2025-11-192025/26:SoU6 · p.2SoUHealth & social services

National preparedness hospitals

Establishment of national emergency-preparedness hospitals

What's at stake: The issue concerns Sweden's civil preparedness for crises and war, and whether certain hospitals should be designated and given special protection so they can quickly receive large numbers of casualties, including wounded military personnel. The outcome affects how resources for planning, staffing and long-term investment are distributed among regions and hospitals within the total defence system.

Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.

What the vote decides

The question is whether the government should specifically take the initiative to define and establish designated national emergency-preparedness hospitals with special protection for planning, staffing and investment, or whether the new authorisation to issue healthcare planning directives ahead of and during a state of heightened alert already provides sufficient tools to meet the need.

Yes Yes — the committee proposal

The committee rejects the motion on national emergency-preparedness hospitals. The reason is that the new authorisation to issue healthcare planning directives ahead of and during a state of heightened alert already brings municipalities and regions within total-defence planning based on specific needs in the healthcare sector, so there is no reason for a separate formal statement on the matter.

No No — the reservations

Reservation 1 (SD)

The reservation (SD) calls for the government to take the initiative to define and establish national emergency-preparedness hospitals that are strategically located based on both civilian and military needs, with special protection for planning, staffing and long-term investment. The reasoning is that civilian and military preparedness need to be more clearly coordinated and that healthcare plays a crucial role, not least in sparsely populated and strategically important areas.

Summarised from the committee report. Party labels in the summary come from the report, not from the vote.

VSMPCLKDMSD
YesNoAbstainAbsent

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 SD.

Abstain The party marks a position of its own that is not one of the two final alternatives.

What each plan points to — and how the party voted

For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.

PlanVoteConfidenceEvidence
VNoYes 18/0/0/4departs from the planconfidence: mediumnot addressed
SNoYes 93/0/0/13departs from the planconfidence: mediumderived
MPNoYes 15/0/0/3departs from the planconfidence: mediumnot addressed
CNoYes 19/0/0/5departs from the planconfidence: lownot addressed
LNoYes 13/0/0/3departs from the planconfidence: mediumderived
KDNoYes 16/0/0/3departs from the planconfidence: mediumnot addressed
MNoYes 60/0/0/8departs from the planconfidence: mediumnot addressed
SDown reservationNoNo 0/61/0/11follows the planconfidence: mediumnot addressed

Committee proposal

The Riksdag rejects motion 2024/25:3448 by Jessica Stegrud et al. (SD).

Original (Swedish)

Riksdagen avslår motion 2024/25:3448 av Jessica Stegrud m.fl. (SD).

Riksdag decision: It shall become clearer what obligations municipalities and regions have to provide care and assist each other during peacetime crises, heightened preparedness, and in case of disaster situations. The Riksdag approved the government's proposal regarding strengthening health and medical care preparedness in the event of crisis and war. The decision also means that it becomes clearer what obligations municipalities, regions, and care providers have in situations where a disaster situation continues despite assistance. Municipalities' and regions' responsibility to plan for difficult circumstances also becomes clearer. This can, for example, concern events that result in a large number of injured and sick persons. Furthermore, the new rules impose an obligation on municipalities and regions to keep medical care products in stock. All legislative changes, except the new rules on stock-holding, come into force on January 1, 2026. The rules on stock-holding obligations come into force on January 1, 2027.

Counter-proposals

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.

VVänsterpartietNoYesdeparts from the plannot addressed

The plan requires that resources to healthcare increase precisely to strengthen preparedness for crises, disasters and war, and that the entire healthcare sector is upgraded so that capacity can be scaled up in crises.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan requires that resources to healthcare increase precisely to strengthen preparedness for crises, disasters and war, and that the entire healthcare sector is upgraded so that capacity can be scaled up in crises. That designated and established national preparedness hospitals with protected planning and staffing is a concrete expression of this, and the requirement for strategic placement responds to the plan's commitment to equal care regardless of where in the country you live. The counter-proposal's requirements are thus supported by the plan.

Original (Swedish)

Planen kräver att resurserna till hälso- och sjukvården ökar just för att stärka beredskapen inför kriser, katastrofer och krig, och att hela vårdsektorn rustas upp så att kapaciteten kan växlas upp i kristider. Att peka ut och inrätta nationella beredskapssjukhus med skyddad planering och bemanning är ett konkret uttryck för det, och kravet på strategisk placering svarar mot planens åtagande om jämlik vård oavsett var i landet man bor. Motförslagets krav stöds därför av planen.

  • strengthened preparedness in healthcaredecisive»Resurserna till hälso- och sjukvården måste öka för att täcka behoven och stärka beredskapen inför kriser, katastrofer och krig.« (party programme ↗)“Resources to healthcare must increase to cover the needs and strengthen preparedness for crises, disasters and war.”
  • upgraded healthcare sector for crises»Sverige behöver rusta upp hela vårdsektorn för att kunna klara de mer normala skiftningarna i vårdbehov men också för att kunna växla upp kapaciteten i kristider.« (2022 manifesto ↗)“Sweden needs to upgrade the entire healthcare sector to handle more normal shifts in healthcare needs but also to be able to scale up capacity in crises.”
  • equal care throughout the country»Sjukvården måste vara jämlik, jämställd och tillgänglig, oavsett var i landet du bor och oavsett vem du är.« (2022 manifesto ↗)“Healthcare must be equal, equitable and accessible, regardless of where in the country you live and regardless of who you are.”

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.

SSocialdemokraternaNoYesdeparts from the planderived

The election manifesto requires that civil defence is strengthened, among other things with increased resources to stock emergency supplies for the healthcare service, and that no acute hospitals are sold off.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto requires that civil defence is strengthened, among other things with increased resources to stock emergency supplies for the healthcare service, and that no acute hospitals are sold off. The party programme wants to see strong infrastructure for strengthened preparedness and good service regardless of where in the country you live. Identifying and establishing national emergency hospitals, coordinated on both civil and military levels and also in rural areas, follows from this. The counter-proposal is supported.

Original (Swedish)

Valmanifestet kräver att det civila försvaret rustas upp, bland annat med ökade resurser för att rusta beredskapslager för sjukvården, och att inga akutsjukhus säljs ut. Partiprogrammet vill se stark infrastruktur för stärkt beredskap och god service oavsett var i landet man bor. Att peka ut och inrätta nationella beredskapssjukhus, samordnade civilt och militärt och även i glesbygd, följer av detta. Motförslaget stöds.

  • healthcare preparednessdecisive»Arbetet att förstärka det civila försvaret och krisberedskapen måste fortsätta, bland annat genom ökade resurser för att rusta och bygga beredskapslager för sjukvården« (2022 manifesto ↗)“The work to strengthen civil defence and crisis preparedness must continue, among other things through increased resources to stock and build emergency supplies for the healthcare service”
  • preserved acute hospitals»Inga akutsjukhus ska säljas ut.« (2022 manifesto ↗)“No acute hospitals shall be sold off.”
  • infrastructure for preparedness»Stark infrastruktur för stärkt beredskap.« (party programme ↗)“Strong infrastructure for strengthened preparedness.”
  • care throughout the country»God service och välfärd till medborgarna oavsett var i landet de bor.« (party programme ↗)“Good service and welfare for citizens regardless of where in the country 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.

MPMiljöpartietNoYesdeparts from the plannot addressed

The plan states that healthcare must become more resilient to among other things security threats and that civil defence should be strengthened with increased allocations to crisis preparedness.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan states that healthcare must become more resilient to among other things security threats and that civil defence should be strengthened with increased allocations to crisis preparedness. Identifying and establishing national emergency hospitals, strategically located based on civilian and military needs, is a concrete application of this. The plan also requires good healthcare regardless of where in the country you live, which supports the rural perspective in the counter-proposal.

Original (Swedish)

Planen slår fast att vården måste bli mer motståndskraftig mot bland annat säkerhetshot och att det civila försvaret ska stärkas med ökade anslag till krisberedskap. Att peka ut och inrätta nationella beredskapssjukhus, strategiskt placerade utifrån civila och militära behov, är en konkret tillämpning av det. Planen kräver också god vård oavsett var i landet man bor, vilket stödjer glesbygdsperspektivet i motförslaget.

  • resilient healthcaredecisive»Vården måste bli mer motståndskraftig.« (party programme ↗)“Healthcare must become more resilient.”
  • strengthened civil defence»satsa en större andel av försvarets pengar på det civila försvaret, och öka anslagen till krisberedskap« (2022 manifesto ↗)“allocate a larger share of defence spending to civil defence, and increase allocations to crisis preparedness”
  • equitable healthcare throughout the country»Du ska ha rätt till en bra vård, oavsett var i landet du bor.« (2022 manifesto ↗)“You have the right to good healthcare, regardless of where in the country you live.”
  • civil and military total defence»civilt försvar för att effektivt skydda Sverige mot angrepp och kriser.« (party programme ↗)“civil defence to effectively protect Sweden against attack and crises.”

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.

CCenterpartietNoYesdeparts from the plannot addressed

The plan requires that civil defence and society's preparedness be equipped for war and crisis and that the total defence is strengthened, while at the same time secure and close healthcare shall exist regardless of where one lives.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan requires that civil defence and society's preparedness be equipped for war and crisis and that the total defence is strengthened, while at the same time secure and close healthcare shall exist regardless of where one lives. National emergency hospitals placed based on civil and military needs, not least in sparsely populated areas, are an application of those commitments. The plan's requirement that healthcare responsibility remains with the regions argues partly against it, which is why certainty is low.

Original (Swedish)

Planen kräver att civilförsvaret och samhällets beredskap rustas inför krig och kris och att totalförsvaret som helhet stärks, samtidigt som en trygg och nära vård ska finnas oavsett var man bor. Nationella beredskapssjukhus placerade utifrån civila och militära behov, inte minst i glesbygd, är en tillämpning av de åtagandena. Planens krav på att vårdansvaret stannar hos regionerna talar delvis emot, varför säkerheten är låg.

  • strengthened civil preparednessdecisive»Även det civila försvaret är livsviktigt. Vi måste rusta civilförsvaret och samhällets beredskap inför krig och kris.« (2022 manifesto ↗)“Civil defence is also vital. We must equip civil defence and society's preparedness for war and crisis.”
  • equipped total defence»Vi behöver rusta Sveriges totalförsvar, stärka hela rättskedjan, satsa på förebyggande insatser och en likvärdig skola.« (2022 manifesto ↗)“We need to equip Sweden's total defence, strengthen the entire legal chain, invest in preventive measures and equivalent education.”
  • secure healthcare 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 shall have secure police presence, equivalent education and secure and close healthcare and care — regardless of where they live.”
  • regional healthcare responsibility»Vi vill försvara valfriheten inom vård och omsorg och bedriva verksamheten nära vårdtagarna. Ansvaret för vården ska inte flyttas från regionerna till staten.« (2022 manifesto ↗)“We want to defend freedom of choice within healthcare and care and conduct the operations close to care users. Healthcare responsibility shall not be transferred from the regions to the state.”

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.

LLiberalernaNoYesdeparts from the planderived

The plan requires that the state takes greater responsibility for healthcare's strategic planning, placement of highly specialized care and preparedness, and that civil defence is strengthened at the same pace as military defence.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan requires that the state takes greater responsibility for healthcare's strategic planning, placement of highly specialized care and preparedness, and that civil defence is strengthened at the same pace as military defence. The counter-proposal's demand to define and establish national preparedness hospitals based on civil and military needs is a direct application of this. The plan also wants to see a national joint effort for more staffed care beds throughout the country.

Original (Swedish)

Planen kräver att staten tar ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård och beredskap, och att det civila försvaret stärks i samma takt som det militära. Motförslagets krav på att definiera och inrätta nationella beredskapssjukhus utifrån civila och militära behov är en direkt tillämpning av detta. Planen vill dessutom se en nationell kraftsamling för fler bemannade vårdplatser i hela landet.

  • state responsibility for healthcare preparednessdecisive»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 provision.”
  • strengthened civil defence»det civila försvaret stärkas i samma takt som det militära« (2022 manifesto ↗)“civil defence is strengthened at the same pace as military defence”
  • more staffed care beds»Vi vill därför nästa mandatperiod se en nationell kraftsamling för fler bemannade vårdplatser i hela landet så att du som patient kan få vård snabbare.« (2022 manifesto ↗)“We therefore want to see during the next mandate period a national joint effort for more staffed care beds throughout the country so that you as a patient can receive care more quickly.”
  • more care beds»Sverige behöver fler vårdplatser.« (party programme ↗)“Sweden needs more care beds.”

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.

KDKristdemokraternaNoYesdeparts from the plannot addressed

The election manifesto requires state leadership with a unified organisation for healthcare instead of 21 different, a national care coordination service that matches care needs against capacity across the country, and more care beds.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto requires state leadership with a unified organisation for healthcare instead of 21 different, a national care coordination service that matches care needs against capacity across the country, and more care beds. It is precisely a nationally designated and unified care structure that the counter-proposal requests for preparedness. The party programme also requires that total defence has sufficient resources to protect the population against both civil disasters and military threats.

Original (Swedish)

Valmanifestet kräver ett statligt huvudmannaskap med en gemensam organisation för vården i stället för 21 olika, en nationell vårdförmedling som matchar vårdbehov mot kapacitet i hela landet, och fler vårdplatser. Det är just en nationellt utpekad och sammanhållen vårdstruktur som motförslaget begär för beredskapens del. Partiprogrammet kräver dessutom att totalförsvaret har tillräckliga resurser för att skydda befolkningen vid såväl civila katastrofer som militära hot.

  • state leadership for healthcaredecisive»Avskaffa regionernas ansvar för sjukvården. Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika.« (2022 manifesto ↗)“Abolish the regions' responsibility for healthcare. Let the state take over responsibility for care with one unified organisation instead of 21 different.”
  • sufficient resources for total defence»Det samlade totalförsvaret måste ha tillräckliga resurser för att kunna garantera« (party programme ↗)“The unified total defence must have sufficient resources to be able to guarantee”
  • national coordination of care capacity»Inför en nationell vårdförmedling som matchar vårdbehovet med den vårdkapacitet som finns i hela landet« (2022 manifesto ↗)“Introduce a national care coordination service that matches the care need with the care capacity that exists across the country”
  • more care beds»Fler vårdplatser. Sverige har lägst antal vårdplatser per capita i Europa« (2022 manifesto ↗)“More care beds. Sweden has the lowest number of care beds per capita in Europe”

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.

MModeraternaNoYesdeparts from the plannot addressed

The plan states that the military defence cannot fulfil its tasks if civil defence does not function, and it wants to ensure long-term planning of civil defence and to build up emergency stockpiles of medicines and medical material.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan states that the military defence cannot fulfil its tasks if civil defence does not function, and it wants to ensure long-term planning of civil defence and to build up emergency stockpiles of medicines and medical material. To identify and establish national emergency hospitals based on civilian and military needs aligns with that direction. The plan therefore supports the counter-proposal's demand.

Original (Swedish)

Planen slår fast att det militära försvaret inte kan lösa sina uppgifter om det civila försvaret inte fungerar, och den vill säkra långsiktig planering av det civila försvaret samt bygga upp beredskapslager av läkemedel och sjukvårdsmateriel. Att peka ut och inrätta nationella beredskapssjukhus utifrån civila och militära behov ligger i linje med den inriktningen. Planen ger därför stöd åt motförslagets krav.

  • civil defence bears total defencedecisive»Fungerar inte det civila försvaret så kan inte heller det militära försvaret lösa sina uppgifter.« (2022 manifesto ↗)“If civil defence does not function then neither can military defence fulfil its tasks.”
  • long-term civil preparedness»Säkra en långsiktig planering för det civila försvaret« (2022 manifesto ↗)“Ensure long-term planning for civil defence”
  • emergency stockpiles for healthcare»Utöver bättre livmedelsberedskap behöver Sverige bygga upp bättre beredskapslager av till exempel läkemedel och sjukvårdsmateriel.« (2022 manifesto ↗)“In addition to better food preparedness Sweden needs to build up better emergency stockpiles of for example medicines and medical material.”
  • staffed civil defence»Förstärka det civila försvarets personalförsörjning« (2022 manifesto ↗)“Strengthen civil defence's personnel supply”

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.

SDSverigedemokraternaNoNofollows the plannot addressed

The plan requires a restored total defense, planning for various types of major crises and that self-sufficiency in medical material can be scaled up during prolonged disruptions.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan requires a restored total defense, planning for various types of major crises and that self-sufficiency in medical material can be scaled up during prolonged disruptions. It also states that emergency care should exist throughout the country, even in sparsely populated regions. The counter-proposal's requirement for defined national emergency hospitals placed according to civilian and military needs follows from these commitments.

Original (Swedish)

Planen kräver ett återupprättat totalförsvar, planering för olika typer av stora kriser och att självförsörjningen av medicinskt material kan skalas upp vid långvariga störningar. Den slår också fast att akutvård ska finnas i hela landet, även i glest befolkade regioner. Motförslagets krav på definierade nationella beredskapssjukhus placerade efter civila och militära behov följer av dessa åtaganden.

  • medical preparednessdecisive»Sveriges självförsörjning av energi, livsmedel och medicinskt material behöver öka och snabbt kunna skalas upp vid långvariga störningar.« (2022 manifesto ↗)“Sweden's self-sufficiency in energy, food and medical material needs to increase and quickly scale up during prolonged disruptions.”
  • emergency care throughout the country»En viktig uppgift är att säkerställa att det finns akut- och förlossningsvård över hela landet, även i glest befolkade regioner samt att införa ett gemensamt nationellt patientjournalsystem.« (2022 manifesto ↗)“An important task is to ensure that emergency and maternity care exists throughout the country, even in sparsely populated regions and to introduce a joint national patient record system.”
  • crisis planning»Analysera och planera för olika typer av stora kriser« (2022 manifesto ↗)“Analyse and plan for various types of major crises”
  • total defense»Återupprätta ett totalförsvar som är rustat för krig« (2022 manifesto ↗)“Restore total defense that is equipped for war”

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Sources and documents

Documents under consideration

Source: The Swedish Parliament