Legal protection in elderly care
- Safety, transparency and respect for the most vulnerable.
Dignified care for older people - with security, transparency and respect
Care for the elderly should be based on security, dignity and respect for the individual. Unfortunately, today we see how the system is flawed: crimes against the elderly are increasing, perpetrators can move between employers without control, and anyone who raises the alarm about abuses risks being silenced. This must change.
Ambition Sverige wants everyone working in elderly care to be checked against the criminal record. People convicted of violence, sexual offences or financial crime should never be able to work near our most vulnerable. We also want to introduce a national register of suspended persons, so that no one can move from employer to employer after abuse or misconduct.
In addition, older people should have the right to genuine autonomy in their care. This includes a legal right for women to request a biological female carer for intimate care - this is a fundamental issue of safety and respect.
In order to uncover abuses, employees, relatives and older people themselves must dare to raise the alarm without fear of reprisals. That is why we want to establish a national ombudsman for the elderly with strong whistleblower protection.
Finally, transparency in elderly care must be strengthened. Today, the GDPR is often used as a pretext to keep information about decisions and responsible officials secret. This is unacceptable. Sweden has a principle of public access to information and this should also apply to elderly care. All decisions concerning the individual's accommodation or care must be documented, be able to be requested and easily appealed.
Our goal is clear: care for older people where safety, responsibility and respect come first. Where perpetrators are kept at bay, where older people have real influence and where relatives and staff can raise the alarm about problems without risk. Only then can we restore dignity to elderly care in Sweden.
Care for older people where everyone understands and is understood
Safety in care is not only about staffing and resources, it is also about language, communication and transparency. No older person should feel unsafe, misunderstood or isolated because staff cannot communicate properly. And no relatives should be excluded without reason.
Currently, there are no national language requirements for elderly care. This means that people with dementia, hearing loss or other needs sometimes cannot even make themselves understood by the staff caring for them. IVO has repeatedly shown that a lack of language skills leads to errors in medication, inadequate documentation and, in the worst cases, danger to life and health.
Ambition Sverige wants to change this. We demand clear language requirements and language training for all staff in elderly care. No one should be at risk of poor treatment or loneliness because the carer does not speak Swedish.
We also want to strengthen the right to transparency for older people and their families. Decisions on accommodation, care or contact must always be clearly documented, with the responsible official and the basis for the decision. They must be subject to appeal and follow-up. The GDPR must no longer be used as a pretext to hide abuses or those responsible.
Family members should have the right to participate in care planning and assessments and should not be arbitrarily excluded. All older people and carers should also be able to turn to a national ombudsman for older people for support, queries and to report poor communication.
Dignified care for older people is based on trust. Trust requires transparency, traceability and comprehensible information. Ambition Sverige wants to create elderly care where every elderly person knows their rights, every relative has transparency and every decision is traceable and legally secure.
Our goal is clear: care for the elderly based on security, comprehensibility and full transparency, where no one is left alone and where power is always accountable to both the elderly and their families.
Care for older people with safe accommodation when needed
No elderly person should be forced to stay at home when it is no longer safe or dignified. Yet this is the reality in Sweden today: queues for specialised housing are growing, municipalities interpret rules differently and older people are pressured to stay at home with extensive home care services despite needs indicating otherwise.
IVO and the National Board of Health and Welfare have already warned of the consequences. The lack of space creates loneliness, insecurity and medical risks. What is called ”efficient use of resources” is in fact a lack of respect for human dignity.
Ambition Sverige wants to change course. We know that more care homes need to be built and that resources need to be redirected. But we also know that dignity can be secured through clear rules and rights. No one should have to wait an unreasonably long time for a place when the need is recognised. Older people should be able to choose between specialised housing and home care, and the municipality should not be allowed to force anyone to stay at home against their will. Assistance assessments must be followed up regularly and the availability of places must be reported openly, so that relatives and the elderly have transparency and security.
If a municipality fails in its responsibilities, there must be consequences. Sanctions are not there for the sake of punishment, but to emphasise that elderly care is a statutory obligation. The state should be able to withhold parts of the state aid, demand improvement plans with strict deadlines and openly report which municipalities do not fulfil their responsibilities.
At the same time, we want to give municipalities better support. A national ombudsman for the elderly should be available as a resource and adviser to strengthen the competence of clients, provide advice on procurement, follow up on agreements with private operators, assist in the planning of new housing and collaborate with the state on targeted support or investment loans. The ombudsman for the elderly should also be a safe place for older people and their relatives to turn to for guidance, insight and support in their contact with the municipality.
Closing the gap requires long-term planning, transparency and government accountability. It won't happen overnight, but we must start now. Every year we wait is a year in which thousands of older people pay the price in loneliness and insecurity.
Our goal is clear: safe housing should not be a lottery, but a given when the need arises. Older people should never again be left alone waiting for a place that never comes.
To continue living in joy, dignity and security
Care for the elderly must never be reduced to a place of detention. It should be an environment where health, community and quality of life are at the centre. All older people in Sweden have the right to a dignified life with security in everyday life, but also with the opportunity for exercise, good food, social interaction and meaningful activities.
Today, for too long, the focus has been on the basics of coping with care, while quality of life has been neglected. Lack of exercise, poor nutrition and over-medication lead to loneliness, illness and shortened life expectancy. This is not dignified. We want to reverse this trend.
Each care home will have a Geriatric Activity and Health Developer (GAH). This new role will be responsible for ensuring that health and well-being are not a side issue but a central part of care. The GAH will lead activities, monitor nutritional status, document medication consumption and report deficiencies, in collaboration with staff and the Elderly Ombudsman. To ensure competence and independence, the function should be nationally certified and directly linked to the supervision of the Ombudsman for the Elderly.
Another crucial issue is food. Malnutrition is a hidden but serious problem in Swedish elderly care. Meals are served with low nutritional density and little adaptation to individual needs. We want to enshrine in law the right to nutritious food and the joy of eating, where every meal becomes a moment of community and quality of life.
The issue of medicines is particularly serious: today, almost a third of all elderly people are hospitalised urgently due to adverse drug reactions. Over-medication is used as a shortcut to deal with anxiety or night work, when safe staffing would have been the real solution. We want to break this culture. All pharmaceutical companies should be required to update the FASS with clear, practical instructions for tapering medication in the elderly, based on evidence and tools that already exist, such as the book Phase out. All care homes should keep digital records of medication consumption, and discrepancies should be reported to the Ombudsman for the Elderly.
The aim is simple: to reduce suffering, hospitalisations and avoidable deaths, and instead create person-centred care for older people. Quality of life is not just about surviving, it's about living.
The right to an analogue alternative
Digitalisation is advancing rapidly as governments, municipalities and businesses increasingly require everyone to be able to use apps, BankID and email. However, for many older people, this development leads to exclusion and a feeling of losing control over their own lives. When social services are only offered digitally, those who cannot or do not want to use technology become dependent on relatives for errands, finances and care. This not only creates frustration, but can also lead to isolation, financial problems and mental health problems.
At the same time, we are seeing cash disappear from everyday life, even though for many older people it is the safest and most understandable way to pay. Removing the ability to pay in cash excludes people from fully participating in society. A dignified society must offer all citizens the opportunity to participate on their own terms, and digitalisation must never become a compulsion that divides generations.
We therefore want to ensure the right to analogue alternatives. All municipalities and government agencies must offer paper forms, mailings and personal processing for those who need it. Cash should always be accepted in healthcare, care, housing and municipal fees. No elderly person should be powerless because technology has been put before people.
In addition, each municipality must develop a clear plan for how digital support and analogue alternatives are guaranteed in key public services. The Ombudsman for the Elderly will be tasked with monitoring the work of municipalities and ensuring that the right to analogue alternatives is not just symbolic words, but an actual guarantee.
Our goal is clear: to end digital exclusion, restore freedom of choice and ensure that all older people can live on their own terms, analogue, digital or a combination. No-one should be excluded from society because of the advance of technology.
Trusteeship and guardianship - from protection to a billion dollar industry
The guardianship and trustee system was created to protect the most vulnerable. In practice, it has become a billion-dollar industry where the elderly and people with cognitive difficulties risk losing both self-determination and transparency in their own lives. As early as 2017, the Swedish National Audit Office concluded that the state lacks a holistic approach: no central authority, inadequate supervision, unequal legal certainty and no comprehensive statistics. Despite this, change is slow. The government is now talking about a national register of representatives, but not until 2026-2028. Our elderly and their relatives cannot wait another few years for basic legal protection.
Meanwhile, reports of abuse are growing. Relatives are excluded while professional carers take over their lives and finances; private companies make huge profits while the elderly are isolated; and lack of oversight allows embezzlement and neglect to continue.
On paper, the chain of responsibility is clear: municipalities and caseworkers initiate decisions, guardians appoint deputies, county administrative boards are responsible for supervision and private actors for implementation. In practice, however, this arrangement has been broken down by fragmentation and weak control mechanisms. Overlapping mandates lead to a lack of accountability and inadequate oversight. This has created an environment where abuses and financial irregularities can continue, which in turn has laid the foundations for a multi-billion dollar industry built on exploitation rather than protection. This is unworthy of a country that claims to uphold the rule of law and human rights.
Ambition Sverige demands that the state takes collective responsibility now. We want a national register of guardians to be introduced as a matter of urgency and used as real protection for the principal, not as another administrative shelf. The register should provide traceability, enable relatives to gain transparency, and prevent rogue actors from moving between municipalities. At the same time, oversight needs to be tightened and accountability enforced when abuses occur. The system should protect the elderly, not exploit them.
The goal is simple: to rebuild a system that is easily corrupted so that it once again protects the elderly and their families.
We demand accountability for how our elderly were treated during the pandemic - the truth must be told
During the COVID-19 pandemic, Sweden failed its most vulnerable. Thousands of elderly people never received the care they were entitled to. Instead of basic medical care and life-saving interventions, palliative care was prescribed, often without a doctor even seeing the patient. Decisions were made remotely and people were deprived of their chance for treatment.
At the same time, relatives were excluded. Families were denied the chance to hold their loved ones' hands at the end of life. Many elderly people died alone, not because of the virus itself, but because the state chose to save resources at their expense. It was a violation of both our vision of humanity and basic human rights.
This must never be forgotten or silenced. We are now investigating the issue of accountability: How could an entire social system, from the National Board of Health and Welfare to the municipalities, accept guidelines that effectively denied older people their right to care? Which authorities, decision-makers and officials are responsible? And why has no one been held accountable so far?
Ambition Sverige's goal is clear: those who were deprived of their care and dignity will get their voice back through us. We demand transparency, we demand accountability and we demand that the truth comes out.
This is not just about yesterday, it is about the future. If we don't dare to talk about what happened, it risks happening again. We will come back with a review, we will ask the hard questions, we will debate, and we will never let the atrocities of the pandemic fade into silence.
Sweden must stand up for its elderly - and for the principles that make us a constitutional state.
Ambition Sverige will work for:
- Care for the elderly should be based on security, dignity and respect for the individual.
- That everyone working in elderly care should be checked against the criminal record.
- All staff in elderly care should speak and understand Swedish.
- Strengthening the right of both elderly people and their families to be involved in decisions related to care and housing.
- The right to safe housing should be a given when the need arises.
- Legalising the right to nutritious food and enjoyment of meals in elderly care.
- To guarantee the right to an analogue life.
- Reviewing the system of trusteeship and guardianship. The system should protect the elderly, not exploit them.
- To recognise and hold accountable the way older people were treated during the pandemic.