2023-05-032022/23:SoU14 · p.5SoUHealth & social services
Licensing and permits
Faster validation of healthcare staff trained abroad
What's at stake: Slow or cumbersome validation makes it harder for healthcare staff trained abroad to start working in Swedish care, which can worsen staff shortages while qualified people are left waiting unnecessarily to have their skills recognised.
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, together with the regions, should specifically review measures to speed up and simplify the validation of healthcare qualifications from countries outside the EU, EEA and Switzerland, or whether this is best handled within the broader work on healthcare's staffing supply.
Yes Yes — the committee proposal
The committee rejects the motion calling for a dedicated review of the validation of healthcare staff trained abroad. It points to the ongoing, broader work on staffing supply - including the government's mandate to the National Board of Health and Welfare to produce a national plan and investments in further training of specialist nurses - and judges that the validation question is covered by this work without a separate parliamentary initiative.
No No — the reservations
Reservation 9 (C)
The reservation (C) argues that, despite measures taken in recent years, there is still a need for faster and smoother validation of staff trained abroad across all regions. It calls for the government, in consultation with the Swedish Association of Local Authorities and Regions, to review measures, regulatory simplifications and coordination between regions so that more people with healthcare training from outside the EU, EEA or Switzerland can have their education validated or supplemented more quickly.
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 9 by C.
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: LLiberalerna
Ja 267–21Ja 254–34
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 | Yes 20/0/0/4 | differs | confidence: medium | not addressed |
| S | No | Yes 94/0/0/13 | differs | confidence: medium | not addressed |
| MP | No | Abstain 0/0/14/4 | differs | confidence: high | explicit |
| C | No | No 0/21/0/3 | match | confidence: medium | not addressed |
| L | No | Yes 13/0/0/3 | differsagainst own programme | confidence: medium | explicit |
| KD | No | Yes 16/0/0/3 | differs | confidence: medium | not addressed |
| M | No | Yes 60/0/0/8 | differs | confidence: medium | not addressed |
| SD | No | Yes 63/0/0/9 | differs | confidence: medium | derived |
Committee proposal
The Parliament rejects the motions 2022/23:638 by Elisabeth Thand Ringqvist (C), 2022/23:743 by Nicklas Attefjord and Amanda Lind (both MP) requests 1-3, 2022/23:905 by Anders W Jonsson et al. (C) request 40 and 2022/23:1150 by Angelika Bengtsson (SD).
Original (Swedish)
Riksdagen avslår motionerna 2022/23:638 av Elisabeth Thand Ringqvist (C), 2022/23:743 av Nicklas Attefjord och Amanda Lind (båda MP) yrkandena 1-3, 2022/23:905 av Anders W Jonsson m.fl. (C) yrkande 40 och 2022/23:1150 av Angelika Bengtsson (SD).
Riksdag decision: The Parliament 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 deal with competence provision in health care, patients exposed to violence, registry checks, working environment and working conditions, and licensing and permits. Other proposals concern digital infrastructure and health data, development of 1177, and health care preparedness.
Counter-proposals
- The counter-proposal wants to ensure opportunities for competence development for all personnel in regulated professions within healthcare. (C) — Reservation 9
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 that discrimination and racism on the labor market are stopped and states that people with foreign background are pushed aside to unsafe and low-wage jobs despite their competence.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that discrimination and racism on the labor market are stopped and states that people with foreign background are pushed aside to unsafe and low-wage jobs despite their competence. At the same time, staff shortages in care should be eliminated through investments in personnel. Faster and more coordinated validation of foreign-trained care personnel responds to both of these commitments.
Original (Swedish)
Planen kräver att diskrimineringen och rasismen på arbetsmarknaden stoppas och konstaterar att personer med utländsk bakgrund trängs undan till otrygga och lågbetalda jobb trots sin kompetens. Samtidigt ska personalbristen i vården bort genom satsningar på personalen. Snabbare och mer samordnad validering av utlandsutbildad vårdpersonal svarar mot båda dessa åtaganden.
- stop discrimination on the labor marketdecisive»Diskrimineringen och rasismen på arbetsmarknaden måste stoppas.« (2022 manifesto ↗)“Discrimination and racism on the labor market must be stopped.”
- ethnicized class society»personer med utländsk bakgrund har högre arbetslöshet« (party programme ↗)“people with foreign background have higher unemployment”
- eliminate staff shortages»satsa på personalen så att vi samtidigt får bort personalbristen och stärker personalens villkor och arbetsmiljö« (2022 manifesto ↗)“invest in personnel so that we at the same time eliminate staff shortages and strengthen personnel's conditions and work environment”
- equal conditions regardless of background»Ingen av oss ska behöva utstå rasism på arbetsplatsen eller vara beroende av arbetsgivaren för att få stanna i Sverige.« (2022 manifesto ↗)“None of us should have to endure racism in the workplace or be dependent on the employer to stay in Sweden.”
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 makes the state responsible for welfare's skills supply, notes that there is a shortage of properly trained staff and states that everyone who can work shall work regardless of where they were born.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto makes the state responsible for welfare's skills supply, notes that there is a shortage of properly trained staff and states that everyone who can work shall work regardless of where they were born. Faster and more coordinated validation of care qualifications from countries outside the EU is a means for both these goals. The plan simultaneously sets requirements for good Swedish in welfare, which validation with complementation is compatible with.
Original (Swedish)
Valmanifestet gör staten ansvarig för välfärdens kompetensförsörjning, konstaterar att det råder brist på rätt utbildad personal och slår fast att alla som kan jobba ska jobba oavsett var man är född. Snabbare och mer samordnad validering av vårdutbildning från länder utanför EU är ett medel för båda dessa mål. Planen ställer samtidigt krav på god svenska i välfärden, vilket validering med komplettering är förenlig med.
- state skills responsibilitydecisive»Staten har ett ansvar för att säkra kompetensförsörjningen, inte minst i välfärden.« (2022 manifesto ↗)“The state has a responsibility to ensure skills supply, not least in welfare.”
- staff shortages in care»På alltför många ställen råder brist på rätt utbildad personal.« (2022 manifesto ↗)“In far too many places there is a shortage of properly trained staff.”
- foreign-born's path to work»Alla som kan jobba ska jobba och bidra för att bli en del av samhället. Det gäller oavsett var man är född.« (2022 manifesto ↗)“Everyone who can work shall work and contribute in order to become part of society. This applies regardless of where one was born.”
- language requirements in welfare»Genom språkkrav och utbildningsinsatser vill vi säkerställa att alla som jobbar i välfärden talar god svenska.« (2022 manifesto ↗)“Through language requirements and educational measures we want to ensure that everyone who works in welfare speaks good Swedish.”
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 requires that foreign education can be validated quickly and, if necessary, supplemented, and that previous education, work experience and language skills can be credited in Sweden.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that foreign education can be validated quickly and, if necessary, supplemented, and that previous education, work experience and language skills can be credited in Sweden. This is exactly what the counter-proposal wants to achieve for healthcare-educated personnel from countries outside the EU and EES. The plan also wants to shorten processing times and ensure sufficient and trained personnel in care and nursing.
Original (Swedish)
Planen kräver att utländsk utbildning snabbt ska kunna valideras och vid behov kompletteras, och att tidigare utbildning, arbetslivserfarenhet och språkkunskaper ska kunna tillgodoräknas i Sverige. Det är exakt vad motförslaget vill uppnå för vårdutbildade från länder utanför EU och EES. Planen vill dessutom korta handläggningstider och säkra tillräcklig och utbildad personal i vård och omsorg.
- quick validation of foreign educationdecisive»snabbt kunna valideras och vid behov kompletteras.« (party programme ↗)“be validated quickly and, if necessary, supplemented.”
- credit previous experience»utbildning, arbetslivserfarenhet eller språkkunskaper, ska också kunna tillgodoräknas i Sverige.« (party programme ↗)“education, work experience or language skills, can also be credited in Sweden.”
- shortened processing times»korta handläggningstiderna för arbetstillstånd och asylbeslut så att det går fortare att komma in i samhället.« (2022 manifesto ↗)“shorten processing times for work permits and asylum decisions so it goes faster to enter society.”
- personnel supply in healthcare»tillräcklig och utbildad personal.« (party programme ↗)“sufficient and trained personnel.”
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 processing times for administration and agency work be shortened and points to workforce supply as one of the most important challenges.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan requires that processing times for administration and agency work be shortened and points to workforce supply as one of the most important challenges. Faster and coordinated validation of care education from countries outside the EU is a direct application of both commitments. The plan also wants more foreign-born to quickly enter work and that labour immigration be valued.
Original (Swedish)
Planen kräver att ledtiderna för handläggning och myndighetsutövning kortas och pekar ut kompetensförsörjningen som en av de viktigaste utmaningarna. Snabbare och samordnad validering av vårdutbildning från länder utanför EU är en direkt tillämpning av båda åtagandena. Planen vill också att fler utrikes födda snabbt kommer i arbete och att arbetskraftsinvandringen värnas.
- shortened processing timesdecisive»Ledtiderna för handläggning och myndighetsutövning i domstolar och myndigheter måste kortas och tillgången till ombud förbättras.« (2022 manifesto ↗)“Processing times for administration and agency work in courts and agencies must be shortened and access to representatives improved.”
- workforce supply 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 businesses, and for all of Sweden's economy, is the poorly functioning workforce supply.”
- foreign-born establishment»Fler utrikes födda kvinnor måste få en chans att jobba, lära sig svenska och till fullo komma in i det svenska samhället.« (2022 manifesto ↗)“More foreign-born women must get a chance to work, learn Swedish and fully enter Swedish society.”
- valued labour immigration»Värna arbetskraftsinvandringen.« (2022 manifesto ↗)“Value labour immigration.”
The plan requires that there shall be good opportunities to validate formal and informal qualifications and that the competence of immigrants is better utilized than today.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that there shall be good opportunities to validate formal and informal qualifications and that the competence of immigrants is better utilized than today. A review that provides faster and more coordinated validation of foreign-trained health care personnel is thus precisely the plan's commitment, and it addresses the plan's requirement that shortage occupations in care shall become attractive.
Original (Swedish)
Planen kräver att det ska finnas goda möjligheter att validera formella och informella kvalifikationer och att kompetensen hos dem som invandrat tas tillvara bättre än i dag. En översyn som ger snabbare och mer samordnad validering av utlandsutbildad vårdpersonal är därmed just planens åtagande, och den svarar mot planens krav på att bristyrken i vården ska bli attraktiva.
- validation of qualificationsdecisive»Det ska finnas goda möjligheter att validera formella och informella kvalifikationer, liksom att« (party programme ↗)“There shall be good opportunities to validate formal and informal qualifications, as well as”
- utilize immigrant competence»Kompetensen hos dem som invandrat till vårt land måste tas tillvara på ett bättre sätt än idag« (party programme ↗)“The competence of those who have immigrated to our country must be better utilized than today”
- address the shortage of health care personnel»Bristyrken ska bli drömjobb.« (2022 manifesto ↗)“Shortage occupations shall become dream jobs.”
- retain qualified workforce»Kompetensutvisningarna av högkvalificerad arbetskraft måste få ett slut.« (2022 manifesto ↗)“Deportations of highly qualified workers must end.”
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 commits to training more people for nursing shortage occupations and reducing the need for expensive hired personnel, which faster validation of foreign-trained nursing personnel directly serves.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto commits to training more people for nursing shortage occupations and reducing the need for expensive hired personnel, which faster validation of foreign-trained nursing personnel directly serves. The plan also lays down that people's will and ability to be self-supporting should be taken advantage of and that work is a key to integration. The requirement for care that is safe for patients simultaneously sets the quality threshold for validation.
Original (Swedish)
Valmanifestet åtar sig att fler utbildas till vårdens bristyrken och att behovet av dyr inhyrd personal minskar, vilket snabbare validering av utlandsutbildad vårdpersonal direkt tjänar. Planen slår också fast att människors vilja och förmåga till egenförsörjning ska tas tillvara och att jobb är en nyckel till integration. Kravet på en vård som är säker för patienterna sätter samtidigt kvalitetsgränsen för valideringen.
- more in nursing shortage occupationsdecisive»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 nursing shortage occupations and reduce the need for expensive hired personnel.”
- self-sufficiency taken advantage of»Människors vilja och förmåga till egenförsörjning ska« (party programme ↗)“People's will and ability to be self-supporting must”
- patient safety in validation»säker för patienterna och baserad på kunskap och beprövad erfarenhet« (party programme ↗)“safe for patients and based on knowledge and proven experience”
- work as a key to integration»Jobb, kunskap i svenska språket och det civila samhället är viktiga nycklar till integration.« (party programme ↗)“Work, knowledge of the Swedish language, and civil society are important keys to integration.”
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 to have more hands in care to shorten queues and stop competence expulsions, while national coordination shall improve competence supply.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants to have more hands in care to shorten queues and stop competence expulsions, while national coordination shall improve competence supply. Faster validation of care personnel trained outside the EU is a direct way to obtain the competence the plan seeks. The plan's language requirements for care and elderly care personnel set a limit on how fast validation can go, but does not contradict the demand substantively.
Original (Swedish)
Planen vill ha fler händer i vården som kan korta köerna och stoppa kompetensutvisningar, samtidigt som en nationell samordning ska förbättra kompetensförsörjningen. Snabbare validering av vårdpersonal utbildad utanför EU är ett direkt sätt att få fram den kompetens planen efterfrågar. Planens språkkrav för personal i vård och omsorg sätter en gräns för hur snabbt valideringen får gå, men motsäger inte kravet i sak.
- more hands in caredecisive»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”
- retain foreign competence»Sätta stopp för kompetensutvisningarna« (2022 manifesto ↗)“Put a stop to competence expulsions”
- national competence coordination»Få på plats en nationell samordning över samhällets behov av antalet utbildningsplatser för att förbättra kompetensförsörjningen« (2022 manifesto ↗)“Establish national coordination over society's need for the number of training places to improve competence supply”
- language requirements in care»Införa språkkrav för personal inom vård och äldreomsorg« (2022 manifesto ↗)“Introduce language requirements for care and elderly care personnel”
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 requires that someone new to Sweden makes themselves employable and that previous education from their home country can be validated, while simultaneously addressing shortages in care sector workforce supply.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan requires that someone new to Sweden makes themselves employable and that previous education from their home country can be validated, while simultaneously addressing shortages in care sector workforce supply. Faster and coordinated validation of care personnel trained abroad who are already here aligns with both of these commitments. However, the plan simultaneously requires language requirements for care and elderly care staff, which sets a limit on how much validation may be simplified.
Original (Swedish)
Planen kräver att den som är ny i Sverige gör sig anställningsbar och att tidigare utbildning från hemlandet ska kunna valideras, samtidigt som bristerna i vårdens kompetensförsörjning ska åtgärdas. Snabbare och samordnad validering av utlandsutbildad vårdpersonal som redan finns här ligger i linje med båda dessa åtaganden. Planen kräver dock samtidigt språkkrav för personal i vård och omsorg, vilket sätter en gräns för hur validering får förenklas.
- requirements for employabilitydecisive»Öka kraven på icke integrerade att göra sig anställningsbara« (2022 manifesto ↗)“Increase demands on non-integrated to make themselves employable”
- validation of foreign education»att få en eventuell tidigare utbildning från hemlandet validerad.« (party programme ↗)“to be able to have any previous education from their home country validated.”
- shortages in workforce supply»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 is to a significant extent that governance through 21 different regions creates ambiguity, conflicting objectives, gradually increasing administration and shortages in workforce supply.”
- language requirements in care»Införa språkkrav för personal inom hemtjänsten och äldreomsorgen.« (2022 manifesto ↗)“Introduce language requirements for staff in home help services and elderly care.”
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