2025-04-102024/25:SoU22 · p.9SoUHealth & social services
Working Environment
State responsibility for the work environment in health care
What's at stake: A poorer work environment contributes to staff leaving health care, which worsens staffing problems and, in turn, affects patients' access to 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 state should take a greater and more direct responsibility for the work environment and working conditions in health care, with economic incentives to counter staff attrition, or whether this should be handled within the national workforce-supply plan already being processed.
Yes Yes — the committee proposal
The committee points out that the national workforce-supply plan already includes proposals to increase the conditions for senior staff to want to remain in health care, and that these proposals are being processed within the Government Offices; parliament therefore does not need to take its own initiative on the work environment, and the motions are rejected.
No No — the reservations
Reservation 14 (MP)
The reservation holds that the state should take greater responsibility for the work environment and working conditions in the welfare professions to counter staff attrition and secure sustainable staffing, including through economic incentives and support as well as investment in education and continuing training.
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 14 by MP.
Abstain The party marks a position of its own that is not one of the two final alternatives.
The decision would have held
Explicit commitments that contradicted the vote: VVänsterpartiet
Ja 183–13Ja 164–32
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 | differsagainst own programme | confidence: high | explicit |
| S | No | Abstain 0/0/89/17 | differs | confidence: high | explicit |
| MP | No | No 0/13/0/5 | match | confidence: high | explicit |
| C | No | Yes 20/0/0/4 | differs | confidence: medium | not addressed |
| L | No | Yes 12/0/0/4 | differs | confidence: medium | not addressed |
| KD | No | Yes 14/0/0/5 | differs | confidence: medium | not addressed |
| 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 2024/25:2628 by Leila Ali Elmi et al. (MP) demand 15 and 2024/25:3022 by Fredrik Lundh Sammeli et al. (S) demand 11.
Original (Swedish)
Riksdagen avslår motionerna 2024/25:2628 av Leila Ali Elmi m.fl. (MP) yrkande 15 och 2024/25:3022 av Fredrik Lundh Sammeli m.fl. (S) yrkande 11.
Riksdag decision: The Riksdag rejected approximately 120 proposals in motions about competence supply, e-health and preparedness. The motions were submitted during the general motion period 2024 and deal with, among other things, a national plan for healthcare competence supply and preparedness within healthcare. The Riksdag primarily refers to the fact that work is already underway in the areas that the proposals address.
Counter-proposals
- The counter-proposal wants a national action plan to ensure competence and staffing in the welfare sector. (MP) — Reservation 14
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 party programme states that society should take greater responsibility for ensuring that workplaces in welfare have good working conditions and wages, which is precisely what the counter-proposal demands of the state.
Plan documents: party programme · 2022 manifesto
Reasoning and quotes
The party programme states that society should take greater responsibility for ensuring that workplaces in welfare have good working conditions and wages, which is precisely what the counter-proposal demands of the state. The election manifesto links staff turnover to resource shortages and demands investments in staff and their working environment. The plan furthermore emphasizes particularly the female-dominated welfare professions, which have long been pressured hard.
Original (Swedish)
Partiprogrammet slår fast att samhället ska ta ett större ansvar för att arbetsplatserna i välfärden har goda arbetsvillkor och löner, vilket är precis vad motförslaget kräver av staten. Valmanifestet kopplar personalflykten till resursbrist och kräver satsningar på personalen och deras arbetsmiljö. Planen betonar dessutom särskilt de kvinnodominerade välfärdsyrkena, som länge pressats hårt.
- greater societal responsibility for welfare workplacesdecisive»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”
- good working conditions and wages»välfärden har goda arbetsvillkor och löner.« (party programme ↗)“welfare have good working conditions and wages.”
- resources against staff turnover»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.”
- serious working environment work»Det behövs regelverk och strukturer som säkrar ett seriöst« (party programme ↗)“There need to be regulations and structures that ensure serious”
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 confirms that working conditions in welfare must reflect how central the jobs are, that supervision of staff's occupational environment must be improved, and that state funding to municipalities and regions shall continue to increase.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto confirms that working conditions in welfare must reflect how central the jobs are, that supervision of staff's occupational environment must be improved, and that state funding to municipalities and regions shall continue to increase. Greater state responsibility for occupational environment and working conditions in welfare professions, with economic incentives and education investment, is exactly this policy. The party programme makes the same demands for good working conditions in jointly financed activities.
Original (Swedish)
Valmanifestet slår fast att arbetsvillkoren i välfärden måste spegla hur centrala jobben är, att tillsynen av personalens arbetsmiljö ska förbättras och att statens bidrag till kommuner och regioner ska fortsätta öka. Ett större statligt ansvar för arbetsmiljö och arbetsvillkor i välfärdsyrkena, med ekonomiska incitament och utbildningssatsningar, är precis den politiken. Partiprogrammet ställer samma krav på bra arbetsvillkor i gemensamt finansierad verksamhet.
- better working conditions in welfaredecisive»Arbetsvillkoren i välfärden måste spegla hur centrala jobben är för att samhället ska fungera« (2022 manifesto ↗)“Working conditions in welfare must reflect how central the jobs are for society to function”
- strengthened occupational environment supervision»tillsynen av personalens arbetsmiljö ska förbättras« (2022 manifesto ↗)“supervision of staff's occupational environment must be improved”
- increased state grants»Vi vill fortsätta öka statens bidrag till kommuner och regioner« (2022 manifesto ↗)“We want to continue increasing state funding to municipalities and regions”
- high demands on working conditions»De gemensamt finansierade verksamheterna ska fylla högt ställda krav på bra arbetsvillkor« (party programme ↗)“Jointly financed activities must meet high demands for good working conditions”
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 explicitly promises to raise wages and secure a good working environment in healthcare and to raise wages in female-dominated professions to levels corresponding to male-dominated professions.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto explicitly promises to raise wages and secure a good working environment in healthcare and to raise wages in female-dominated professions to levels corresponding to male-dominated professions. The party programme gives everyone the right to a good physical and psychosocial working environment and demands adequate staff-to-patient ratios. Greater state responsibility for working conditions and the work environment in welfare professions is precisely what the plan calls for.
Original (Swedish)
Valmanifestet lovar uttryckligen att höja lönerna och säkra en god arbetsmiljö i vården samt att höja lönerna i kvinnodominerade yrken till nivåer motsvarande mansdominerade yrken. Partiprogrammet ger alla rätt till en god fysisk och psykosocial arbetsmiljö och kräver tillräcklig personaltäthet. Ett större statligt ansvar för arbetsmiljön och arbetsvillkoren i välfärdsyrkena är precis vad planen efterfrågar.
- good working environment in healthcaredecisive»höja lönerna och säkra en god arbetsmiljö i vården.« (2022 manifesto ↗)“raise wages and secure a good working environment in healthcare.”
- equal wages»höja lönerna i kvinnodominerade yrken till samma nivåer som i mansdominerade yrken med motsvarande ansvar och utbildningskrav.« (2022 manifesto ↗)“raise wages in female-dominated professions to the same levels as in male-dominated professions with corresponding responsibility and education requirements.”
- right to good working environment»god fysisk och psykosocial arbetsmiljö.« (party programme ↗)“good physical and psychosocial working environment.”
- adequate staffing»Personaltätheten måste hålla tillräcklig nivå så att« (party programme ↗)“Staff-to-patient ratios must maintain adequate levels so that”
The plan makes working conditions in care a main issue and itself proposes national measures such as mandatory leadership training, smaller work groups and the right to skills development.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The plan makes working conditions in care a main issue and itself proposes national measures such as mandatory leadership training, smaller work groups and the right to skills development. The counter-proposal's demand for greater state responsibility with financial incentives and educational investments aligns with this. The plan wants the labour market parties to set the rules, which limits how far state guidance should go.
Original (Swedish)
Planen gör arbetsvillkoren i vård och omsorg till en huvudfråga och föreslår själv nationella åtgärder som obligatorisk chefsutbildning, mindre arbetsgrupper och rätt till kompetensutveckling. Motförslagets krav på ett större statligt ansvar med ekonomiska incitament och utbildningssatsningar ligger i linje med det. Planen vill dock att arbetsmarknadens parter sätter spelreglerna, vilket begränsar hur långt statlig styrning bör gå.
- better working conditions in welfaredecisive»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.”
- national requirements for leadership»Därför vill vi införa en obligatorisk utbildning för alla som får en chefstjänst i vård och omsorg, och skapa mindre arbetsgrupper med ett mål om max 25 medarbetare per chef.« (2022 manifesto ↗)“Therefore, we want to introduce mandatory training for everyone who gets a management position in care, and create smaller work groups with a goal of maximum 25 staff per manager.”
- working conditions as priority»Att förbättra arbetsvillkoren i vård och omsorg leder inte bara till bättre resultat utan ökar också möjligheterna för vårdpersonal att känna stolthet och utvecklas i sin yrkesroll.« (2022 manifesto ↗)“Improving working conditions in care not only leads to better results but also increases the opportunities for care staff to feel pride and develop in their professional role.”
- the parties model»Det skapar en flexibel och långsiktigt hållbar arbetsmarknad och flyttar makten närmare dem som berörs.« (party programme ↗)“It creates a flexible and long-term sustainable labour market and moves power closer to those affected.”
The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.
The plan requires that those who work in healthcare be met with good working conditions, more colleagues and good wage development, and that the state takes greater responsibility for healthcare's long-term competence supply.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan requires that those who work in healthcare be met with good working conditions, more colleagues and good wage development, and that the state takes greater responsibility for healthcare's long-term competence supply. Greater state responsibility for working conditions in welfare professions follows from that commitment. The plan, however, simultaneously wants to reduce detailed management of activities, which limits how the management should be designed.
Original (Swedish)
Planen kräver att de som arbetar i vården möts av goda arbetsvillkor, fler kollegor och bra löneutveckling, och att staten tar ett större ansvar för sjukvårdens långsiktiga kompetensförsörjning. Ett större statligt ansvar för arbetsmiljön i välfärdsyrkena följer av det åtagandet. Planen vill dock samtidigt minska detaljstyrningen i verksamheterna, vilket begränsar hur styrningen bör utformas.
- good working conditions in healthcaredecisive»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.”
- state responsibility for competence supply»Staten ska ta ett större ansvar för sjukvårdens strategiska planering, placering av högspecialiserad vård, beredskap och långsiktig kompetensförsörjning.« (2022 manifesto ↗)“The state shall take greater responsibility for healthcare's strategic planning, placement of highly specialized care, preparedness and long-term competence supply.”
- shortage occupations become dream jobs»Bristyrken ska bli drömjobb.« (2022 manifesto ↗)“Shortage occupations shall become dream jobs.”
- reduced detailed management»Samtidigt ska detaljstyrningen och byråkratin minska i verksamheterna.« (2022 manifesto ↗)“At the same time detailed management and bureaucracy shall decrease in activities.”
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 requires improved conditions for staff in elderly care with split shifts removed and better conditions in healthcare shortage occupations.
Plan documents: 2022 manifesto · party programme
Reasoning and quotes
The election manifesto requires improved conditions for staff in elderly care with split shifts removed and better conditions in healthcare shortage occupations. It also wants to move the principal responsibility for healthcare to the state, which is a greater state responsibility of the kind the counter-proposal seeks. The plan's principle that labour market parties design the conditions, however, sets a limit on how far state control can go.
Original (Swedish)
Valmanifestet kräver förbättrade villkor för personalen i äldreomsorgen med delade turer borttagna och bättre villkor i vårdens bristyrken. Det vill dessutom flytta huvudmannaskapet för vården till staten, vilket är ett större statligt ansvar av just det slag motförslaget efterfrågar. Planens princip att arbetsmarknadens parter utformar villkoren sätter dock en gräns för hur långt statlig styrning kan gå.
- better conditions in elderly caredecisive»Förbättrade villkor för personalen i äldreomsorgen - bort med delade turer.« (2022 manifesto ↗)“Improved conditions for staff in elderly care – away with split shifts.”
- state principal responsibility for healthcare»Avskaffa regionernas ansvar för sjukvården. Låt staten ta över ansvaret för vården med en gemensam organisation i stället för 21 olika.« (2022 manifesto ↗)“Abolish the regions' responsibility for health care. Let the state take over responsibility for health care with a single organisation instead of 21 different ones.”
- training and better conditions»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.”
- the partnership model»Utformningen ska göras av arbetsmarknadens parter.« (party programme ↗)“The design shall be done by the labour market parties.”
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 makes concrete national commitments on working conditions in welfare: to reduce split shifts in public care and social services, reduce involuntary part-time work and improve the work environment for healthcare staff.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan makes concrete national commitments on working conditions in welfare: to reduce split shifts in public care and social services, reduce involuntary part-time work and improve the work environment for healthcare staff. The counter-proposal's demand for state responsibility for working environment and working conditions in welfare professions, with support and training initiatives, coincides in substance with these commitments.
Original (Swedish)
Planen tar på sig konkreta nationella åtaganden om arbetsvillkoren i välfärden: att minska delade turer i offentlig vård och omsorg, minska det ofrivilliga deltidsarbetet och förbättra arbetsmiljön för vårdens medarbetare. Motförslagets krav på statligt ansvar för arbetsmiljö och arbetsvillkor i välfärdsyrkena, med stöd och utbildningssatsningar, sammanfaller i sak med dessa åtaganden.
- bättre arbetsvillkor i omsorgendecisive»Minska förekomsten av delade turer i offentlig vård och omsorg« (2022 manifesto ↗)“Reduce the occurrence of split shifts in public care and social services”
- förbättrad arbetsmiljö i vården»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”
- minskat ofrivilligt deltidsarbete»Minska det ofrivilliga deltidsarbetet« (2022 manifesto ↗)“Reduce involuntary part-time work”
- 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”
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 improve status, working conditions and occupational health in female-dominated welfare professions, abolish split shifts and review shiftwork in care and nursing.
Plan documents: 2022 manifesto
Reasoning and quotes
The plan wants to improve status, working conditions and occupational health in female-dominated welfare professions, abolish split shifts and review shiftwork in care and nursing. It furthermore opens for the state to a greater extent to take over main responsibility for healthcare. A greater state responsibility for the working environment in welfare professions with support and education investments thus follows from these commitments.
Original (Swedish)
Planen vill förbättra status, arbetsvillkor och företagshälsovård i de kvinnodominerade välfärdsyrkena, slopa delade turer och se över skiftarbetet inom vård och omsorg. Den öppnar dessutom för att staten i större utsträckning tar över huvudansvaret för sjukvården. Ett större statligt ansvar för arbetsmiljön i välfärdsyrkena med stöd och utbildningssatsningar följer av dessa åtaganden.
- better conditions in welfare professionsdecisive»Förbättra status, arbetsvillkor samt öka företagshälsovård i kvinnodominerade yrken« (2022 manifesto ↗)“Improve status, working conditions and increase occupational health services in female-dominated professions”
- better working hours in healthcare»Delade turer ska slopas och skiftarbete, främst inom vår vård och omsorg, behöver ses över.« (2022 manifesto ↗)“Split shifts shall be abolished and shiftwork, especially in healthcare and nursing, needs to be reviewed.”
- increased state responsibility for healthcare»Sverigedemokraterna vill också se över hur staten i större utsträckning kan ta över huvudansvaret för sjukvården, med utgångspunkt i framgångsrika exempel i Norge och Danmark.« (2022 manifesto ↗)“Sweden Democrats also want to review how the state to a greater extent can take over main responsibility for healthcare, based on successful examples in Norway and Denmark.”
- secure working environment»Öka tryggheten och säkerheten i arbetslivet« (2022 manifesto ↗)“Increase security and safety in working life”
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