2024-06-182023/24:SoU17 · p.6SoUHealth & social services

Follow-up of the national family carer strategy

Follow-up on the national strategy for family caregivers

What's at stake: A follow-up would give a clearer picture of how support for relatives who care for or support family members is developing and could add pressure to keep up the pace of reform, but the committee considers that several other ongoing efforts in social services already address the need.

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 be tasked with a strategic follow-up of how the national strategy for family caregivers is being implemented, or whether the ongoing work in social services is already sufficient without such an instruction.

Yes Yes — the committee proposal

The committee does not consider there to be reason to take any initiative on a separate follow-up of the strategy for family caregivers, citing ongoing work on the Social Services Act, government grants for reform, and other efforts within social services, and therefore rejects the motion.

No No — the reservations

Reservation 12 (S, MP)

The reservation calls for the government to be tasked with a strategic follow-up of how the national strategy for family caregivers is being implemented, to ensure the work of strengthening support for relatives continues.

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 12 by S, MP.

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 20/0/0/4departs from the planconfidence: mediumnot addressed
Sown reservationNoNo 0/93/0/13follows the planconfidence: lownot addressed
MPown reservationNoNo 0/15/0/3follows the planconfidence: mediumnot addressed
CNoYes 21/0/0/3departs from the planconfidence: lownot addressed
LNoYes 13/0/0/3departs from the planconfidence: mediumnot addressed
KDNoYes 16/0/0/3departs from the planconfidence: mediumnot addressed
MNoYes 60/0/0/8departs from the planconfidence: lownot addressed
SDNoYes 63/0/0/9departs from the planconfidence: mediumnot addressed

Committee proposal

Parliament rejects motion 2023/24:2617 by Fredrik Lundh Sammeli et al. (S) demand 54.

Original (Swedish)

Riksdagen avslår motion 2023/24:2617 av Fredrik Lundh Sammeli m.fl. (S) yrkande 54.

Riksdag decision: Parliament said no to approximately 90 proposals in motions about social services' work from the general motion period of 2023. The motions concern, for example, social services' work, income support and other support services, homelessness, support for family carers and adoption. Parliament refers, among other things, to the fact that work is already ongoing in the areas that the motions address.

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 points out that relatives, especially women, are forced to take an ever greater responsibility when healthcare is insufficient, and wants to invest in higher quality in care to achieve a better division of roles between professional care and relatives.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan points out that relatives, especially women, are forced to take an ever greater responsibility when healthcare is insufficient, and wants to invest in higher quality in care to achieve a better division of roles between professional care and relatives. It establishes that both users and relatives should be able to live as free lives as possible and that support should always be available. A follow-up that ensures family support is continued aligns with that commitment.

Original (Swedish)

Planen pekar ut att anhöriga, särskilt kvinnor, tvingas ta ett allt större ansvar när vården inte räcker till, och vill investera i högre kvalitet i omsorgen för att få en bättre rollfördelning mellan professionell omsorg och anhöriga. Den slår fast att både brukare och anhöriga ska kunna leva så fria liv som möjligt och att stöd alltid ska finnas att få. En uppföljning som säkerställer att anhörigstödet drivs vidare ligger i linje med det åtagandet.

  • reduce carers' burdendecisive»När vården inte räcker till tvingas anhöriga, särskilt kvinnor, att ta ett allt större ansvar.« (2022 manifesto ↗)“When healthcare is insufficient, relatives, especially women, are forced to take an ever greater responsibility.”
  • better role division in care»Vi vill investera i högre kvalitet i omsorgen för äldre och personer med« (party programme ↗)“We want to invest in higher quality in care for elderly and people with”
  • support for users and relatives»brukare och anhöriga kan leva så fria liv som möjligt.« (party programme ↗)“users and relatives can live as free lives as possible.”
  • security in support throughout life»Alla ska känna sig trygga i att det finns stöd att få när vi behöver det.« (party programme ↗)“Everyone should feel secure that there is support to be had when we need it.”

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.

SSocialdemokraternaNoNofollows the plannot addressed

Carer support as such is not addressed in the plan, but the election manifesto is built on the state ensuring that care is equally good throughout the country and that oversight is strengthened to guarantee quality.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

Carer support as such is not addressed in the plan, but the election manifesto is built on the state ensuring that care is equally good throughout the country and that oversight is strengthened to guarantee quality. A strategic follow-up of how the carer strategy is implemented is precisely such an instrument to control that the commitment is fulfilled. The conclusion is derived from the plan's general care and follow-up commitments, not from a stated requirement.

Original (Swedish)

Anhörigstödet som sådant behandlas inte i planen, men valmanifestet bygger på att staten ska säkerställa att omsorgen blir lika bra i hela landet och att tillsynen växlas upp för att garantera kvaliteten. En strategisk uppföljning av hur anhörigstrategin införs är just ett sådant instrument för att kontrollera att åtagandet fullföljs. Slutsatsen är härledd ur planens allmänna omsorgs- och uppföljningsåtaganden, inte ur ett uttalat krav.

  • state responsibility for equivalent caredecisive»Vi vill ha en ny äldreomsorgslag som säkerställer att alla får en lika bra omsorg i hela landet« (2022 manifesto ↗)“We want a new elderly care act that ensures everyone gets equally good care throughout the country”
  • strengthened follow-up and oversight»Tillsynen av sjukvården ska växlas upp för att garantera kvaliteten.« (2022 manifesto ↗)“Oversight of healthcare shall be strengthened to guarantee quality.”
  • support to relieve carers»Vi ska säkra rätten till personlig assistans och arbeta vidare med förslagen om att förbättra sjukersättningen.« (2022 manifesto ↗)“We shall secure the right to personal assistance and continue working on proposals to improve sickness allowance.”
  • equivalent care nationwide»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 schools, healthcare and care.”
MPMiljöpartietNoNofollows the plannot addressed

The election manifesto identifies those who need to care for a relative as among those whose safety net is insufficient, and the party programme requires that relatives should feel seen and have their wishes met.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The election manifesto identifies those who need to care for a relative as among those whose safety net is insufficient, and the party programme requires that relatives should feel seen and have their wishes met. The plan also establishes that the quality of the welfare system should constantly be monitored. A strategic follow-up of how the relatives' strategy is implemented is just such a tool to advance support to relatives, and the counter-proposal's demand is thereby in line with the plan.

Original (Swedish)

Valmanifestet pekar ut den som behöver vårda en närstående som en av dem vars skyddsnät inte räcker till, och programmet kräver att anhöriga ska känna sig sedda och få sina önskemål tillmötesgångna. Planen slår också fast att kvaliteten i välfärden ständigt ska följas upp. En strategisk uppföljning av hur anhörigstrategin införs är just ett sådant verktyg för att driva vidare stödet till anhöriga, och motförslagets krav ligger därmed i linje med planen.

  • relatives' needs should be metdecisive»De anhöriga ska känna sig sedda och deras önskemål tillmötesgås så långt som det är möjligt.« (party programme ↗)“Relatives should feel seen and their wishes met as far as possible.”
  • support for caring for a relative»Det visar sig snabbt för den som till exempel förlorar jobbet, blir långvarigt sjuk eller behöver vårda en närstående.« (2022 manifesto ↗)“It becomes clear quickly for someone who, for example, loses their job, becomes chronically ill, or needs to care for a relative.”
  • continuous monitoring of the welfare system»Kvaliteten ska ständigt följas upp med olika slags verktyg.« (party programme ↗)“Quality should constantly be monitored using various tools.”
  • strengthened care and nursing»förbättra vård och omsorg för äldre och stärka resurserna till hemsjukvården.« (2022 manifesto ↗)“improve care and nursing for the elderly and strengthen resources for home healthcare.”
CCenterpartietNoYesdeparts from the plannot addressed

The caregiver strategy is not mentioned in the plan, but the plan states that quality in healthcare and elderly care shall be raised and that the state shall take greater responsibility for support to people with disability actually working.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The caregiver strategy is not mentioned in the plan, but the plan states that quality in healthcare and elderly care shall be raised and that the state shall take greater responsibility for support to people with disability actually working. Strategic follow-up of how caregiver support is implemented lies in line with that responsibility and with the plan's goal of secure care throughout life. The demand is moreover limited to follow-up and does not concern the principal responsibility, which the plan wants to leave untouched.

Original (Swedish)

Anhörigstrategin nämns inte i planen, men planen slår fast att kvaliteten i sjukvården och äldreomsorgen ska lyftas och att staten ska ta ett större ansvar för att stödet till personer med funktionsnedsättning faktiskt fungerar. En strategisk uppföljning av hur anhörigstödet införs ligger i linje med det ansvarsutkrävandet och med planens mål om trygg omsorg genom hela livet. Kravet är dessutom begränsat till uppföljning och rör inte huvudmannaskapet, som planen vill lämna orört.

  • state responsibility for supportdecisive»Du som har en funktionsnedsättning ska få det stöd du behöver, och staten ska ta ett större ansvar för att LSS fungerar.« (2022 manifesto ↗)“If you have a disability you shall receive the support you need, and the state shall take greater responsibility for LSS to work.”
  • raised quality in care»Kvaliteten i sjukvården och äldreomsorgen ska lyftas.« (2022 manifesto ↗)“Quality in healthcare and elderly care shall be raised.”
  • secure old age»Alla ska kunna få en trygg ålderdom med hög livskvalitet och värdighet.« (party programme ↗)“Everyone shall be able to get a secure old age with high quality of life and dignity.”
  • care close to the person»Vi vill försvara valfriheten inom vård och omsorg och bedriva verksamheten nära vårdtagarna.« (2022 manifesto ↗)“We want to defend choice in care and healthcare and conduct the activity close to those being cared for.”

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 plannot addressed

The party programme commits that support for relatives needs to be improved and that family support shall be part of the care guarantee.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The party programme commits that support for relatives needs to be improved and that family support shall be part of the care guarantee. A strategic follow-up of how the family care strategy is implemented is a means for precisely that commitment, even though the plan does not express itself on follow-up forms. The plan is silent on the committee's reference to ongoing work with the social services law.

Original (Swedish)

Partiprogrammet åtar sig att stödet till anhöriga behöver förbättras och att anhörigstödet ska ingå i omsorgsgarantin. En strategisk uppföljning av hur anhörigstrategin införs är ett medel för just det åtagandet, även om planen inte uttalar sig om uppföljningsformer. Planen är tyst om utskottets hänvisning till pågående arbete med socialtjänstlagen.

  • improved family supportdecisive»Stödet till anhöriga som tar hand om sina nära behöver förbättras.« (party programme ↗)“Support for relatives who care for their loved ones needs to be improved.”
  • family support in the care guarantee»Anhörigstödet ska ingå i« (party programme ↗)“Family support shall be part of”
  • more secure elder care»Mer trygghet i äldreomsorgen.« (2022 manifesto ↗)“More security in elder care.”
  • care against loneliness»Äldreomsorgen ska bidra till att bryta ofrivillig ensamhet.« (party programme ↗)“Elder care shall contribute to breaking involuntary loneliness.”

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 party programme describes the care efforts of family members as an invaluable asset that needs to be utilized, made visible and encouraged, and requires well-developed care with support for family members.

Plan documents: party programme

Reasoning and quotes

The party programme describes the care efforts of family members as an invaluable asset that needs to be utilized, made visible and encouraged, and requires well-developed care with support for family members. The plan also establishes that evaluation and follow-up are important political tasks. A strategic follow-up of the national family support strategy thus follows from the plan's commitments.

Original (Swedish)

Partiprogrammet beskriver anhörigas vårdinsatser som en ovärderlig tillgång som behöver tas tillvara, synliggöras och uppmuntras, och kräver en väl utbyggd omsorg med stöd till anhöriga. Planen slår också fast att utvärdering och uppföljning är viktiga politiska uppgifter. En strategisk uppföljning av den nationella anhörigstrategin följer därmed av planens åtaganden.

  • family members' efforts are utilizeddecisive»Anhörigas vårdinsatser är en ovärderlig tillgång« (party programme ↗)“Family members' care efforts are an invaluable asset”
  • make family support visible»som behöver tas tillvara, synliggöras och uppmuntras.« (party programme ↗)“that need to be utilized, made visible and encouraged.”
  • follow-up as a political task»medborgarnas intresse. Utvärdering, kostnadsuppföljning och kvalitetskontroll är därför viktiga politiska« (party programme ↗)“citizens' interest. Evaluation, cost follow-up and quality control are therefore important political”
  • well-developed elderly care»väl utbyggd med hemtjänst och hemsjukvård, olika former av dagverksamhet samt ett varierat utbud av boendeformer.« (party programme ↗)“well-developed with home care and home healthcare, various forms of daily activities and a varied range of housing options.”

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 family care strategy is not mentioned in the plan, so the position must be derived.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The family care strategy is not mentioned in the plan, so the position must be derived. The nearest guiding principle is that welfare exists for those who are vulnerable and that there must always be a way back, combined with the plan's line that support structures around vulnerable people should be strengthened and followed up. A strategic follow-up of how family care support is implemented is a limited and follow-up demand that is in line with this. Therefore, the plan supports the demand, but the ground is weak.

Original (Swedish)

Anhörigstrategin nämns inte i planen, så ställningstagandet får härledas. Närmast liggande princip är att välfärden ska finnas för den som är utsatt och att det alltid ska finnas en väg tillbaka, kombinerat med planens linje att stödstrukturer runt sårbara personer ska förstärkas och följas upp. En strategisk uppföljning av hur anhörigstödet införs är ett begränsat och uppföljande krav som ligger i linje med detta. Därför stöder planen kravet, men underlaget är svagt.

  • responsibility for the disadvantageddecisive»Det ska alltid finnas en väg tillbaka för den som misslyckats« (party programme ↗)“There must always be a way back for those who have failed”
  • strengthened support functions»Stärka Bris nationella stödlinje och andra stödlinjer så att de kan hålla öppet dygnet runt« (2022 manifesto ↗)“Strengthen Bris national support line and other support lines so they can be open 24/7”
  • continuity in elderly care»Se till att den patientansvariga läkarkontakten ska utgöra navet i äldres sjukvård« (2022 manifesto ↗)“Make sure that the responsible physician contact forms the core of care 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.

SDSverigedemokraternaNoYesdeparts from the plannot addressed

The plan requires clear results and demonstrable citizen benefit for every public investment, which is precisely what a strategic follow-up of the family care strategy would provide.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan requires clear results and demonstrable citizen benefit for every public investment, which is precisely what a strategic follow-up of the family care strategy would provide. The plan furthermore lifts the family's role in care and that relatives' and volunteer organisations' efforts must be utilised. The requirement for follow-up thus lies in line with the plan, even though the family care strategy is not mentioned.

Original (Swedish)

Planen kräver tydliga resultat och påvisbar medborgarnytta för varje offentlig satsning, vilket är precis vad en strategisk uppföljning av anhörigstrategin skulle ge. Planen lyfter dessutom familjens roll i omsorgen och att anhörigas och frivilligorganisationers insatser måste tillvaratas. Kravet på uppföljning ligger därför i linje med planen, även om anhörigstrategin inte nämns.

  • results demands on public investmentsdecisive»Begära tydliga resultat för varje offentlig satsning« (2022 manifesto ↗)“Demand clear results for every public investment”
  • citizen benefit in welfare»Sverigedemokraterna vill koncentrera de offentliga utgifterna till välfärdens hjärta och begära tydlig medborgarnytta för alla satsningar.« (2022 manifesto ↗)“Sweden Democrats want to concentrate public spending on the heart of welfare and demand clear citizen benefit for all investments.”
  • family's role in care»Synen på familjens starka roll och gemenskap i sammanhanget ska inte förringas.« (2022 manifesto ↗)“The view on the family's strong role and community in this context should not be diminished.”
  • family care efforts utilised»Frivilligorganisationer som anhörigföreningar och andra volontärinsatser är viktiga« (party programme ↗)“Volunteer organisations such as family care associations and other volunteer efforts are important”

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

Documents under consideration

Source: The Swedish Parliament