2024-04-172023/24:SoU20 · p.4SoUHealth & social services
Knowledge-Based Care and Assistance
Knowledge-based care for older people
What's at stake: The decision affects the extent to which care for older people is grounded in research and proven knowledge, which matters to the quality and safety of the care older people receive.
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 take specific measures to strengthen knowledge-based care for older people, or whether ongoing efforts to build competence within elder care are sufficient.
Yes Yes — the committee proposal
The committee rejects the motion on knowledge-based care. The reason is that several efforts to strengthen competence within elder care are already under way, including the protected professional title of nursing assistant, the Elder Care Boost initiative that gives staff the opportunity to train during working hours, and work to produce and disseminate knowledge-enhancing material.
No No — the reservations
Reservation 4 (S, MP)
The reservation (S, MP) calls for the government to take measures to increase knowledge-based care. The reasoning is that knowledge at every level about which measures are effective makes both care and support knowledge-based, and clarifies in which areas knowledge and research need to grow.
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 4 by S, MP.
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 198–109Ja 181–126
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 21/0/0/3 | differs | confidence: medium | not addressed |
| S | No | No 0/92/0/14 | match | confidence: medium | derived |
| MP | No | No 0/16/0/2 | match | confidence: medium | not addressed |
| C | No | Yes 21/0/0/3 | differs | confidence: medium | derived |
| L | No | Yes 15/0/0/1 | differs | confidence: medium | not addressed |
| KD | No | Yes 17/0/0/2 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 59/0/0/9 | differs | confidence: medium | derived |
| SD | No | Yes 64/0/0/8 | differs | confidence: medium | derived |
Committee proposal
The Riksdag rejects the motion 2023/24:2705 by Ulrika Westerlund et al. (MP) motion 20.
Original (Swedish)
Riksdagen avslår motion 2023/24:2705 av Ulrika Westerlund m.fl. (MP) yrkande 20.
Riksdag decision: The Riksdag rejected approximately 70 proposals in motions on elderly care from the regular motion period of 2023. The motions dealt with, among other things, an elderly care law, strengthened medical expertise in municipalities, staffing and conditions in elderly care. The Riksdag refers, among other things, to ongoing work.
Counter-proposals
- The counter-proposal wants the government to propose new elderly care legislation during the mandate period. (S, MP) — Reservation 4
Plan vs actual vote
Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.
The election manifesto states that staff in care and nursing have practical knowledge that is crucial for lifting welfare and that it must be taken care of, and that employees should be given greatly increased influence; the party programme wants research to grow in scope.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto states that staff in care and nursing have practical knowledge that is crucial for lifting welfare and that it must be taken care of, and that employees should be given greatly increased influence; the party programme wants research to grow in scope. Systematically increasing evidence-based care and nursing thus lies in the plan's line. However, the plan also warns that knowledge work is being replaced by forms for quality assurance instead of resources.
Original (Swedish)
Valplattformen slår fast att personalen i vården och omsorgen har handfast kunskap som är avgörande för att lyfta välfärden och som måste tas om hand, och att de anställda bör få kraftigt utökat inflytande; partiprogrammet vill att forskningen växer i omfång. Att systematiskt öka den kunskapsbaserade vården och omsorgen ligger därmed i planens linje. Planen varnar dock samtidigt för att kunskapsarbete ersätts av formulär för kvalitetssäkring i stället för resurser.
- utilize staff's knowledgedecisive»De har handfast kunskap som är avgörande för att lyfta välfärden, och den behöver tas om hand.« (2022 manifesto ↗)“They have practical knowledge that is crucial for lifting welfare, and it needs to be taken care of.”
- research should grow»infrastrukturen och behöver växa i omfång.« (party programme ↗)“infrastructure and needs to grow in scope.”
- employees' influence»De anställda i välfärden bör också få ett kraftigt utökat inflytande över verksamheterna de arbetar i.« (2022 manifesto ↗)“Employees in welfare should also be given greatly increased influence over the operations they work in.”
- resources before documentation»Det är resurser som främst behövs, inte formulär för kvalitetssäkring, nya bokningssystem för sjukhussängar eller ännu en managementkonsult som inte kan något om verksamheten.« (2022 manifesto ↗)“It is resources that are mainly needed, not forms for quality assurance, new booking systems for hospital beds or yet another management consultant who knows nothing about the operation.”
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 places responsibility for skills supply in welfare on the state, wants to continue the investment in educating employees in elderly care during working hours and provide more support for specialist education in healthcare.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto places responsibility for skills supply in welfare on the state, wants to continue the investment in educating employees in elderly care during working hours and provide more support for specialist education in healthcare. The party programme makes research the foundation for knowledge development. The counter-proposal's demand for measures for more knowledge-based care and services follows from these commitments. The plan therefore supports the demand.
Original (Swedish)
Valmanifestet lägger ansvaret för kompetensförsörjningen i välfärden på staten, vill fortsätta satsningen på att anställda i äldreomsorgen utbildas på arbetstid och ge mer stöd till specialistutbildningar i vården. Partiprogrammet gör forskningen till grunden för kunskapsutvecklingen. Motförslagets krav på åtgärder för en mer kunskapsbaserad vård och omsorg följer av dessa åtaganden. Planen stöder därför kravet.
- state responsibility for skills supplydecisive»Säkerställ att det finns utbildad personal att anställa. Staten har ett ansvar för att säkra kompetensförsörjningen, inte minst i välfärden.« (2022 manifesto ↗)“Ensure that there is trained staff to employ. The state has responsibility for securing skills supply, especially in welfare.”
- education during working hours»Vi vill fortsätta satsningen på att anställda inom äldreomsorgen ska kunna utbildas på arbetstid.« (2022 manifesto ↗)“We want to continue the investment in educating employees in elderly care during working hours.”
- support for specialist education»Vi vill se ett språklyft för barnomsorgen och mer stöd till specialistutbildningar i vården, exempelvis för sjuksköterskor och undersköterskor.« (2022 manifesto ↗)“We want to see a language initiative for childcare and more support for specialist education in healthcare, for example for nurses and assistant nurses.”
- research as knowledge foundation»Forskningen utgör grunden för kunskapsutvecklingen i både samhälle och arbetsliv.« (party programme ↗)“Research forms the foundation for knowledge development in both society and working life.”
The party programme states that publicly funded care shall not support methods that lack scientific evidence and that policy should take research results into account.
Plan documents: party programme
Reasoning and quotes
The party programme states that publicly funded care shall not support methods that lack scientific evidence and that policy should take research results into account. Measures to increase knowledge-based care and social care are in the same direction. The plan furthermore requires sufficient and trained staff in social care, which is a prerequisite for knowledge to reach all levels.
Original (Swedish)
Partiprogrammet slår fast att den offentligt finansierade vården inte ska stödja metoder som saknar vetenskapligt stöd och att politiken ska ta tillvara forskningens resultat. Åtgärder för att öka den kunskapsbaserade vården och omsorgen är samma inriktning. Planen kräver dessutom tillräcklig och utbildad personal i omsorgen, vilket är en förutsättning för att kunskapen ska nå fram i alla led.
- science-based caredecisive»Den offentligt finansierade sjukvården ska dock inte uppmuntra eller stödja en patient att använda sig av metoder som saknar vetenskapligt stöd.« (party programme ↗)“However, publicly funded health care shall not encourage or support a patient to use methods that lack scientific evidence.”
- research-based policy»Politikens koppling till forskning är viktig och forskningens resultat bör tas tillvara« (party programme ↗)“The connection between policy and research is important and research results should be taken into account”
- evidence-based methods»Missbrukspolitiken bör utgå från de metoder som forskningen visat vara mest effektiva« (party programme ↗)“Substance abuse policy should be based on the methods that research has shown to be most effective”
- trained care staff»Då ska man kunna vara trygg med att det finns en god omsorg med hög kvalitet och tillräcklig och utbildad personal.« (party programme ↗)“Then one should be able to be confident that there is good care with high quality and sufficient and trained staff.”
The party programme establishes that care and health services throughout the country shall be based on science and proven experience, and the election manifesto demands the right to competence development for healthcare assistants and nurses and improved quality in elder care.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme establishes that care and health services throughout the country shall be based on science and proven experience, and the election manifesto demands the right to competence development for healthcare assistants and nurses and improved quality in elder care. Measures for more knowledge-based care and health services are precisely what those commitments require in practice. The plan does not specify what measures are meant, which is why the position is derived.
Original (Swedish)
Partiprogrammet slår fast att vård och omsorg i hela landet ska vila på vetenskap och beprövad erfarenhet, och valmanifestet kräver rätt till kompetensutveckling för under- och sjuksköterskor samt höjd kvalitet i äldreomsorgen. Åtgärder för en mer kunskapsbaserad vård och omsorg är precis vad de åtagandena kräver i praktiken. Planen preciserar inte vilka åtgärder som avses, varför ställningstagandet är härlett.
- care based on sciencedecisive»God vård och omsorg i hela landet, baserad på vetenskap och beprövad erfarenhet« (party programme ↗)“Good care and health services throughout the country, based on science and proven experience”
- right to competence development»Den som jobbar i vård och omsorg ska kunna växa och vidareutvecklas i sitt yrke. Vi vill ge alla undersköterskor och sjuksköterskor rätt till kompetensutveckling.« (2022 manifesto ↗)“Those who work in care and health services shall be able to grow and develop in their profession. We want to give all healthcare assistants and nurses the right to competence development.”
- revalued care professions»Vi vill uppvärdera statusen för kvinnodominerande yrken och förbättra arbetsvillkoren inom offentlig sektor, bland annat genom karriärtjänster och rätt till kompetensutveckling.« (2022 manifesto ↗)“We want to revalue the status of female-dominated professions and improve working conditions in the public sector, including through career positions and the right to competence development.”
- improved quality in care»Kvaliteten i sjukvården och äldreomsorgen ska lyftas.« (2022 manifesto ↗)“The quality of healthcare and elder care shall be improved.”
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 care, treatment, and rehabilitation are provided on a scientific basis and that professionals in licensed professions have the right to continuing education throughout their careers.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan requires that care, treatment, and rehabilitation are provided on a scientific basis and that professionals in licensed professions have the right to continuing education throughout their careers. Measures for more knowledge-based care are a direct application of that commitment. The plan also sets concrete competency requirements for staff in elderly care and wants to improve working conditions so that knowledge can be built up.
Original (Swedish)
Planen kräver att vård, behandling och rehabilitering ges på vetenskaplig grund och att personal i legitimationsyrken har rätt till fortbildning genom hela yrkeslivet. Åtgärder för en mer kunskapsbaserad vård och omsorg är en direkt tillämpning av det åtagandet. Planen ställer också konkreta kompetenskrav på personalen i äldreomsorgen och vill förbättra arbetsvillkoren så att kunskapen kan byggas upp.
- care on a scientific basisdecisive»Vård, behandling och rehabilitering av fysiska och psykiska sjukdomar ska ges på vetenskaplig« (party programme ↗)“Care, treatment, and rehabilitation of physical and mental illnesses should be provided on a scientific”
- continuing education throughout career»Personal i legitimationsyrken ska ha rätt till fortbildning under hela yrkeslivet och alltid« (party programme ↗)“Professionals in licensed professions should have the right to continuing education throughout their careers and always”
- competency requirements in elderly care»All personal ska ha tillräckliga kunskaper i det svenska språket.« (2022 manifesto ↗)“All staff should have sufficient knowledge of the Swedish language.”
- good working conditions in healthcare»För att klara det måste de som arbetar inom vården mötas av goda arbetsvillkor, fler kollegor och bra löneutveckling.« (2022 manifesto ↗)“To manage that, those who work in healthcare must be met with good working conditions, more colleagues, and good wage development.”
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 explicitly requires that care shall be based on knowledge and proven experience, that is, evidence-based, which is precisely what the counter-proposal wants to increase.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme explicitly requires that care shall be based on knowledge and proven experience, that is, evidence-based, which is precisely what the counter-proposal wants to increase. The election manifesto moreover promises increased medical competence in elderly care and continuous competence development for personnel in home care and in care homes. The programme's requirement for evaluation and quality control also carries the task of clarifying where knowledge needs to increase.
Original (Swedish)
Principprogrammet kräver uttryckligen att vården ska vara baserad på kunskap och beprövad erfarenhet, det vill säga evidensbaserad, vilket är precis vad motförslaget vill öka. Valmanifestet lovar dessutom ökad medicinsk kompetens inom äldreomsorgen och kontinuerlig kompetensutveckling för personalen i hemtjänst och på äldreboenden. Programmets krav på utvärdering och kvalitetskontroll bär också uppgiften att tydliggöra var kunskapen behöver öka.
- evidence-based caredecisive»Den solidariskt finansierade hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna och baserad på kunskap och beprövad erfarenhet, det vill säga evidensbaserad.« (party programme ↗)“The solidarity-financed health and medical care shall be appropriate and cost-effective, safe for patients and based on knowledge and proven experience, that is, evidence-based.”
- increased medical competence»Ökad medicinsk kompetens inom äldreomsorgen.« (2022 manifesto ↗)“Increased medical competence in elderly care.”
- continuous competence development»Säkerställ att personal inom hemtjänst och äldreboenden har möjlighet till kontinuerlig kompetensutveckling.« (2022 manifesto ↗)“Ensure that staff in home care and care homes have the opportunity for continuous competence development.”
- follow-up and quality control»Utvärdering, kostnadsuppföljning och kvalitetskontroll är därför viktiga politiska uppgifter.« (party programme ↗)“Evaluation, cost follow-up and quality control are therefore important political tasks.”
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 wishes to improve care through digital decision support and structured working methods, strengthen research and give care staff better opportunity for further training.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wishes to improve care through digital decision support and structured working methods, strengthen research and give care staff better opportunity for further training. That is precisely the knowledge-building at all levels the counter-proposal demands. The programme's principle that reforms shall rest on research and proven experience points the same way.
Original (Swedish)
Planen vill förbättra vården med digitala beslutsstöd och strukturerade arbetssätt, stärka forskningen och ge vårdens medarbetare bättre möjligheter till vidareutbildning. Det är precis den kunskapsuppbyggnad i alla led som motförslaget efterfrågar. Programmets princip att reformer ska luta sig mot forskning och beprövad erfarenhet pekar åt samma håll.
- knowledge support in caredecisive»Förbättra möjligheterna att ställa tidigare diagnoser, bland annat med hjälp av digitala beslutsstöd och strukturerade arbetssätt med till exempel riskprofilering« (2022 manifesto ↗)“Improve opportunity to diagnose earlier, not least with the help of digital decision support and structured working methods such as risk profiling”
- further training for care staff»Stärka vårdens medarbetare, bland annat genom att förbättra arbetsmiljön och möjligheterna till vidareutbildning« (2022 manifesto ↗)“Strengthen care staff, not least by improving working environment and opportunities for further training”
- strengthened care research»Stärka forskningen gällande sjukdomar som drabbar kvinnor« (2022 manifesto ↗)“Strengthen research concerning diseases affecting women”
flags: citat_blockerat
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 states that expertise in various diagnoses and diseases is required to meet the actual needs, wants to see a national knowledge enhancement and requires national quality standards that must not be compromised.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan states that expertise in various diagnoses and diseases is required to meet the actual needs, wants to see a national knowledge enhancement and requires national quality standards that must not be compromised. The counter-proposal's demand for measures for more knowledge-based care and support aligns with this and with the requirement for clear results for public investments. The plan therefore supports the demand.
Original (Swedish)
Planen slår fast att det krävs kompetens kring olika diagnoser och sjukdomar för att tillgodose de behov som faktiskt finns, vill se ett nationellt kunskapslyft och kräver nationella kvalitetskrav som inte får underskridas. Motförslagets krav på åtgärder för en mer kunskapsbaserad vård och omsorg ligger i linje med detta och med kravet på tydliga resultat för offentliga satsningar. Planen stöder därför kravet.
- expertise in care and supportdecisive»Det krävs därför kompetens kring olika diagnoser och sjukdomar för att tillgodose de behov som faktiskt finns.« (2022 manifesto ↗)“Expertise in various diagnoses and diseases is therefore required to meet the needs that actually exist.”
- national knowledge enhancement»Se ett nationellt LSS-lyft« (2022 manifesto ↗)“See a national LSS enhancement”
- national quality standards»Nationella kvalitetskrav inom vård och omsorg måste finnas och får inte underskridas.« (party programme ↗)“National quality standards in care and support must exist and must not be compromised.”
- results-based governance»Begära tydliga resultat för varje offentlig satsning« (2022 manifesto ↗)“Demand clear results for every public investment”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
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Sources and documents
- The committee report on riksdagen.se (2023/24:SoU20)
- Committee report full text (HB01SoU20)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2023/24:1190 — Värdighet för äldre och professionalisering av äldreomsorgen av Markus Wiechel (SD)
- Motion 2023/24:1204 — Stärkt äldreomsorg av Johanna Haraldsson m.fl. (S)
- Motion 2023/24:1274 — Att bryta ofrivillig ensamhet och isolering av Marie-Louise Hänel Sandström (M)
- Motion 2023/24:1300 — Ny lagstiftning för att värna säkerhet och trygghet för personer med demenssjukdom av Hanna Westerén (S)
- Motion 2023/24:1427 — Pilotprojekt - seniorhälsa av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:1858 — Lagen om valfrihetssystem av Markus Kallifatides m.fl. (S)
- Motion 2023/24:1974 — Fallolyckor hos äldre av Linus Sköld m.fl. (S)
- Motion 2023/24:1976 — Stärka undersköterskornas yrkesroll av Zara Leghissa m.fl. (S)
- Motion 2023/24:2033 — Förbehållsbelopp för utsatta äldre av Jim Svensk Larm m.fl. (S)
- Motion 2023/24:2072 — Folkhälsan i fokus av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2023/24:2154 — Språkkrav inom vård och äldreomsorg av Johanna Rantsi (M)
- Motion 2023/24:2210 — Språktest för arbete i omsorg/äldreomsorg av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:227 — En trygg äldreomsorg för jämlikhet av Karin Rågsjö m.fl. (V)
- Motion 2023/24:2308 — Kommunala läkare av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2309 — Krav på registerutdrag för arbete i hemtjänst och äldreomsorg av Ann-Sofie Lifvenhage (M)
- Motion 2023/24:2310 — Rimliga avgifter inom äldreomsorgen av Sten Bergheden (M)
- Motion 2023/24:2313 — Språkkrav för vissa jobb inom omsorgen av Sten Bergheden (M)
- Motion 2023/24:2314 — Äldres rätt att välja sin mat av Sten Bergheden (M)
- Motion 2023/24:2366 — Bemanning i verksamheter nära medborgarna av Gunilla Svantorp m.fl. (S)
- Motion 2023/24:2461 — Förbättrade måltider för äldre i det offentliga av Catarina Deremar (C)
Source: The Swedish Parliament