2023-03-222022/23:SoU22 · p.8SoUHealth & social services
Extension of the Elderly Care Initiative
Extending the Elderly Care Boost skills initiative
What's at stake: The issue concerns whether staff in elderly care will continue to be able to train and further train on paid working time, which affects staffing and the quality of care for older people.
Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.
What the vote decides
Parliament decides whether the Elderly Care Boost skills-development initiative should be extended through the end of the parliamentary term, or end after 2023 as announced in the budget bill.
Yes Yes — the committee proposal
The committee rejects the motions. It notes that the Elderly Care Boost, presented by the government in May 2020, has been allocated funding every year since then, and does not find a separate parliamentary statement on an extension necessary beyond the decisions already made.
No No — the reservations
Reservation 16 (S, V, MP)
The reservation (S, V, MP) calls for extending the Elderly Care Boost at least through the end of the parliamentary term, arguing the initiative has so far been successful and given staff the chance to train and further train on paid working time, and criticizes the government's announcement that it plans to end the initiative after 2023.
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 16 by S, V, MP.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have gone the other way
Explicit commitments that contradicted the vote: CCenterpartiet, KDKristdemokraterna
Ja 176–130Nej 138–168
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 | No 0/21/0/3 | match | confidence: medium | not addressed |
| S | No | No 0/93/0/14 | match | confidence: high | explicit |
| MP | No | No 0/16/0/2 | match | confidence: medium | not addressed |
| C | No | Yes 21/0/0/3 | differsagainst own programme | confidence: high | explicit |
| L | No | Yes 14/0/0/2 | differs | confidence: medium | not addressed |
| KD | No | Yes 17/0/0/2 | differsagainst own programme | confidence: medium | explicit |
| M | No | Yes 60/0/0/8 | differs | confidence: medium | not addressed |
| SD | No | Yes 64/0/0/9 | differs | confidence: medium | not addressed |
Committee proposal
Parliament rejects the motions 2022/23:696 by Niklas Sigvardsson et al. (S) demand 1, 2022/23:2018 by Paula Holmqvist et al. (S) and 2022/23:2061 by Fredrik Lundh Sammeli et al. (S) demand 44.
Original (Swedish)
Riksdagen avslår motionerna 2022/23:696 av Niklas Sigvardsson m.fl. (S) yrkande 1, 2022/23:2018 av Paula Holmqvist m.fl. (S) och 2022/23:2061 av Fredrik Lundh Sammeli m.fl. (S) yrkande 44.
Riksdag decision: Parliament rejected approximately 90 proposals in motions submitted during the general motion period of 2022, primarily citing ongoing work. The proposals in the motions concerned, among other things, elderly people's rights, the organization and financing of elderly care, personnel continuity and conditions, language requirements for elderly care staff, and nutrition and meals for the elderly.
Counter-proposals
- The counter-proposal wants the government to present a proposal for new elderly care legislation during the term. (S, V, MP) — Reservation 16
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's crucial commitment is to invest in care personnel so that the staff shortage disappears and conditions are strengthened, and it points to the welfare debt after decades of cuts.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan's crucial commitment is to invest in care personnel so that the staff shortage disappears and conditions are strengthened, and it points to the welfare debt after decades of cuts. A continued investment that gives staff the opportunity to train during paid working time is precisely such a building of quality and competence. The plan also emphasises that education occurs throughout life.
Original (Swedish)
Planens avgörande åtagande är att satsa på omsorgens personal så att personalbristen försvinner och villkoren stärks, och den pekar på välfärdsskulden efter decennier av nedskärningar. En fortsatt satsning som ger personal möjlighet att utbilda sig på betald arbetstid är precis en sådan uppbyggnad av kvalitet och kompetens. Planen understryker också att bildning sker genom hela livet.
- investment in care personneldecisive»Därför vill Vänsterpartiet satsa mer resurser på hälso- och sjukvården och äldreomsorgen, samt satsa på personalen så att vi samtidigt får bort personalbristen och stärker personalens villkor och arbetsmiljö.« (2022 manifesto ↗)“Therefore the Left Party wants to invest more resources in healthcare and elderly care, and invest in personnel so that at the same time we get rid of the staff shortage and strengthen staff conditions and working environment.”
- rebuilt welfare quality»Välfärdsskulden som uppstått innebär att hundratusentals jobb försvunnit ur skola, vård och omsorg sedan 1990-talet, och det behövs en politisk vilja för att successivt börja bygga upp en bättre kvalitet igen.« (2022 manifesto ↗)“The welfare debt that has accumulated means that hundreds of thousands of jobs have disappeared from schools, healthcare and care since the 1990s, and it takes political will to successively start rebuilding better quality.”
- lifelong learning»Bildning sker genom hela livet.« (2022 manifesto ↗)“Education occurs throughout life.”
- better conditions in care professions»Avskaffande av delade turer, fasta anställningar på heltid« (party programme ↗)“Abolition of split shifts, full-time permanent employment”
The election manifesto explicitly says that the initiative for employees in elderly care to be able to study during working time shall continue, which is precisely what the counter-proposal requires.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto explicitly says that the initiative for employees in elderly care to be able to study during working time shall continue, which is precisely what the counter-proposal requires. The plan moreover wants more to be educated and employed in elderly care and states the state's responsibility for competence supply in welfare. The demand for extension thus lies straight in line with the plan.
Original (Swedish)
Valmanifestet säger uttryckligen att satsningen på att anställda inom äldreomsorgen ska kunna utbildas på arbetstid ska fortsätta, vilket är exakt det motförslaget kräver. Planen vill dessutom att fler utbildas och anställs i äldreomsorgen och slår fast statens ansvar för kompetensförsörjningen i välfärden. Kravet på förlängning ligger därmed rakt i linje med planen.
- education during working time continuesdecisive»Vi vill fortsätta satsningen på att anställda inom äldreomsorgen ska kunna utbildas på arbetstid.« (2022 manifesto ↗)“We want to continue the initiative for employees in elderly care to be able to study during working time.”
- more educated in elderly care»Fler ska utbildas och anställas inom äldreomsorgen och tillsynen av personalens arbetsmiljö ska förbättras.« (2022 manifesto ↗)“More shall be educated and employed in elderly care and supervision of employee working environment shall be improved.”
- state competence supply responsibility»Staten har ett ansvar för att säkra kompetensförsörjningen, inte minst i välfärden.« (2022 manifesto ↗)“The state has a responsibility to ensure competence supply, particularly in welfare.”
The plan sees elderly care staffing and expertise as decisive: the party programme requires sufficient and trained staff and that elderly care becomes a good employer, and the election manifesto wants to raise wages and secure good working conditions in healthcare.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan sees elderly care staffing and expertise as decisive: the party programme requires sufficient and trained staff and that elderly care becomes a good employer, and the election manifesto wants to raise wages and secure good working conditions in healthcare. A continued initiative that gives staff opportunity to train on paid working time is such a package of measures, in line with the plan's belief in lifelong learning. The counter-proposal's requirement for extension is therefore supported.
Original (Swedish)
Planen ser äldreomsorgens bemanning och kompetens som avgörande: partiprogrammet kräver tillräcklig och utbildad personal och att äldreomsorgen blir en bra arbetsgivare, och valmanifestet vill höja lönerna och säkra en god arbetsmiljö i vården. En fortsatt satsning som ger personal möjlighet att utbilda sig på betald arbetstid är ett sådant åtgärdspaket, i linje med planens tro på livslångt lärande. Motförslagets krav på förlängning stöds därför.
- elderly care as good employerdecisive»viktigast att ge unga människor vägar in i arbetslivet. För äldreomsorgen handlar det om åtgärder« (party programme ↗)“important to give young people paths into working life. For elderly care it is about measures”
- upgrade care and nursing occupations»höja lönerna och säkra en god arbetsmiljö i vården.« (2022 manifesto ↗)“raise wages and secure good working conditions in healthcare.”
- trained staff in care»tillräcklig och utbildad personal. De anhöriga ska« (party programme ↗)“sufficient and trained staff. Their relatives shall”
- lifelong learning»Vi tror på folkbildningen och det livslånga lärandet.« (party programme ↗)“We believe in popular education and lifelong learning.”
The election manifesto states that those working in care and nursing should be able to further their education with maintained pay and gives all nursing assistants and nurses the right to skills development.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto states that those working in care and nursing should be able to further their education with maintained pay and gives all nursing assistants and nurses the right to skills development. That is precisely what investment in education on paid time accomplishes, so extending it is in line with the plan. The plan also links better working conditions in female-dominated welfare professions to both care quality and equality.
Original (Swedish)
Valmanifestet slår fast att den som arbetar i vård och omsorg ska kunna vidareutbilda sig med bibehållen lön och ger alla undersköterskor och sjuksköterskor rätt till kompetensutveckling. Det är precis det som satsningen på utbildning på betald arbetstid åstadkommer, varför en förlängning ligger i linje med planen. Planen kopplar dessutom bättre arbetsvillkor i kvinnodominerade välfärdsyrken till både vårdkvalitet och jämställdhet.
- education on paid timedecisive»vidareutbilda sig med bibehållen lön« (2022 manifesto ↗)“further their education with maintained pay”
- right to skills development»Vi vill ge alla undersköterskor och sjuksköterskor rätt till kompetensutveckling.« (2022 manifesto ↗)“We want to give all nursing assistants and nurses the right to skills development.”
- raise the status of welfare 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 raise the status of female-dominated professions and improve working conditions in the public sector, among other things through career positions and the right to skills development.”
- working conditions give quality»Bättre arbetsvillkor leder till bättre vård.« (2022 manifesto ↗)“Better working conditions lead to better care.”
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 establishes that those who work in healthcare shall meet good working conditions, more colleagues and good wage development, and the party programme wants the individual always to have many opportunities to learn anew and that there are incentives for skills development.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto establishes that those who work in healthcare shall meet good working conditions, more colleagues and good wage development, and the party programme wants the individual always to have many opportunities to learn anew and that there are incentives for skills development. An initiative giving care staff education during paid working time is precisely such an instrument. The plan thus argues for the counter-proposal's demand for extension, even though it does not mention this specific initiative.
Original (Swedish)
Valmanifestet slår fast att de som arbetar i vården ska mötas av goda arbetsvillkor, fler kollegor och bra löneutveckling, och partiprogrammet vill att den enskilde alltid ska ha många möjligheter att lära nytt och att det finns incitament för kompetensutveckling. En satsning som ger omsorgspersonal utbildning på betald arbetstid är precis ett sådant instrument. Planen talar därför för motförslagets krav på förlängning, även om den inte nämner just denna satsning.
- better conditions in health and caredecisive»För att klara det måste de som arbetar inom vården mötas av goda arbetsvillkor, fler kollegor och bra löneutveckling.« (2022 manifesto ↗)“To manage this, those who work in healthcare must meet good working conditions, more colleagues and good wage development.”
- lifelong learning»Den enskilde ska alltid ha många möjligheter att lära nytt och utvecklas.« (party programme ↗)“The individual shall always have many opportunities to learn anew and develop.”
- incentives for skills development»Det ska finnas incitament för den enskilde att själv satsa på kompetensutveckling.« (party programme ↗)“There shall be incentives for the individual to personally invest in skills development.”
- improved quality in elderly care»Skillnaderna i äldreomsorgens kvalitet är alltför stora mellan kommunerna.« (party programme ↗)“The differences in elderly care quality are far too large between municipalities.”
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 promises to ensure that staff in home care and care facilities get continuous skills development, improved conditions for staff in elder care and increased medical expertise.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises to ensure that staff in home care and care facilities get continuous skills development, improved conditions for staff in elder care and increased medical expertise. Continued investment that gives staff the opportunity to train on paid work time is precisely this. The plan takes no position on the investment's form of financing.
Original (Swedish)
Valmanifestet lovar att säkerställa att personal inom hemtjänst och äldreboenden får kontinuerlig kompetensutveckling, förbättrade villkor för personalen i äldreomsorgen och ökad medicinsk kompetens. En fortsatt satsning som ger personal möjlighet att utbilda sig på betald arbetstid är precis detta. Planen tar inte ställning till satsningens finansieringsform.
- continuous skills developmentdecisive»Säkerställ att personal inom hemtjänst och äldreboenden har möjlighet till kontinuerlig kompetensutveckling.« (2022 manifesto ↗)“Ensure that staff in home care and care facilities have the opportunity for continuous skills development.”
- better conditions in elder care»Förbättrade villkor för personalen i äldreomsorgen - bort med delade turer.« (2022 manifesto ↗)“Improved conditions for staff in elder care - eliminate split shifts.”
- raised expertise in care»Ökad medicinsk kompetens inom äldreomsorgen.« (2022 manifesto ↗)“Increased medical expertise in elder care.”
- expanded adult education»vuxenutbildningen ska vara väl utbyggd« (party programme ↗)“adult education shall be well expanded”
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 wants to strengthen healthcare staff including through better opportunities for further training, and states that medical expertise within elderly care must be strengthened.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan wants to strengthen healthcare staff including through better opportunities for further training, and states that medical expertise within elderly care must be strengthened. A continued investment that gives staff the opportunity to educate themselves on paid work time is a means for precisely this. The plan does not mention the investment as such, but its purpose has support.
Original (Swedish)
Planen vill stärka vårdens medarbetare bland annat genom bättre möjligheter till vidareutbildning, och slår fast att den medicinska kompetensen inom äldreomsorgen måste stärkas. En fortsatt satsning som ger personal möjlighet att utbilda sig på betald arbetstid är ett medel för just detta. Planen nämner inte satsningen som sådan, men dess syfte har stöd.
- further training for healthcare staffdecisive»Stärka vårdens medarbetare, bland annat genom att förbättra arbetsmiljön och möjligheterna till vidareutbildning« (2022 manifesto ↗)“Strengthen healthcare staff, including by improving working conditions and opportunities for further training”
- strengthened expertise in elderly care»Den medicinska kompetensen och kontinuiteten måste stärkas inom äldreomsorgen.« (2022 manifesto ↗)“Medical expertise and continuity must be strengthened within elderly care.”
- competence requirements for staff»Införa språkkrav för personal inom vård och äldreomsorg« (2022 manifesto ↗)“Introduce language requirements for staff within care and elderly care”
- secure and dignified old age»Äldre har en självklar rätt till en trygg och värdig ålderdom« (party programme ↗)“Older people have a clear right to a secure and dignified old age”
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 strengthen the status of female-dominated care and welfare professions through career paths, better conditions and expanded educational initiatives at all levels, and at the same time sets language requirements for staff in elderly care.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants to strengthen the status of female-dominated care and welfare professions through career paths, better conditions and expanded educational initiatives at all levels, and at the same time sets language requirements for staff in elderly care. An extended investment that gives care personnel the opportunity to educate themselves during paid work time is a direct means for this. The demand is therefore supported.
Original (Swedish)
Planen vill stärka statusen i de kvinnodominerade vård- och omsorgsyrkena genom karriärvägar, bättre villkor och utökade utbildningsinsatser på alla nivåer, och ställer samtidigt språkkrav på personalen i äldreomsorgen. En förlängd satsning som ger omsorgspersonal möjlighet att utbilda sig på betald arbetstid är ett direkt medel för detta. Kravet stöds därför.
- raised status in care professionsdecisive»Vidare behöver statusen i dessa yrkesgrupper stärkas, exempelvis genom karriärvägar och förbättrad löneutveckling.« (2022 manifesto ↗)“Furthermore, the status of these professional groups needs to be strengthened, for example through career paths and improved wage development.”
- expanded educational initiatives»Utbildningsinsatser ska utökas på alla nivåer och genom att införa lärlingsanställningar där deltagarna kombinerar praktik, arbete och studier.« (2022 manifesto ↗)“Educational initiatives must be expanded at all levels and by introducing apprenticeships where participants combine practical work, employment and studies.”
- better conditions in care»Förbättra status, arbetsvillkor samt öka företagshälsovård i kvinnodominerade yrken« (2022 manifesto ↗)“Improve status, working conditions and increase occupational health services in female-dominated professions”
- competence requirements in elderly care»Införa språkkrav för personal inom hemtjänsten och äldreomsorgen.« (2022 manifesto ↗)“Introduce language requirements for staff in home 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:SoU22)
- Committee report full text (HA01SoU22)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2022/23:1289 — Riktlinjer om chefsutbildning för bättre äldreomsorg av Sanna Backeskog och Sanne Lennström (båda S)
- Motion 2022/23:1336 — Undernäring bland äldre av Mats Wiking (S)
- Motion 2022/23:1401 — Ofrivillig ensamhet och isolering av Marie-Louise Hänel Sandström (M)
- Motion 2022/23:1850 — Språkkrav för vissa jobb inom omsorgen av Sten Bergheden (M)
- Motion 2022/23:1852 — Äldres rätt att få välja sin mat av Sten Bergheden (M)
- Motion 2022/23:1854 — Avgifter i äldreomsorgen av Sten Bergheden (M)
- Motion 2022/23:1974 — Lagen om valfrihetssystem av Eva Lindh m.fl. (S)
- Motion 2022/23:2011 — Språkkrav inom vård och äldreomsorg av Johanna Rantsi (M)
- Motion 2022/23:2018 — Förlängd satsning på Äldreomsorgslyftet av Paula Holmqvist m.fl. (S)
- Motion 2022/23:2061 — Utgiftsområde 9 Hälsovård, sjukvård och social omsorg av Fredrik Lundh Sammeli m.fl. (S)
- Motion 2022/23:313 — Värdighet för äldre och en professionalisering av äldreomsorgen av Markus Wiechel (SD)
- Motion 2022/23:314 — Nationell äldreombudsman av Markus Wiechel (SD)
- Motion 2022/23:613 — Demokratisk kontroll över den kommunala välfärden av Markus Kallifatides (S)
- Motion 2022/23:67 — Krav på registerutdrag för arbete i hemtjänst och äldreomsorg av Ann-Sofie Lifvenhage (M)
- Motion 2022/23:696 — Äldreomsorgen av Niklas Sigvardsson m.fl. (S)
- Motion 2022/23:85 — En äldreomsorg för framtiden av Karin Rågsjö m.fl. (V)
- Motion 2022/23:856 — En stärkt folkhälsa från barndom till ålderdom av Anders W Jonsson m.fl. (C)
- Motion 2022/23:859 — Ekonomisk trygghet vid ålderdom av Martina Johansson m.fl. (C)
- Motion 2022/23:90 — Pilotprojekt - Seniorhälsa av Ann-Sofie Lifvenhage (M)
- Motion 2022/23:901 — En äldreomsorg med trygghet och valfrihet i hela landet av Christofer Bergenblock m.fl. (C)
Source: The Swedish Parliament