2025-04-102024/25:SoU22 · p.2SoUHealth & social services
Further education and career paths in healthcare
Continuing education and career paths for health-care staff
What's at stake: The outcome affects whether experienced staff and assistant nurses get better opportunities for further training, specialisation and career development, which can determine whether staff choose to remain 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 parliament should take its own initiative on continuing education and career paths in health care - including targeted efforts for older staff and assistant nurses - or whether this should be handled through the national workforce-supply plan and inquiry already being processed by the government.
Yes Yes — the committee proposal
The committee points out that the national workforce-supply plan already contains proposals for national coordination of continuing education, skills development and career paths, as well as measures to encourage senior staff to remain, and that these proposals are being processed within the Government Offices together with a separate inquiry into licensed professions; parliament therefore does not need to take its own initiative, and the motions are rejected.
No No — the reservations
Reservation 4 (C)
The reservation holds that a permanent effort for senior staff is needed and wants the government, in consultation with the professions, to develop a programme for skills and career development for care staff aged 60 or older, and for the career-track initiative to be expanded to include assistant nurses at both municipal and private care providers.
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 C.
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 176–20Ja 162–34
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 19/0/0/5 | differs | confidence: medium | not addressed |
| S | No | Abstain 0/0/89/17 | differs | confidence: high | explicit |
| MP | No | Yes 13/0/0/5 | differs | confidence: medium | not addressed |
| C | No | No 0/20/0/4 | match | confidence: high | explicit |
| L | No | Yes 12/0/0/4 | differs | confidence: medium | not addressed |
| KD | No | Yes 14/0/0/5 | differsagainst own programme | confidence: high | explicit |
| M | No | Yes 56/0/0/12 | differs | confidence: medium | not addressed |
| SD | No | Yes 62/0/0/10 | differs | confidence: medium | not addressed |
Committee proposal
The Riksdag rejects the motions 2024/25:2797 by Ann-Sofie Lifvenhage (M), 2024/25:3022 by Fredrik Lundh Sammeli et al. (S) proposals 12 and 13 as well as 2024/25:3166 by Christofer Bergenblock et al. (C) proposals 3 and 4.
Original (Swedish)
Riksdagen avslår motionerna 2024/25:2797 av Ann-Sofie Lifvenhage (M), 2024/25:3022 av Fredrik Lundh Sammeli m.fl. (S) yrkandena 12 och 13 samt 2024/25:3166 av Christofer Bergenblock m.fl. (C) yrkandena 3 och 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
- The counter-proposal wants permanent investment in continued education and career development for healthcare and elderly care workers, particularly for senior staff and nursing assistants. (C) — 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 demands investments in healthcare personnel so that staff shortages are addressed and conditions are strengthened, and particularly highlights that everyone should be able to work all the way to retirement.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto demands investments in healthcare personnel so that staff shortages are addressed and conditions are strengthened, and particularly highlights that everyone should be able to work all the way to retirement. A permanent program for competence and career development for older employees and expanded career positions for nursing assistants are concrete expressions of that commitment. The plan does not mention precisely these programs, which is why the position is derived.
Original (Swedish)
Valmanifestet kräver satsningar på vårdens personal så att personalbristen byggs bort och villkoren stärks, och lyfter särskilt att alla ska orka arbeta ända fram till pensionen. Ett permanent program för kompetens- och karriärutveckling för äldre medarbetare och utbyggda karriärtjänster för undersköterskor är konkreta uttryck för det åtagandet. Planen nämner inte just dessa program, varför ställningstagandet är härlett.
- investment in healthcare 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 ↗)“That is why the Left Party wants to invest more resources in healthcare and elderly care, and invest in staff so that we simultaneously eliminate staff shortages and strengthen staff conditions and working environment.”
- able to work to retirement»Trygghet på arbetsmarknaden är också att alla ska orka jobba hela vägen fram till pensionen.« (2022 manifesto ↗)“Security in the labor market is also that everyone should be able to work all the way to retirement.”
- societal responsibility for welfare jobs»Vi vill att samhället tar ett större ansvar för att arbetsplatserna i« (party programme ↗)“We want society to take a greater responsibility for ensuring that workplaces in”
- state responsibility for the profession»det finns utbildad profession i hela landet.« (party programme ↗)“there is trained profession throughout the country.”
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 more support for specialist training in healthcare, explicitly including healthcare assistants, and to continue investment in on-the-job training for staff in care for the elderly.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto promises more support for specialist training in healthcare, explicitly including healthcare assistants, and to continue investment in on-the-job training for staff in care for the elderly. The party programme wants those who are willing and able to be able to continue working after retirement age and all employees to receive competency development. A permanent investment in senior staff and expanded career paths for healthcare assistants is thus the plan's own line.
Original (Swedish)
Valmanifestet lovar mer stöd till specialistutbildningar i vården, uttryckligen även för undersköterskor, och att fortsätta satsningen på utbildning på arbetstid inom äldreomsorgen. Partiprogrammet vill att de som vill och orkar ska kunna arbeta vidare efter pensionsåldern och att alla anställda får kompetensutveckling. En permanent satsning på seniora medarbetare och utbyggda karriärtjänster för undersköterskor är därmed planens egen linje.
- career opportunities for healthcare assistantsdecisive»mer stöd till specialistutbildningar i vården, exempelvis för sjuksköterskor och undersköterskor« (2022 manifesto ↗)“more support for specialist training in healthcare, for example for nurses and healthcare assistants”
- training 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 allowing staff in care for the elderly to receive on-the-job training”
- longer working life for senior staff»de människor som vill och orkar får möjlighet att fortsätta sitt arbete« (party programme ↗)“people who are willing and able get the opportunity to continue their work”
- right to continuing education»ha möjlighet till kompetensutveckling och vidareutbildning« (party programme ↗)“have the opportunity for competency development and further training”
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 wants to raise wages and secure a good working environment in healthcare, and the party programme emphasizes that the knowledge and experience of older people are invaluable, including as continued professionals or mentors, and believes in lifelong learning.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto wants to raise wages and secure a good working environment in healthcare, and the party programme emphasizes that the knowledge and experience of older people are invaluable, including as continued professionals or mentors, and believes in lifelong learning. A programme for competence and career development for senior employees and expanded career positions for care assistants is therefore in line with the plan.
Original (Swedish)
Valmanifestet vill höja lönerna och säkra en god arbetsmiljö i vården, och partiprogrammet framhåller att äldres kunskaper och erfarenheter är ovärderliga, bland annat som fortsatt yrkesaktiva eller mentorer, samt tror på det livslånga lärandet. Ett program för kompetens- och karriärutveckling för seniora medarbetare och utbyggda karriärtjänster för undersköterskor ligger därför i linje med planen.
- better conditions in healthcaredecisive»höja lönerna och säkra en god arbetsmiljö i vården.« (2022 manifesto ↗)“raise wages and secure a good working environment in healthcare.”
- older people's competence is used»Äldres kunskaper och erfarenheter är ovärderliga« (party programme ↗)“The knowledge and experience of older people are invaluable”
- lifelong learning»Vi tror på folkbildningen och det livslånga lärandet.« (party programme ↗)“We believe in public education and lifelong learning.”
- sufficient staffing in care»Personaltätheten måste hålla tillräcklig nivå så att« (party programme ↗)“Staff-to-patient ratio must maintain a sufficient level so that”
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 promises all care assistants and nurses the right to skills development and wants to raise the status of female-dominated professions including through career positions.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan promises all care assistants and nurses the right to skills development and wants to raise the status of female-dominated professions including through career positions. A programme for skills and career development for senior staff and expanded career positions for care assistants is the same commitment, and the plan also wants to improve conditions for those who wish to work longer. That it applies to both municipal and independent providers follows from the plan's freedom of choice line.
Original (Swedish)
Planen lovar alla undersköterskor och sjuksköterskor rätt till kompetensutveckling och vill uppvärdera kvinnodominerade yrken bland annat genom karriärtjänster. Ett program för kompetens- och karriärutveckling för seniora medarbetare och utbyggda karriärtjänster för undersköterskor är samma åtagande, och planen vill dessutom förbättra villkoren för dem som vill arbeta längre. Att det gäller både kommunala och fristående utförare följer av planens valfrihetslinje.
- skills development for care assistantsdecisive»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 shall be able to grow and develop in their profession. We want to give all care assistants and nurses the right to skills development.”
- career positions»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, including through career positions and the right to skills development.”
- older people stay in work»Samtidigt ska förutsättningarna förbättras för dem som vill fortsätta arbeta och vara« (party programme ↗)“At the same time, conditions must be improved for those who wish to continue working and remain”
- also independent providers»Vi vill försvara valfriheten inom vård och omsorg« (2022 manifesto ↗)“We want to defend freedom of choice in care”
The plan gives healthcare's licensed professionals the right to further training throughout their professional lives and wants older people to have greater opportunity to continue working.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The plan gives healthcare's licensed professionals the right to further training throughout their professional lives and wants older people to have greater opportunity to continue working. A special competence and career programme for senior staff and expanded career posts follow from these commitments. The plan also wants to see increased wage spread and good wage development specifically for healthcare staff.
Original (Swedish)
Planen ger vårdens legitimerade personal rätt till fortbildning under hela yrkeslivet och vill att äldre ges större möjlighet att fortsätta arbeta. Ett särskilt kompetens- och karriärprogram för seniora medarbetare och utbyggda karriärtjänster följer av dessa åtaganden. Planen vill dessutom se ökad lönespridning och bra löneutveckling just för vårdpersonal.
- further training throughout working lifedecisive»Personal i legitimationsyrken ska ha rätt till fortbildning under hela yrkeslivet« (party programme ↗)“Personnel in licensed professions shall have the right to further training throughout their professional lives”
- older people staying in the workforce»Att äldre ges större möjlighet att fortsätta arbeta ökar den enskildes valfrihet och förbättrar« (party programme ↗)“Giving older people greater opportunity to continue working increases individual choice and improves”
- wage spread rewards competence»Därför är ökad lönespridning önskvärd« (party programme ↗)“Therefore increased wage spread is desirable”
- 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 election manifesto explicitly promises to ensure that staff in home care and care homes receive continuous professional development and that conditions in healthcare shortage occupations are improved.
Plan documents: 2022 manifesto
Reasoning and quotes
The election manifesto explicitly promises to ensure that staff in home care and care homes receive continuous professional development and that conditions in healthcare shortage occupations are improved. This supports both the career service initiative for nursing assistants and the programme for older employees. The plan also particularly wants to facilitate the possibility for older people who wish to and can continue working.
Original (Swedish)
Valmanifestet lovar uttryckligen att säkerställa att personal inom hemtjänst och äldreboenden får kontinuerlig kompetensutveckling och att villkoren i vårdens bristyrken förbättras. Det bär både karriärtjänstsatsningen för undersköterskor och programmet för äldre medarbetare. Planen vill dessutom särskilt underlätta för äldre som vill och kan fortsätta arbeta.
- continuous professional developmentdecisive»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 professional development.”
- better conditions in shortage occupations»Utbilda mer personal för sjukvården. Förbättrade villkor i vårdens bristyrken och minska behovet av dyr inhyrd personal.« (2022 manifesto ↗)“Train more staff for healthcare. Improved conditions in healthcare shortage occupations and reduce the need for expensive hired staff.”
- older people should be able to work longer»Skattelättnad för äldre (69+) som vill och kan fortsätta arbeta.« (2022 manifesto ↗)“Tax relief for older people (69+) who wish to and can continue working.”
- raised expertise in care»Ökad medicinsk kompetens inom äldreomsorgen.« (2022 manifesto ↗)“Increased medical expertise in elderly 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 plan commits to strengthening healthcare staff among other things through better opportunities for further training, because more hands are needed in care.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan commits to strengthening healthcare staff among other things through better opportunities for further training, because more hands are needed in care. The counter-proposal's demand for competence and career development for senior staff and expanded career tracks aligns with this, as does the plan's commitment that it should always pay better to have worked. That the investment should cover both municipal and independent healthcare providers fits with the plan's view on diversity of providers.
Original (Swedish)
Planen åtar sig att stärka vårdens medarbetare bland annat genom bättre möjligheter till vidareutbildning, eftersom det behövs fler händer i vården. Motförslagets krav på kompetens- och karriärutveckling för seniora medarbetare och utbyggda karriärtjänster ligger i linje med det, liksom med planens åtagande att det alltid ska löna sig bättre att ha arbetat. Att satsningen ska omfatta både kommunala och fristående vårdgivare stämmer med planens syn på mångfald av utförare.
- vidareutbildning i vårdendecisive»Stärka vårdens medarbetare, bland annat genom att förbättra arbetsmiljön och möjligheterna till vidareutbildning – det behövs fler händer i vården som kan korta vårdköerna och avlasta personalen« (2022 manifesto ↗)“Strengthen healthcare staff, among other things by improving the work environment and opportunities for further training - more hands are needed in care to shorten waiting times and relieve staff”
- längre arbetsliv ska löna sig»Vi värnar arbetslinjen i pensionssystemet – det ska alltid löna sig bättre att ha arbetat än att inte ha gjort det.« (2022 manifesto ↗)“We value the work line in the pension system – it should always pay better to have worked than not to have done so.”
- nationell kompetensförsörjning»Få på plats en nationell samordning över samhällets behov av antalet utbildningsplatser för att förbättra kompetensförsörjningen« (2022 manifesto ↗)“Get in place a national coordination of society's needs for the number of educational places to improve competence supply”
- mångfald av utförare»En mångfald av aktörer är också en förutsättning för förnyelse och innovation.« (party programme ↗)“A diversity of actors is also a prerequisite for renewal and innovation.”
flags: citat_migrerat
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 nursing professions through career paths and better salary development, and states that those who wish to continue working at higher ages should be offered incentives to remain.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants to strengthen the status of female-dominated care and nursing professions through career paths and better salary development, and states that those who wish to continue working at higher ages should be offered incentives to remain. A programme for senior staff and expanded career positions for nursing assistants thus aligns with the plan.
Original (Swedish)
Planen vill stärka statusen i de kvinnodominerade vård- och omsorgsyrkena genom karriärvägar och bättre löneutveckling, och slår fast att de som vill fortsätta arbeta högre upp i åldern ska erbjudas incitament att stanna kvar. Ett program för seniora medarbetare och utbyggda karriärtjänster för undersköterskor ligger därmed i linje med planen.
- career paths in care professionsdecisive»Vidare behöver statusen i dessa yrkesgrupper stärkas, exempelvis genom karriärvägar och förbättrad löneutveckling.« (2022 manifesto ↗)“Furthermore, the status in these occupational groups needs to be strengthened, for example through career paths and improved salary development.”
- incentives for older people to stay»Medan de som känner sig kapabla och vill fortsätta sitt yrkesverksamma liv ska erbjudas incitament att stanna kvar på arbetsmarknaden.« (2022 manifesto ↗)“While those who feel capable and want to continue their professional working life should be offered incentives to remain in the labour market.”
- better conditions in care professions»Förbättra status, arbetsvillkor samt öka företagshälsovård i kvinnodominerade yrken« (2022 manifesto ↗)“Improve status, working conditions and increase occupational health services in female-dominated professions”
- expanded education initiatives»Utbildningsinsatser ska utökas på alla nivåer och genom att införa lärlingsanställningar där deltagarna kombinerar praktik, arbete och studier.« (2022 manifesto ↗)“Education initiatives shall be expanded at all levels and by introducing apprenticeships where participants combine practice, work and studies.”
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 (2024/25:SoU22)
- Committee report full text (HC01SoU22)
- Per-MP voting data (API)
- Case status (API)
Documents under consideration
- Motion 2024/25:1066 — Vård i rättan tid av Gudrun Brunegård (KD)
- Motion 2024/25:1100 — En sömlös vård av Helena Storckenfeldt och Lars Püss (båda M)
- Motion 2024/25:1243 — Begränsning av bemanningsföretag inom vården av Jonathan Svensson m.fl. (S)
- Motion 2024/25:1278 — Föräldrars möjlighet att å barnets vägnar hålla kontakt med vården och apotek av Mikael Oscarsson (KD)
- Motion 2024/25:1326 — Stärkt samarbete och kompetens vid sjukskrivning av Märta Stenevi m.fl. (MP)
- Motion 2024/25:1359 — En jämlik diabetesvård i hela landet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1360 — En kvalitativ cancervård i framkant av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1362 — En stärkt psykisk hälsa i hela landet av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1363 — En tillgänglig sjukvård i världsklass av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1364 — Folkhälsan i fokus av Carina Ståhl Herrstedt m.fl. (SD)
- Motion 2024/25:1412 — Jämställdhet och diskriminering av Michael Rubbestad m.fl. (SD)
- Motion 2024/25:1413 — Krafttag mot hedersrelaterat våld och förtryck av Sara Gille m.fl. (SD)
- Motion 2024/25:1621 — Osteopati av Elisabeth Thand Ringqvist (C)
- Motion 2024/25:188 — Föräldrars tillgång till sina barns journaler av Catarina Deremar (C)
- Motion 2024/25:1922 — En funktionsrättspolitik för trygghet och delaktighet av Nadja Awad m.fl. (V)
- Motion 2024/25:1923 — En bättre hälso- och sjukvård av Nooshi Dadgostar m.fl. (V)
- Motion 2024/25:1951 — En patientsäkerhetslag på patientens sida av Margareta Cederfelt (M)
- Motion 2024/25:1965 — En patientsäkerhetslag på patientens sida av Margareta Cederfelt (M)
- Motion 2024/25:2017 — Föräldraansvar vid vårdkontakt för 13-åringar av Ludvig Ceimertz och Caroline Högström (båda M)
- Motion 2024/25:2116 — Prövning av förbud mot planerad sjukvård till personer som befinner sig illegalt i Sverige av Lars Beckman (M)
Source: The Swedish Parliament