plan documents: party programme
Reasoning and quotes
The party programme makes it the task of elderly care to break involuntary loneliness and establishes that it should be service-oriented and that the individual's motivation should guide the services. An annual conversation with each older person about their daily situation is precisely one way to identify needs for social activities and health-promoting support based on the individual's own wishes. The plan therefore supports the counter-proposal's requirement that such measures be investigated.
Original (Swedish)
Partiprogrammet gör det till en uppgift för äldreomsorgen att bryta ofrivillig ensamhet och slår fast att den ska vara serviceorienterad och att den enskildes motivation ska styra insatserna. Ett årligt samtal med varje äldre om vardagssituationen är just ett sätt att fånga behov av sociala aktiviteter och hälsofrämjande stöd utifrån individens egna önskemål. Planen bär därför motförslagets krav på att sådana insatser utreds.
- break involuntary lonelinessdecisive»ska bidra till att bryta ofrivillig ensamhet.« (party programme ↗)“should contribute to breaking involuntary loneliness.”
- individual's motivation guides the service»Den enskildes motivation ska styra alla insatser som erbjuds.« (party programme ↗)“The individual's motivation should guide all services offered.”
- service-oriented elderly care»Äldreomsorgen ska vara serviceorienterad« (party programme ↗)“Elderly care should be service-oriented”
- access to social activities»Möjligheten att få tillgång till sociala aktiviteter som den äldre« (party programme ↗)“The possibility of gaining access to social activities for the elderly”
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 elderly talks in all municipalities and community-building efforts in care to break involuntary loneliness.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly promises elderly talks in all municipalities and community-building efforts in care to break involuntary loneliness. The party programme requires that society creates conditions for the elderly to stay healthy longer and that health-promoting work is stimulated. The counter-proposal's demand for an annual talk about the elderly's everyday situation is precisely this commitment.
Original (Swedish)
Valmanifestet lovar uttryckligen äldresamtal i alla kommuner och gemenskapsfrämjande insatser i omsorgen för att bryta ofrivillig ensamhet. Partiprogrammet kräver att samhället skapar förutsättningar för äldre att hålla sig friska längre och att hälsofrämjande arbete stimuleras. Motförslagets krav på ett årligt samtal om den äldres vardagssituation är precis detta åtagande.
- elderly talks in all municipalitiesdecisive»Bryt äldres ofrivilliga ensamhet och isolering genom äldresamtal i alla kommuner« (2022 manifesto ↗)“Break elderly's involuntary loneliness and isolation through elderly talks in all municipalities”
- healthy elderly longer»för att äldre ska kunna hålla sig friska längre« (party programme ↗)“so that the elderly can stay healthy longer”
- health-promoting work»Hälsofrämjande arbete ska stimuleras.« (party programme ↗)“Health-promoting work shall be stimulated.”
- elderly care of world class»Sverige ska ha en äldreomsorg i världsklass.« (2022 manifesto ↗)“Sweden shall have elderly care of world class.”
The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.
The plan's elderly care initiatives are directed toward medical expertise, continuity and meals, and the party programme emphasizes that politics must prioritize and choose what to exclude, and that no care can replace one's own engagement in health.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan's elderly care initiatives are directed toward medical expertise, continuity and meals, and the party programme emphasizes that politics must prioritize and choose what to exclude, and that no care can replace one's own engagement in health. Expanding the elderly care mandate with annual health talks for all elderly people lies outside that prioritization. However, the basis is thin and the conclusion is derived.
Original (Swedish)
Planens äldresatsningar är riktade mot medicinsk kompetens, kontinuitet och måltider, och partiprogrammet betonar att politiken måste prioritera och välja bort samt att ingen vård kan ersätta det egna engagemanget i sin hälsa. Att bygga ut äldreomsorgens uppdrag med årliga hälsosamtal till alla äldre ligger utanför den prioriteringen. Underlaget är dock tunt och slutsatsen härledd.
- prioritize the core missiondecisive»Politiken har en viktig uppgift att prioritera och välja bort,« (party programme ↗)“Politics has an important task to prioritize and choose what to exclude,”
- personal responsibility for health»förebygga de välfärdssjukdomar som tynger sjukvården,« (party programme ↗)“prevent the welfare illnesses that burden healthcare,”
- the plan's own elderly care initiatives»Verka för ett systematiskt måltidslyft inom äldrevården och äldreomsorgen« (2022 manifesto ↗)“Work for a systematic meal improvement in elderly care”
- physician contact as hub»Se till att den patientansvariga läkarkontakten ska utgöra navet i äldres sjukvård« (2022 manifesto ↗)“Ensure that the responsible physician contact shall form the hub of elderly healthcare”
The plan explicitly advocates for elderly conversations to timely detect beginning illness conditions, and wants to see elderly ombudspersons who work with social activities and health-promoting interventions.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan explicitly advocates for elderly conversations to timely detect beginning illness conditions, and wants to see elderly ombudspersons who work with social activities and health-promoting interventions. The counter-proposal's demand to investigate how elderly care can offer each elderly person an annual conversation about their everyday situation is the same measure. The plan also highlights isolation and loneliness as a growing cause of mental ill-health among the elderly.
Original (Swedish)
Planen förespråkar uttryckligen äldresamtal för att i tid upptäcka begynnande sjukdomstillstånd, och vill se äldreombudsmän som arbetar med sociala aktiviteter och hälsofrämjande insatser. Motförslagets krav på att utreda hur äldreomsorgen kan erbjuda varje äldre ett årligt samtal om vardagssituationen är samma åtgärd. Planen lyfter också isolering och ensamhet som en växande orsak till psykisk ohälsa bland äldre.
- elderly conversations as a preventive measuredecisive»Äldresamtal skulle exempelvis ge både samhället och närstående möjlighet att upptäcka begynnande eller pågående sjukdomstillstånd i tid.« (2022 manifesto ↗)“Elderly conversations would, for example, give both society and family members the opportunity to timely detect beginning or ongoing illness conditions.”
- health-promoting interventions for elderly»Vi vill se äldreombudsmän ute i kommunerna, som aktivt ska arbeta tillsammans med kommunens pensionärer och organisationer för att uppmuntra till sociala aktiviteter och hälsofrämjande insatser.« (2022 manifesto ↗)“We want to see elderly ombudspersons out in the municipalities, who actively should work together with the municipality's elderly citizens and organizations to encourage social activities and health-promoting interventions.”
- counteract loneliness among elderly»Den psykiska ohälsan har på grund av isolering och ensamhet också blivit allt mer utbredd bland landets pensionärer.« (2022 manifesto ↗)“Mental ill-health, due to isolation and loneliness, has also become increasingly prevalent among the country's elderly citizens.”
- mental health for elderly»Satsa på att höja kunskapsnivån och prioriteringen gällande psykisk ohälsa bland äldre« (2022 manifesto ↗)“Invest in raising knowledge levels and prioritization regarding mental ill-health among the elderly”
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Sources and documents
- The committee report on riksdagen.se (2022/23:SoU22)
- Committee report full text (HA01SoU22)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:1289 — Riktlinjer om chefsutbildning för bättre äldreomsorg av Sanna Backeskog och Sanne Lennström (båda S)
- Motion 2022/23:1336 — Undernäring bland äldre av Mats Wiking (S)
- Motion 2022/23:1401 — Ofrivillig ensamhet och isolering av Marie-Louise Hänel Sandström (M)
- Motion 2022/23:1850 — Språkkrav för vissa jobb inom omsorgen av Sten Bergheden (M)
- Motion 2022/23:1852 — Äldres rätt att få välja sin mat av Sten Bergheden (M)
- Motion 2022/23:1854 — Avgifter i äldreomsorgen av Sten Bergheden (M)
- Motion 2022/23:1974 — Lagen om valfrihetssystem av Eva Lindh m.fl. (S)
- Motion 2022/23:2011 — Språkkrav inom vård och äldreomsorg av Johanna Rantsi (M)
- Motion 2022/23:2018 — Förlängd satsning på Äldreomsorgslyftet av Paula Holmqvist m.fl. (S)
- Motion 2022/23:2061 — Utgiftsområde 9 Hälsovård, sjukvård och social omsorg av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2022/23:313 — Värdighet för äldre och en professionalisering av äldreomsorgen av Markus Wiechel (SD)
- Motion 2022/23:314 — Nationell äldreombudsman av Markus Wiechel (SD)
- Motion 2022/23:613 — Demokratisk kontroll över den kommunala välfärden av Markus Kallifatides (S)
- Motion 2022/23:67 — Krav på registerutdrag för arbete i hemtjänst och äldreomsorg av Ann-Sofie Lifvenhage (M)
- Motion 2022/23:696 — Äldreomsorgen av Niklas Sigvardsson m.fl. (S)
- Motion 2022/23:85 — En äldreomsorg för framtiden av Karin Rågsjö m.fl. (V)
- Motion 2022/23:856 — En stärkt folkhälsa från barndom till ålderdom av Anders W Jonsson m.fl. (C)
- Motion 2022/23:859 — Ekonomisk trygghet vid ålderdom av Martina Johansson m.fl. (C)
- Motion 2022/23:90 — Pilotprojekt - Seniorhälsa av Ann-Sofie Lifvenhage (M)
- Motion 2022/23:901 — En äldreomsorg med trygghet och valfrihet i hela landet av Christofer Bergenblock m.fl. (C)
Source: The Swedish Parliament