2025-04-102024/25:SoU22 · p.10SoUHealth & social services

Register control in healthcare

Criminal-record checks for staff in health and social care

What's at stake: An extended criminal-record check could increase protection for patients and care recipients in vulnerable situations, but it also concerns what requirements should be placed on care providers and on people already working or studying in health and social care.

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 law on criminal-record checks should be broadened so that more employees, trainees and students in health care, elderly care and psychiatry are covered and can be checked continuously against the criminal record, or whether the current rules should remain unchanged pending ongoing government review.

Yes Yes — the committee proposal

The committee points out that questions concerning health-care staff and the regulatory framework for licensed professions are already the subject of ongoing government review, and does not consider that parliament needs to take a specific initiative on criminal-record checks; the motions are rejected.

No No — the reservations

Reservation 15 (SD)

The reservation wants to extend the law on criminal-record checks to cover employees, trainees and students in health care, elderly care, psychiatry and special housing for people with disabilities, and also wants to allow continuous extracts from the criminal record for staff in these sensitive occupations, in order to prevent people who have committed serious crimes from working with vulnerable people.

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 15 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
VYesYes 19/0/0/5follows the planconfidence: lownot addressed
SNoYes 89/0/0/17departs from the planconfidence: mediumnot addressed
MPYesYes 13/0/0/5follows the planconfidence: lownot addressed
CYesYes 20/0/0/4follows the planconfidence: lownot addressed
LYesYes 12/0/0/4follows the planconfidence: lownot addressed
KDNoYes 14/0/0/5departs from the planconfidence: mediumnot addressed
MNoYes 56/0/0/12departs from the planconfidence: mediumnot addressed
SDown reservationNoNo 0/62/0/10follows the planconfidence: mediumnot addressed

Committee proposal

The Riksdag rejects the motions 2024/25:1363 by Carina Ståhl Herrstedt et al. (SD) proposals 5 and 6 as well as 2024/25:2395 by Caroline Högström (M) proposal 4.

Original (Swedish)

Riksdagen avslår motionerna 2024/25:1363 av Carina Ståhl Herrstedt m.fl. (SD) yrkandena 5 och 6 samt 2024/25:2395 av Caroline Högström (M) yrkande 4.

Riksdag decision: The Riksdag rejected approximately 120 proposals in motions regarding competence provision, e-health and preparedness. The motions were submitted during the general motion period 2024 and concern, among other things, national plan for healthcare's competence provision and preparedness within healthcare. The Riksdag primarily refers to the fact that work is already underway in the areas the proposals 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.

VVänsterpartietYesYesfollows the plannot addressed

The party programme states that everyone has the right to protection of their personal privacy and that the accused shall be presumed innocent until proved otherwise, and warns against control systems built on surveillance and monitoring.

Plan documents: party programme

Reasoning and quotes

The party programme states that everyone has the right to protection of their personal privacy and that the accused shall be presumed innocent until proved otherwise, and warns against control systems built on surveillance and monitoring. An expanded criminal record check with ongoing record extracts for large staff groups goes in the opposite direction, and the plan wants sentences to be designed so they do not worsen problems. Protection of the vulnerable should according to the plan instead be built with resources and expertise in services.

Original (Swedish)

Partiprogrammet slår fast att alla har rätt till skydd av sin personliga integritet och att den som anklagas ska anses oskyldig tills motsatsen är bevisad, och varnar för styrsystem byggda på kontroll och övervakning. En utvidgad registerkontroll med löpande registerutdrag för stora personalgrupper går i motsatt riktning, och planen vill att påföljder utformas så att de inte förvärrar problem. Skyddet av utsatta ska enligt planen i stället byggas med resurser och kunskap i verksamheterna.

  • personal privacydecisive»har rätt till skydd av sin personliga integritet.« (party programme ↗)“have the right to protection of their personal privacy.”
  • presumption of innocence»anses oskyldiga tills motsatsen är bevisad är grundläggande i det.« (party programme ↗)“are presumed innocent until the contrary is proved is fundamental in”
  • against control and surveillance»kontrollsystem och byråkratisk övervakning förstör människors« (party programme ↗)“control systems and bureaucratic surveillance destroy people's”
  • sentences that do not worsen»utformade för att faktiskt leda till lägre brottslighet och inte förvärra« (party programme ↗)“designed to actually lead to lower crime and not worsen”
SSocialdemokraternaNoYesdeparts from the plannot addressed

The election manifesto wants to prevent users and personal assistants from being exploited for criminal purposes and that barriers to information exchange between authorities are torn down so that professional groups can do their job.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto wants to prevent users and personal assistants from being exploited for criminal purposes and that barriers to information exchange between authorities are torn down so that professional groups can do their job. Extended criminal record checks that prevent persons convicted of serious crimes from working with vulnerable people follow from that line and from the requirement that society's full force is mobilized against criminals. The plan does not explicitly mention criminal record checks in care.

Original (Swedish)

Valmanifestet vill motverka att brukare och personliga assistenter utnyttjas i kriminella syften och att sekretesshinder mellan myndigheter rivs så att yrkesgrupper kan göra sitt jobb. En utvidgad registerkontroll som hindrar personer dömda för grova brott från att arbeta med utsatta människor följer av den linjen och av kravet att samhällets fulla kraft mobiliseras mot kriminella. Planen nämner inte registerkontroll i vården uttryckligen.

  • protect users from criminalsdecisive»liksom att brukare eller personliga assistenter utnyttjas i kriminella syften« (2022 manifesto ↗)“as well as preventing users or personal assistants from being exploited for criminal purposes”
  • torn down barriers to information exchange»Sekretesshinder mellan myndigheter ska rivas så att polisen och andra yrkesgrupper kan göra sitt jobb« (2022 manifesto ↗)“Barriers to information exchange between authorities must be torn down so that the police and other professional groups can do their job”
  • mobilization against criminals»Samhällets fulla kraft ska mobiliseras för att trycka tillbaka de kriminella« (2022 manifesto ↗)“Society's full force must be mobilized to push back criminals”
  • clear reaction against crime»Samhället måste reagera tydligt mot brott och regelöverträdelser« (party programme ↗)“Society must react clearly against crime and rule violations”

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.

MPMiljöpartietYesYesfollows the plannot addressed

The party programme opposes laws that constitute disproportionate interference with integrity and rejects improper registration and surveillance of individuals.

Plan documents: party programme

Reasoning and quotes

The party programme opposes laws that constitute disproportionate interference with integrity and rejects improper registration and surveillance of individuals. The plan also sees criminal sanctions as crime-preventative and rehabilitative, which argues against ongoing register checks that permanently exclude people from work. Expanded register checks and ongoing extracts from the criminal record register are therefore not in line with the plan.

Original (Swedish)

Partiprogrammet motsätter sig lagar som innebär oproportionerliga ingrepp i integriteten och avvisar otillbörlig registrering och övervakning av enskilda. Planen ser också brottspåföljder som brottsförebyggande och rehabiliterande, vilket talar emot löpande registerkontroller som varaktigt utestänger människor från arbete. Utvidgad registerkontroll och löpande utdrag ur belastningsregistret ligger därför inte i linje med planen.

  • no to disproportionate integrity interferencedecisive»alla lagar som innebär oproportionerliga ingrepp i« (party programme ↗)“all laws that constitute disproportionate interference with”
  • restrictive registration of individuals»otillbörlig registrering eller övervakning baserad på« (party programme ↗)“improper registration or surveillance based on”
  • rehabilitative view of sanctions»Brottspåföljder har både ett brottsförebyggande« (party programme ↗)“Criminal sanctions have both a crime-preventative”
CCenterpartietYesYesfollows the plannot addressed

The plan demands that all legislation be tested against its impact on personal integrity and that the intrusion be proportionate to the purpose.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan demands that all legislation be tested against its impact on personal integrity and that the intrusion be proportionate to the purpose. Greatly expanded register checks and ongoing extracts from the criminal record for large staff groups is ongoing monitoring of individuals without suspicion of crime. The plan simultaneously wants to give vulnerable people unconditional protection, but the integrity principle weighs more heavily here.

Original (Swedish)

Planen kräver att all lagstiftning prövas mot sin påverkan på den personliga integriteten och att intrånget står i proportion till syftet. En kraftigt utvidgad registerkontroll och löpande utdrag ur belastningsregistret för stora personalgrupper är en fortlöpande kontroll av enskilda utan brottsmisstanke. Planen vill samtidigt ge utsatta ett villkorslöst skydd, men integritetsprincipen väger tyngre här.

  • integrity assessment of legislationweak support»All lagstiftning bör prövas mot dess påverkan på människors personliga integritet.« (party programme ↗)“All legislation should be tested against its impact on people's personal integrity.”
  • proportionate intrusiondecisive»Det måste finnas en proportionalitet mellan lagstiftningens inskränkning av medborgarnas integritet och lagarnas syfte.« (party programme ↗)“There must be proportionality between legislation's restriction of citizens' integrity and the laws' purpose.”
  • individuals' rights against the state»Rättsstaten och individens rättigheter gentemot staten måste försvaras.« (2022 manifesto ↗)“The rule of law and individuals' rights against the state must be defended.”
  • protection for vulnerable people»villkorslöst skydd mot våld och förnedring inom och utom hemmet« (party programme ↗)“unconditional protection against violence and degradation within and outside the home”

flags: citat_svagt

LLiberalernaYesYesfollows the plannot addressed

The plan requires that protection for the individual's integrity be strengthened and that registration not be used for purposes other than the original.

Plan documents: party programme

Reasoning and quotes

The plan requires that protection for the individual's integrity be strengthened and that registration not be used for purposes other than the original. Ongoing extracts from the criminal record register for broad personnel groups is such an expanded use of registers that the plan is restrictive towards. Protection of those particularly at risk weighs the other way, which makes the assessment uncertain.

Original (Swedish)

Planen kräver att skyddet för den enskildes integritet stärks och att registrering inte används för andra syften än de ursprungliga. Löpande utdrag ur belastningsregistret för breda personalgrupper är en sådan utvidgad registeranvändning som planen är restriktiv mot. Skyddet av särskilt utsatta väger åt andra hållet, vilket gör bedömningen osäker.

  • strengthened integrity protectiondecisive»Skyddet för den enskildes integritet ska stärkas.« (party programme ↗)“Protection for the individual's integrity shall be strengthened.”
  • purpose-limited registration»Övervakning och registrering ska inte användas för andra syften än vad som var de ursprungliga« (party programme ↗)“Surveillance and registration shall not be used for purposes other than what the original”
  • integrity review of proposals»Alla nya lagförslag ska analyseras ur integritetssynpunkt.« (party programme ↗)“All new legislative proposals shall be analyzed from an integrity perspective.”
  • protect those particularly at risk»aktivt förebygga våld och övergrepp mot barn som är särskilt utsatta« (party programme ↗)“actively prevent violence and abuse against children who are particularly at risk”
KDKristdemokraternaNoYesdeparts from the plannot addressed

The plan measures society's dignity by how the most needy are treated and requires that healthcare is safe for patients.

Plan documents: party programme · 2022 manifesto

Reasoning and quotes

The plan measures society's dignity by how the most needy are treated and requires that healthcare is safe for patients. The election manifesto also wants to see a comprehensive review of confidentiality rules so that authorities can share information to prevent crime. Extended background checks for those who work with vulnerable people follows from this, with the caveat of the plan's strong privacy protection.

Original (Swedish)

Planen mäter samhällets värdighet efter hur de mest behövande bemöts och kräver att vården är säker för patienterna. Valmanifestet vill dessutom se en total översyn av sekretessreglerna så att myndigheter kan dela uppgifter för att förebygga brott. Utvidgad registerkontroll för dem som arbetar med utsatta människor följer av detta, med förbehåll för planens starka integritetsskydd.

  • protection for the most needydecisive»Värdigheten i ett samhälle kan bäst« (party programme ↗)“Dignity in a society can best”
  • patient safety»Den solidariskt finansierade hälso- och sjukvården ska vara ändamålsenlig och kostnadseffektiv, säker för patienterna« (party programme ↗)“The solidarity-financed health and medical services shall be appropriate and cost-effective, safe for patients”
  • authorities shall share information»Total översyn av sekretessreglerna, så att myndigheter kan dela uppgifter mellan sig för att förebygga och klara upp brott.« (2022 manifesto ↗)“Comprehensive review of confidentiality rules, so that authorities can share information between them to prevent and clear up crime.”
  • strong privacy protection»Den personliga integriteten ska ha ett starkt« (party programme ↗)“Personal integrity shall have strong”

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 emphasises that crime directed at vulnerable people is particularly reprehensible and is prepared to make explicit demands on those working in care and elderly care, including language requirements.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan emphasises that crime directed at vulnerable people is particularly reprehensible and is prepared to make explicit demands on those working in care and elderly care, including language requirements. The counter-proposal's requirement for extended background checks and ongoing criminal record extracts for staff in sensitive positions is the same kind of protection for vulnerable people. The plan also wants to generally remove confidentiality obstacles that make it difficult to detect crime.

Original (Swedish)

Planen framhåller att brottslighet riktad mot sårbara människor är extra klandervärd och är beredd att ställa uttryckliga krav på den som arbetar inom vård och äldreomsorg, bland annat språkkrav. Motförslagets krav på utvidgad registerkontroll och löpande belastningsregisterutdrag för personal i känsliga yrken är samma slags skydd för utsatta. Planen vill också generellt riva sekretesshinder som försvårar att brott upptäcks.

  • protection of vulnerable peopledecisive»Kriminalitet som riktar sig mot sårbara människor är extra klandervärd.« (2022 manifesto ↗)“Crime directed at vulnerable people is particularly reprehensible.”
  • requirements for care staff»Införa språkkrav för personal inom vård och äldreomsorg« (2022 manifesto ↗)“Introduce language requirements for staff in care and elderly care”
  • information sharing against crime»Undanröja alla sekretesshinder mellan socialtjänst och polis« (2022 manifesto ↗)“Remove all confidentiality obstacles between social services and police”
  • elder peace»Införa äldrefridsbrott som en ny brottsrubricering i syfte att skärpa straffen för dessa brott« (2022 manifesto ↗)“Introduce elder abuse as a new criminal offence category in order to sharpen sentences for these crimes”

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 establishes that those taken into care by society shall be able to trust care and that safety and security in care and at emergency departments shall increase.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan establishes that those taken into care by society shall be able to trust care and that safety and security in care and at emergency departments shall increase. It also wants to raise requirements and knowledge among all who work with vulnerable children and young people and improve the justice system's tools to detect criminals. Expanded background checks of staff in care, support and psychiatry follow from these commitments.

Original (Swedish)

Planen slår fast att den som omhändertas av samhället ska kunna lita på vården och att tryggheten i vården och på akutmottagningar ska öka. Den vill också höja kraven och kunskapen hos alla som arbetar med utsatta barn och unga och förbättra rättsväsendets verktyg för att upptäcka kriminella. Utvidgad registerkontroll av personal inom vård, omsorg och psykiatri följer av dessa åtaganden.

  • protection for those taken into caredecisive»Barn och unga som blir omhändertagna ska kunna lita på samhällets vård och nå en bättre tillvaro.« (2022 manifesto ↗)“Children and young people who are taken into care shall be able to trust society's care and reach a better life.”
  • safety in care»Öka tryggheten för vårdpersonal och på akutmottagningar« (2022 manifesto ↗)“Increase safety for care staff and at emergency departments.”
  • demands on staff with vulnerable»Det behövs också kunskapshöjande åtgärder för alla som arbetar med barn och unga och familjerättsliga frågor.« (2022 manifesto ↗)“There is also a need for knowledge-raising measures for all who work with children and young people and family law matters.”
  • better tools against criminals»Rättsväsendets samverkan mellan myndigheter och verktyg för att upptäcka och lagföra kriminella ska förbättras.« (2022 manifesto ↗)“The justice system's cooperation between authorities and tools to detect and prosecute criminals shall be improved.”

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Sources and documents

Documents under consideration

Source: The Swedish Parliament