Cross-border care work in the EU: know your rights and obligations
EU4FairCare supports workers, employers and intermediaries in the long-term care sector to understand their rights and obligations when working in, recruiting for or providing long-term care services across EU borders. It also offers information relevant for households that use such services.
Here you'll find:
- what general rules apply
- what your main rights and responsibilites are
- where to find detailed EU and national information
Not sure which rules apply to you?
Use the interactive tool to get tailored guidance.
Find out what applies to you
This tool provides general information only. For legal advice, consult official sources
You will get information on
- Which legislation applies, your main rights and obligations.
- What to check before and during work.
- Links to official EU and national sources.
Who you are
Select the option that describes you
Your situation
Which of the following best describes your situation?
Employed
Which of the following best desribes how you provide services?
Self-employed
Which of the following best desribes your organisation?
Employers (organisations)
Which of the following best desribes how care is arranged in your household?
Households (users of care)
Which of the following best desribes your activity?
Intermediaries / platforms
Your situation at a glance
You are looking for a job in long-term care in another EU country.
Which rules apply to you
Working opportunities
Long-term care is provided in many settings, including:
- residential care with or without accomondation,
- home-based care,
- community-based care.
Long-term care roles cover many professions, such as nurses, nursing assistants, physical, speech and other therapists, psychologists and carers.
Ways to work
There are several ways to work in long-term care abroad:
- direct employment - you are hired directly by an employer in another EU country
- posting - your employer, including a temporary work agency, sends you temporarily abroad
- cross-border self-employment - you are registered as self-employed at home and provide services temporarily in another country
- establishment abroad - you move to another EU country and register as self-employed there
Rules and practices for long-term care work vary significantly across EU countries. Before you start, find out what applies in your destination country.
Be aware that long-term care can be physically and emotionally demanding - make sure you have strategies to set boundaries, manage stress and avoid burnout.
As a general rule, you will be covered by the social security system of the country where you work. The exact rules depend on your specific situation.
If you work for an employer, including a temporary work agency or a household, they are responsible for calculating, deducting and paying your social security contributions.
If you are self-employed, you are responsible for calculating and paying your own contributions.
Your main rights
- Work as an employee or a self-employed in any EU country without a work permit, as an EU national
- Live in the country you work in
- Receive equal treatment with nationals in recruitment, working conditions, promotion, pay, access to vocational training, occupational pensions and dismissal
Your main obligations
- Register your stay in the country you are moving to
- Have your qualifications formally recognised if your profession is regulated in the host country
What would you like to know next?
Search for verified employers and jobs abroad on the EURES portal. To become a posted worker, you must first find a job in your current country: use national employment services or job search portals.
EURES Advisers can provide tailored advice and job placement support. Recruitment agencies can also match you with employers. Temporary work agencies from your or another country can employ you and then hire you out to work in care. If you want to work as a self-employed carer, placement agencies or platforms can match you with households.
Whichever route you choose, verify the provider through public records or an official website before engaging.
- Understand the different types of work arrangement - employee or self-employed - and what each means for your rights and obligations. Explore the different situations and what applies to each
- Check whether your profession is regulated in the host country and whether your qualifications need to be formally recognised
- Get all necessary information in writing, in a language you fully understand
- Research living costs in the area, calculate your expected take-home pay after contributions, taxes and expenses, and assess whether the offer covers your needs
- Be cautious of offers that seem too good to be true and never pay for job placement
Your situation at a glance
You are a long-term care worker employed in another EU country - this could be a care provider, a temporary work agency, or a private household.
Which rules apply to you
Working conditions
- Your working conditions - such as pay, working time, rest periods and leave - are governed by the rules of the country where you work.
- The law of the country where you work applies. You must be treated equally to workers in the country where you work.
Social security
If you work as an employee, social security contributions are normally paid under the system of the country where you work, according to national rules. Registration, calculation, deduction and payment of contributions is usually the employer's responsibility. It is also their responsibility to inform you which social security institution governs the contributions.
EU rules coordinate national systems to ensure that you are covered and do not pay contributions in more than one country at the same time.
Your main rights
- Work without a permit as an EU national
- Receive equal treatment with local workers as regards: recruitment, working conditions, promotion, pay, access to vocational training, occupational pensions and dismissal
- Get written informationm on working conditions
- Benefit from declared work and social protection
- Have safe and healthy working conditions respected
Your main obligations
- Carry out the tasks agreed in your employment arrangement
- Respect agreed working time and rest arrangements
- Comply with health and safety rules
- Respect confidentiality and data protection
What would you like to know next?
Many professions in the long-term care sector are regulated. This means that you must meet specific requirements before you can practise. At EU level, there are rules on the recognition of professional qualifications subject to national procedures, including automatic recognition for certain professions, such as general care nurses.
Getting your qualifications recognised before starting work can help you:
- avoid delays and administrative problems;
- prevent underemployment;
- ensure your skills are used and correctly paid.
Before you start
- Ask for a written contract or written information about working conditions
- Check whether your qualification must be recognised to work in your profession
- Make sure you have sufficient command of the working language to understand your rights and obligations
During work
- Keep copies of important documents (contract, proof of payment, working time records)
- Ensure that all hours worked are declared
- If your tasks or hours differ from what was agreed, raise the issue with your employer or seek guidance from authorities or a trade union
- Undeclared work (no formal employment contract) or underdeclared work (part of the pay made 'under the table' and not registered)
- Unclear boundaries between working time and rest time, especially in home-based care
- Tasks going beyond what was agreed in the contract
- Working below your qualification level due to missing or delayed recognition
Your situation at a glance
You have an employment contract with an employer in one EU country and are temporarily sent to provide care services in another EU country. You are a posted worker.
Which rules apply to you
Working conditions
During the posting, your working conditions are governed by the rules of the host country, unless the conditions in the country from which you are posted are more favourable. Specifically:
- You are entitled to at least the same working conditions as workers employed directly in the host country for the same job - unless your home country employment conditions are better
- For posting longer than four weeks, you must receive clear written information on your working conditions before you depart
Social Security
You remain covered by the social security system of the country from which you are posted, not the host country.
Your employer must request a portable document A1 (PD A1) from the social security institution in your home country before posting. This document confirms your social security coverage and means you do not need to pay contributions in the host country. If you are moving your habitual residence to the country you are posted to, ask your health insurance institution for an S1 form. Once you submit it to the health insurance institution in the host country, you will have access to healthcare equally to local workers. Otherwise, use the European Health Insurance Card (EHIC) for unplanned healthcare.
Your main rights
- Work without a work permit as an EU national
- Provide services temporarily without having your professional qualifications formally recognised; check the requirements to temporarily provide services in your profession in the host country
- Work without the registration for and payment of social security contributions in the country of work
Your main obligations
- Register your stay in the country you are moving to for more than 3 months
- Respect the agreed scope of work defined within the contract
- Follow health and safety rules
What would you like to know next?
- Your legal employer is the sending company even when you work under the supervision of a company or household abroad
- Understand the relationship between you, your employer (the sending company) and the user of your services (a company or a household abroad where you provide long-term care) - and what each party is responsible for
- Ask for clarification if there is anything you are not sure of, such as who and how pays for accommodation
You must get all the basic elements of pay applicable in the country of work, except if those in the country from which you are posted are more favourable. Allowances for accommodation or travel are not part of your pay. Check the single posting website in the country of work to learn what the rules are or ask advice from the national liaison office for the posting of workers.
Language barrier could make it harder to understand all the information about the working conditions, or to seek assistance from the local institutions if something goes wrong: learn at least the basics, even if the job does not require so.
Your situation at a glance
You work in long-term care in another EU country but live in your home country, returning home daily or at least once a week. You are considered a frontier (cross-border) worker.
Which rules apply to you
Working conditions
As a frontier worker, your working conditions are based on the rules of the country where you work, not the country where you live.
This covers:
- pay and pay supplements,
- working time and rest periods,
- annual leave,
- health and safety at work,
- protection against discrimination.
Social Security
You are covered by the social security system in the country of employment, but you can access some benefits also in the country where you live. For example, you are entitled to medical treatment in both countries under the same conditions as persons insured in those countries. Just get an S1 form from your health insurance institution in the country where you work and present it to the health insurance institution in the country where you live. There are also special rules for applying for unemployment benefits.
Get informed about your social security rights as a frontier worker.
Your main rights
- Receive equal treatment with workers in the country where you work
- Benefit from social security coverage in both the country where you work and live
- Get written information about your working conditions
- Work in safe and healthy conditions, in line with the rules of the country of work
Your main obligations
- Respect applicable rules in both countries
- Declare taxes correctly - you might need to declare income tax both in your work and home country
What would you like to know next?
- Understand which country rules apply - employment conditions, income taxes and most social security rights fall under the country where you work; residence formalities and most other taxes fall under the country where you live
- Get an S1 form (former E106 form) from your health insurance authority in the country where you work. This form gives you the right to get healthcare in the country where you live
- Keep required documents available, declare taxes correctly and inform the relevant authorities of any change in your situation.
You may need to declare income in both the country where you work and your country of residence. The exact rules depend on bilateral tax agreements between the two countries. Check with the tax authority in each country or get professional advice before you start.
The S1 form (formerly E106) is issued by your health insurance authority in the country where you work. It entitles you to healthcare in the country where you live, under the same conditions as insured persons there. Request it as soon as you start working abroad.
Your situation at a glance
Self-employed in your home country, you temporarily provide long-term care services in another EU country. You work under EU rules on the free movement of services. You are responsible for managing your own administrative, tax, and social security obligations.
Which rules apply to you
Working conditions
As a self-employed carer, you negotiate your working conditions directly with your client.
This means:
- You set your working time and availability
- You agree on tasks and payment
- Labour law and collective agreements generally do not apply to you.
Compared to employees, you have more flexibility - but also greater responsibility for how your work is organised.
When providing care services across EU borders, you are operating under EU rules on free movement of services. As a self-employed provider, you must know and comply with the rules of the country where you work.
Social Security
You are covered by the social security system of the country where your business is registered. Before going abroad, request an A1 certificate from the county of establishment.
Get informed about your social security rights as a frontier worker.
The A1 certificate:
- Confirms which country's social security system applies
- Helps you avoid paying contributions in more than one country
Keep your A1 certificate with you at all times when working abroad. Without it, you may be required to pay contributions in the host country - even temporarily - or pay a fine.
If you are moving your habitual residence while you provide long-term care service in another EU country, ask your health insurance institution for an S1 form. Once you submit it to the health insurance institution in the host country, you will have access to healthcare equally to locals. Otherwise, use EHIC for unplanned healthcare.
Your main rights
- Freedom to temporarily provide services across EU borders
- Freedom to establish a business in another EU country
- Equal treatment compared to local service providers
- Social security coverage under one system (the one of the country where your business is registered)
- Temporarily provide services without professional qualifications recognised
- Protection against discriminatory access requirements
Your main obligations
- Learn the rules of the host country
- Carry a valid A1 certificate when working abroad
- Manage your own invoicing, taxes and social security
- Respect training, certification or occupational health and safety requirements
What would you like to know next?
- Request your A1 certificate before you start - without it you may be asked to pay contributions or fines in the host country
- Check the conditions to provide services in the host country
- Make sure both you and the client understand the agreed terms and responsibilities
- Make sure you understand where and how to declare income for tax purposes
- Plan realistic working conditions and avoid open-ended or always-on-duty arrangements
You may be required to pay social security contributions in the host country. You may also face penalties.
This depends on several factors, such as for how long in a year you provide services abroad. Get tax advice early and respect the rules.
Very long hours or being constantly available pose a risk. Remind the client about the agreed terms. If someone else - the agency that placed you with the household or a digital platform - defines your working hours or other aspects of your work, you may be in false self-employment. This means that you miss out on both your independence and the protection guaranteed to employees. If in doubt about your status, ask labour inspectorate's advice.
As a self-employed carer, you handle your clients' personal data directly. Failing to comply can lead to disputes and loss of trust.
Your situation at a glance
You moved to another EU country, where you registered as self-employed and provide long-term care services. You are exercising your right to freedom of establishment. You are responsible for managing your own administrative, tax and social security obligations.
Which rules apply to you
Working conditions
As a self-employed carer, you negotiate your working conditions directly with your client.
This means:
- You set your working time and availability
- You agree on tasks and payment
- Labour law and collective agreements generally do not apply to you
Compared to employees, you have more flexibility - but also more responsibility for how your work is organised. As a self-employed provider, you are responsible for knowing and complying with the rules of the country where you work.
Social Security
You are covered by the social security system of the country where your business is registered: in your case, it is the country where you provide services.
Social security rules for self-employed people often differ from those for employees. Make sure you understand:
- what contributions are compulsory and what is voluntary
- where and how to register
- how to calculate and pay contributions
Your main rights
- Start and run your own business in another EU country without time restrictions
- Temporarily provide services across EU borders
- Receive the same treatment as local self-employed people
- Practise in a regulated profession, once your qualifications have been assessed and formally recognised
- Access legal protection, including courts and safeguards against unjustified restrictions
Your main obligations
- If you want to practise in a regulated profession, you must apply for a recognition before starting a business
- Learn the rules of the host country, including what type of a civil contract to conclude with households
- Manage your own invoicing, taxes and social security
- Respect training, certification or occupational health and safety requirements
What would you like to know next?
- Check if the profession you want to practice in is regulated - if so, qualification recognition is required before you start
- Check the conditions for setting up a business in the host country
- Find out which social security contributions are compulsory and which are optional
- Understand where and how to declare your income for tax purposes
- Make sure your contract with the client is legally valid, realistic and clearly understood by both parties
- Verify that your working arrangements do not constitute false self-employment (see below)
As a self-employed carer, you set working conditions, including the scope and the cost of your services, directly with your client.
Make sure the terms are realistic and clearly defined. Open-ended or always-on arrangements are not in your best interest and may put you in a precarious position.
If an agency, digital platform or household controls your working hours, tasks or availability, you may be in a situation of false self-employment. This means you are working like an employee but without the legal protections employees are entitled to.
If you are unsure about your status, contact your national labour inspectorate.
Your situation at a glance
Your organisation provides long-term care services and hires workers from other EU countries. This means you employ workers from other EU countries under the same conditions as domestic workers.
Which rules apply to you
Working conditions
You must treat workers from other EU countries equally to nationals. This applies to:
- Recruitment
- Working conditions
- Promotion
- Pay
- Access to vocational training
- Occupational pensions
- Dismissal
While EU workers have the same rights as nationals, they may need support to understand the system. Providing clear written information on employment terms in a language they understand helps prevent misunderstandings, reduces staff turnover and supports continuity of care.
Social Security
Workers you recruit from other EU countries are subject to the same social security system that applies to your national employees.
If this is their first time working in your country, they may need guidance, for example:
- Their home country may have a single compulsory health insurance scheme
- Your country may offer multiple options with different coverage levels
Help them understand their options or refer them to the competent authorities.
Your main rights
- Hire an EU national without an additional permit
- Verify the carer's qualifications, experience and right to work before hiring
- Verify the scope of work, tasks and working conditions within the legal framework
- Terminate the contract under the conditions agreed
Your main obligations
- Ensure that the worker understands their rights and obligations
- Provide information on working conditions in writing
- Conclude a legal employment contract
- Register the worker, calculate, deduct and pay social security contributions and taxes
- Respect working hours, rest periods and leave entitlements
- Ensure conditions in line with occupational health and safety rules
What would you like to know next?
- Qualifications and experience - Check the carer's training, skills and experience - ask for certificates, references and, if the role is regulated in your country, proof of qualification or licence
- Right to work - Verify the carer's right to work in your country - EU nationals can work freely; check with local authorities for others
- Equal treatment - Ensure same working conditions and general treatment you provide to nationals
- Health and safety awareness - Ensure the worker is informed of occupational health and safety rules
- Accommodation - If you provide housing, ensure adequate living conditions and clear written terms on costs and responsibilities
If the role is a regulated profession, the worker must have their qualifications formally recognised before they can legally perform the role. Contact the competent authority for that profession in your country to verify requirements and recognition procedures.
Hiring a non-EU national without valid work authorisation may result in administrative fines and criminal liability. Always verify the worker's legal right to work before signing any contract.
Your situation at a glance
Your organisation provides long-term care services and posts workers to temporarily provide them in other EU countries. This is known as the posting of workers - and it comes with specific rights and obligations under EU law.
Which rules apply to you
Working conditions
You can post workers to another EU country under specific conditions. In practice, this means:
- Workers must be registered in your country's social security system for at least one month before the posting begins.
- A continuous employment relationship must exist between your organisation and the posted worker throughout the posting period.
- You must guarantee them the same working conditions and terms of employment that apply in the host country, based on national law or universallyapplicable collective agreements.
- If your home country conditions are more favourable, those conditions must be maintained during the posting.
While EU workers have the same rights as nationals, they may need support to understand the system. Providing clear written information on employment terms in a language they understand helps prevent misunderstandings, reduces staff turnover and supports continuity of care.
Social Security
While temporarily working abroad, your posted employees can continue to be covered by the social security system of the country where they worked before the posting.
As the employer that posts workers, you must request a portable document A1 (PD A1) from the social security institution in the country where the employees are insured. The PD A1 confirms that the posted employee is registered under the social security system in the country that issued it and does not need to pay contributions in the country of posting.
Your main rights
- Provide services temporarily in another EU Member State through your staff.
- Keep the employment relationship with posted workers during the posting.
- Post EU nationals without needing work permits.
- Define, together with the user undertaking, the scope of work and tasks.
- Apply your home country's employment rules, except where host country rules on core working conditions are more favourable - in which case the host country rules apply.
Your main obligations
- If the posting takes more than four weeks, inform the worker in writing on important aspects of posting before departure - this is in addition to the standard written information on employment terms required for all workers.
- Notify the competent authorities in the host country before the posting begins.
- Guarantee core conditions of employment of the country of work, except where your country conditions are more favourable; for posting longer than 12 months, almost all mandatory host country conditions apply.
- Pay the agreed wages and meet your obligations as employer.
- Coordinate with the user undertaking on health and safety.
- The user undertaking manages workplace risks and applies safety rules in practice.
- As an employer, ensure that workers are properly informed and that health and safety obligations are reflected in the employment relationship.
What would you like to know next?
- You remain responsible as the employer throughout the posting - all employer obligations continue to apply.
- Check which working conditions apply in the host country, including on pay: consult the single posting website of the host EU country or ask a national liaison office for advice.
- Ensure posted workers receive treatment equal to workers employed directly by the user undertaking.
- If you provide accommodation, ensure adequate living conditions .
- Keep all required documents available and cooperate with inspections on request.
- Incorrect pay or working conditions: Applying home country rules when host country rules on pay, working time or leave must apply can lead to fines and back payments.
- Administrative noncompliance: Failing to submit required posting declarations, appoint a contact person, or keep documents available can result in sanctions.
- Health and safety failures: Not applying host country health and safety rules in long-term care can lead to serious liability.
- Social security errors: Incorrect use or absence of A1 certificates can result in double contributions or retroactive claims.
- Blurred responsibilities with the user undertaking or care recipient: Lack of clarity on who gives instructions exposes workers to uncertainty about their status.
- For posting declarations and host country rules, pay and working condition requirements in the host country: consult the single posting website of the host EU country (Posted workers in the EU: guidelines & social security rules - Your Europe) or contact the national liaison office for posting of workers (Posted workers in the EU: guidelines & social security rules - Your Europe).
- For the PD A1 document: contact the social security institution in the country where your workers are insured (https://ec.europa.eu/social/social-security-directory/pai/select-country/language/en Public Access Interface).
- For checking requirements to provide services, get in touch with the assistance service in the host country (Points of Single Contact - Internal Market, Industry, Entrepreneurship and SMEs).
Your situation at a glance
Your organisation provides long-term care services and uses services of workers posted from another EU country under a commercial contract. As a user undertaking, you have specific responsibilities under EU law.
Which rules apply to you
Working conditions
The sending company is their employer and primarily responsible for ensuring legal working conditions.
However, as the user undertaking, you also have responsibilities:
- Treat posted workers the same as you treat your own employees.
- Ensure safe and healthy working conditions at the workplace.
Social Security
Posted workers are covered by the social security system of the country they were posted from - as a user undertaking you do not need to manage their social security contributions.
However, make sure that posted workers carry a valid portable document A1 (PD A1 or A1 certificate) when they arrive.
The PD A1 confirms:
- that the worker is registered under the social security system in another EU country,
- that they are not required to pay contributions in your country.
Having the PD A1 available protects your organisation in the event of an inspection at your premises.
Your main rights
- Give day to day instructions as needed to perform the service, without taking over the role of the employer.
-
In case of agency workers, you as a user undertaking are responsible for:
- Task allocation and priorities.
- Daily work organisation.
- Shift patterns and rotations.
- Working time schedules.
- Breaks and on site rules.
- How care tasks are performed, within professional and safety standards.
- Supervision of performance during the assignment.
Your main obligations
- Respect the scope of work, duration, tasks and responsibilities defined in the contract with the sending company.
-
Inform the sending company about:
- working time arrangements,
- workplace risks,
- applicable host country rules that affect the assignment.
- Ensure working conditions in line with the health and safety rules at work.
If using services of a staffing agency, you have additional obligations:
- inform the agency about pay, working time and basic conditions of your staff hired directly for the same role: agency workers must receive at least equivalent conditions,
- respect national rules or limitations on agency work.
What would you like to know next?
- Know the status of the sending entity: is it a long-term care company or a staffing agency? This affects the rules you must follow.
- If engaging agency workers, your rights and responsibilities are broader - make sure you understand what applies before the assignment starts.
- Ensure posted workers receive the same treatment as your directly hired employees
- If you offer accommodation, make sure it is adequate.
- For posted live-in carers, ensure the household respects worker's privacy and the boundaries between working time and personal life.
The sending company is responsible for getting PD A1- not you. However, as the user undertaking, you should verify that posted workers carry a valid PD A1 before the assignment begins.
As the user undertaking, you are responsible in practice for health and safety at your workplace - this includes ensuring that your country occupational health and safety rules are applied, even for posted workers. Failing to do so can lead to serious liability, including in the event of a work-related accident.
If your organisation goes beyond day-to-day instructions, you are going against the service contracts and stepping into the sending company's territory. You should control and direct the work of posted agency workers, not all posted workers. Ensure the division of responsibilities with the sending company is clearly defined in the contract and fully respected.
Yes - giving incorrect or incomplete information to the sending company about working conditions, pay or applicable host country rules may deprive posted workers of their rights. This can result in liability, fines and back-payment for the sending company. You also risk reputational damage and, potentially, other consequences for your organisation.
Your situation at a glance
Your household has directly hired a long-term carer and concluded an employment contract. This makes you a formal employer under national labour law.
You are responsible for employment conditions, social security contributions and compliance with your country's labour rules.
Which rules apply to you
Employment conditions
When you directly hire a long-term carer, you become an employer under national labour law. This means you must:
- Have a legal employment contract in place
- Pay taxes and social security contributions
- Respect the agreed working conditions
- Ensure conditions that respect occupational safety and health rules
Social Security
You calculate, deduct and pay contributions like any other employer in your country. If you are not sure, get in touch with the competent authorities or consider professional bookkeeping services.
Your main rights
- Hire an EU national without an additional permit
- Verify the carer's qualifications, experience and right to work before hiring
- Define the scope of work, tasks and working conditions within the legal framework
- Terminate the contract under the conditions agreed
Your main obligations
- Ensure that you and the carer understand your rights and obligations
- Provide information on working conditions in writing
- Conclude a legal employment contract
- Register the worker, calculate, deduct and pay social security contributions and taxes
- Respect working hours, rest periods and leave entitlements
- Ensure conditions in line with occupational health and safety rules
- For live-in carers, secure decent accommodation and respect carer's privacy
- Clearly define and respect the boundaries between working time and personal time
What would you like to know next?
Make sure you:
- Check the carer's training, skills and experience - ask for certificates, references and, if the role is regulated in your country, proof of qualification or licence
- Verify the carer's right to work in your country - EU nationals can work freely; check with local authorities for others
- Ensure the employment contract covers all required elements, including termination conditions and check if a collective agreement applies
- Check minimum wage laws and typical pay rates in your area: a high turnover of carers is likely not your goal.
- If you offer accommodation, ensure adequate living conditions and respect the carer's privacy
- Undeclared or underdeclared work: a lack of declared employment contract (undeclared work) or a mix of declared wage payment plus additional 'under-the-table' payment (underdeclared work) expose you to fines.
- Unpaid overtime: not registering working hours or ignoring rest periods, especially in live-in arrangements, exposes you to claims for Back payments.
- Immigration violations: hiring non-EU nationals without valid work authorisation can result in fines and criminal liability.
The total cost of employment goes beyond the salary. As an employer you must also budget for, for example:
- social security contributions,
- paid leave,
- sick leave,
- any required equipment and
- training and occupational safety costs.
Underestimating these costs can lead to financial strain and, if obligations are not met, legal violations.
You are responsible for the working environment of your carer: a safe workspace, adequate equipment and conditions that do not put their health at risk. If an accident happens at work, you may be held liable.
Sudden termination can leave a person in need without care. A well-drafted contract with clear termination conditions gives you legal protection and a notice period to find a replacement. Paying a fair wage in line with local rates also reduces the risk of the carer leaving - a high turnover is in nobody's interest.
Your situation at a glance
You or your household use services of a long-term carer under a service contract - not an employment relationship. You signed a contract with the service provider, which could be:
- a self-employed carer
- a temporary work agency
- another care service organisation
This means you are not an employer. The service provider is responsible for social security contributions, taxes and employment paperwork.
Which rules apply to you
Working conditions
Your rights and responsibilities are set out in the service contract or another type of civil contract you signed. The contract should specify:
- which care services will be provided
- how and when the services are delivered
- the pay arrangement and payment method
- duration of the agreement and termination rules
- responsibilities of each party
Do not ask the carer to perform tasks outside the agreed scope or to be available outside the agreed timeframe.
Social Security
The service provider is responsible for social security contributions, taxes and any other paperwork.
You become an employer (with all related obligations) only if you sign an employment contract directly with the carer. If this applies, see Households → My household has concluded an employment contract with the carer.
Your main rights
- Receive the agreed services as set out in the service contract
- Be treated with dignity and respect; have your privacy protected
- Complain or terminate the contract if services are not provided as agreed
- Have your personal, including health, data protected
Your main obligations
- Provide necessary information about care needs or the living situation
- Respect the terms of the service contract
- Pay the agreed fee in full and on time
- Respect the carer's independence: do not control working time or methods beyond what is agreed
- Ensure a safe and respectful environment for provision of services
- For live-in carers, secure decent accommodation and respect carer's privacy
What would you like to know next?
Make sure you:
- Verify the provider is legitimate: use only trustworthy and legally operating service providers, including if using a platform
- Enter into a contract carefully: understand the terms of the services to be provided, what is included and who is responsible for what
- Confirm the carer's skills match the needs of the person they will take care of, including the language skills
- Pay only against invoices or agreed billing arrangements; keep records
- Respect the boundaries between carer's working hours and personal time
If you treat a self-employed carer as an employee - direct their working hours, tasks or daily work organisation - you may be treated as an employer under national law, even if you signed a service contract. This would make you responsible for social security contributions, taxes and employment obligations.
If you are using the services of an individual carer, make sure they are working legally. A self-employed carer will provide their business or trade licence. Engaging someone who works undeclared may expose you to various risks.
You have the right to complain or terminate the contract if the provider does not fulfil their obligations. Make sure the contract includes clear termination conditions and a complaints procedure.
While you are not responsible for day-to-day organisation of work or occupational safety and health, you should ensure a safe and respectful environment for service provision. For live-in arrangements, this includes the living space and carer’s privacy and respecting the boundaries between the carer's working hours and personal time.
Your situation at a glance
You own or represent a recruitment agency. You identify, screen and match long-term care (LTC) workers with employers, such as:
- care providers or other organisations,
- temporary work agencies,
- private households acting as employers.
You do not employ workers and you do not supervise their work. Your role is to bring the parties together so that an employment relationship can be lawfully established between the worker and the employer.
Which rules apply to you
There is no EU-wide legislation specifically regulating recruitment agencies. However, your activity directly affects compliance with labour mobility, employment and social security rules. You must operate in line with national rules.
Your role and limits
As a recruitment agency, you are:
- not the employer;
- not responsible for working conditions, pay or social security;
- not part of the employment relationship once the match is made.
Responsibility for rights and obligations lies with the employer and the worker. Your responsibility is to ensure that the recruitment process is transparent, lawful and non-misleading.
Good practice when advising workers
You should:
- clearly explain who the employer will be (a company, temporary work agency, household);
- explain the type of contract offered and which country's rules apply;
- flag the need to have qualifications recognised before practising in a regulated profession;
-
inform workers about:
- working time arrangements,
- pay structure,
- social security coverage,
- accommodation, where relevant;
- warn workers about risks of false self-employment or undeclared work;
-
flag warning signs, such as:
- unclear employer identity,
- unrealistic availability requirements,
- requests to work without a contract.
You should not present an offer as 'safe' or 'guaranteed' if conditions depend on later decisions by the employer.
Good practice when advising employers and households
You should:
- help clients, in particular households, understand what legal role they are taking on;
-
explain their main obligations, such as:
- concluding a legal contract,
- providing information on working conditions in writing,
- in labour mobility arrangements, making sure correct labour and social security legislation is applied,
- meeting qualification recognition requirements where the profession is regulated,
- ensuring equal treatment of workers from abroad;
- make clear that using a placement or recruitment agency does not shift legal responsibility away from them;
- recommend checking national rules if engaging workers from abroad.
You should avoid, even if prompted, suggesting arrangements designed solely to reduce costs or bypass labour law.
Your main rights
- Provide recruitment and placement services across borders, in line with general EU internal market rules
- Charge fees or commissions to clients, where allowed by national law
- Operate in different legal systems, provided national requirements are respected
Your main obligations
- Respect national legislation regulating employment agency work
- Never charge placement fees to workers
- Provide clear, truthful and non-misleading information to all parties
- Avoid practices that may lead to exploitation, false self-employment or undeclared work
- Act transparently about your own role and limits
- Respect data protection rules when handling personal and health-related data
What would you like to know next?
- You facilitate employment: you do not create it
- Workers often rely heavily on your information
- Cross-border hiring increases legal complexity: it is even more pronounced in sensitive sectors like long-term care
- Ethical recruitment strengthens trust and reputation
- Clear information prevents disputes
- Reputational damage from misleading offers
- Involvement in unlawful or exploitative practices
- Worker complaints based on expectations you helped create
- Data protection breaches
- Loss of trust from employers and workers
Your situation at a glance
You own or represent a placement agency or digital platform that connects self-employed long-term care (LTC) providers with private households.
You do not employ the carer and you do not act as a user undertaking. Your role is to facilitate a service relationship between:
- a self-employed carer, and
- a household receiving care services.
Which rules apply to you
There is no single EU framework specifically regulating placement agencies in long-term care, but national rules may apply. Digital platforms are subject to EU-level obligations.
Your role and limits
As a placement agency or platform, you are:
- not the employer;
- not responsible for working conditions or social security;
- not entitled to direct or control the carer's work.
These limits are important to ensure that the carer remains genuinely self-employed.
You should not:
- give instructions on how, when or in what sequence care tasks must be performed;
- fix working hours, shifts or continuous availability;
- monitor or supervise daily work;
- require prior approval for breaks or time off;
- limit the carer's right to be replaced or substituted.
Good practice when advising self-employed
You should clearly explain that self-employment means:
- organising one's own work;
- responsibility for taxes and social security;
- freedom to accept or refuse assignments;
- the right to provide services to multiple clients;
- working under a service contract, not an employment contract.
You should:
- inform them about the main rules they must respect, for example if the profession is regulated in the country;
- warn them about false self-employment risks;
- advise avoiding schedules or availability rules that remove autonomy.
Good practice when advising households
You should explain that households:
- are service recipients, not employers;
- should not try to organise working time beyond what is agreed contractually;
- risk becoming de facto employers if they exercise control: this has legal and financial consequences;
- should respect boundaries between carer's working time and personal life;
- should ensure adequate accommodation and respect live-in carers' privacy;
You should avoid, even if prompted, suggesting arrangements designed solely to reduce costs or bypass labour law.
Your main rights
- Operate placement services and platforms
- Connect independent carers with households
- Offer additional services, where permitted by national law
- Charge fees or commissions, where permitted
Your main obligations
- Provide transparent information to carers and households
- Design contracts, guidance or platform features to support independence
- Ensure that information provided does not misrepresent the nature of the service relationship
- Avoid practices that could lead to or facilitate false self-employment
What would you like to know next?
- Clear guidance protects carers, households and you
- Independence must exist in practice, not only on paper
- Control over work is not compatible with self-employment
- Respect data protection rules
- Be transparent around your services and related fees
Business models that involve or facilitate false self-employment. They may lead to:
- Liability for social security, taxes and other employer's obligations
- Disputes between carers and households due to unclear contracts
- Reputational damage and loss of trust
Your situation at a glance
Your organization is a temporary work agency and it hires workers from other EU countries. You employ and hire out EU workers under the same conditions as domestic workers.
Which rules apply to you
Working conditions
You must treat workers from other EU countries equally to nationals.
When assigning them to a user undertaking:
- Inform them in advance about the identity of the user undertaking where they will work.
- They must receive at least the same basic working and employment conditions as workers recruited directly for the same job.
While EU workers have the same rights as nationals, they may need support to understand the system.
Providing clear written information on employment terms in a language they understand helps prevent misunderstandings, reduces staff turnover and supports continuity of care.
Social security
Workers you recruit from other EU countries are covered by the same social security system as your national employees.
If this is their first time working in your country, they may need guidance. For example:
- Their home country may have a single compulsory health insurance scheme.
- Your country may offer multiple options with different coverage levels.
YHelp them understand their options or refer them to the competent authorities.
Your main rights
- Hire an EU national without an additional permit
- Verify the worker's qualifications, experience and right to work before hiring
- Hire out workers under the same conditions as nationals
- Define the scope of work, tasks and working conditions together with the user undertaking
- Terminate the contract under the conditions agreed
Your main obligations
- Ensure at least the same basic working and employment conditions as workers recruited directly by the user undertaking for the same job
- Provide information on working conditions in writing
- Conclude a legal employment contract
- Register the worker, calculate, deduct and pay social security contributions and taxes
- Ensure carer's working hours, rest periods and leave entitlements are respected
- Cooperate with the user undertaking to ensure conditions in line with occupational health and safety rules
- For live-in carers, ensure they have adequate accommodation and privacy respected
What would you like to know next?
- Qualifications and experience: Check the worker's training, skills and experience - ask for certificates, references and, if the role is regulated in your country, proof of qualification or licence.
- Right to work: Verify the worker's right to work in your country - EU nationals can work freely; check with local authorities for others.
- Equal treatment: Ensure same working and hiring-out conditions you provide to nationals.
- Health and safety awareness: Ensure the worker is informed of occupational health and safety rules; the user undertaking implements them in practice.
- Accommodation: If you provide housing, ensure adequate living conditions and clear written terms on costs and responsibilities.
If the role is a regulated profession, the worker must have their qualifications formally recognised before they can legally perform the role. Contact the competent authority for that profession in your country to verify requirements and recognition procedures.
Hiring a non-EU national without valid work authorisation may result in administrative fines and criminal liability. Always verify the worker's legal right to work before signing any contract.
Your situation at a glance
You own or represent a temporary work agency. You employ long-term care (LTC) workers and assign them temporarily to work for a user undertaking in another EU country. You remain the legal employer. The worker carries out their tasks under the supervision and direction of the user undertaking. This arrangement is temporary agency work and is also covered by the EU rules on posting of workers.
Which rules apply to you
Working conditions
You can post workers to another EU country under several conditions:
- Workers must be registered in your country's social insurance system for at least 1 month before the posting starts.
- There must be a continuous employment relationship between you and the posted worker throughout the whole posting period.
- Your workers must receive at least the same basic working and employment conditions as workers recruited directly by the user undertaking for the same job.
- If home-country conditions are more favourable, those must be maintained during the posting.
Social security
While working abroad, posted workers remain covered by the social security system of the country where they were employed before the posting.
As the posting employer, you must request a portable document A1 (PD A1) from the social security institution in the country where the employees are insured. The PD A1 confirms that the posted employee is registered under the social security system in the country that issued it and does not need to pay contributions in the country of posting.
Your main rights
- Provide services temporarily in another EU Member State through agency-assigned staff
- Keep the employment relationship with the worker during the posting
- Post EU workers without additional permits
- Agree with the user undertaking on the scope of tasks and duration of the assignment
- Apply home-country employment rules, except on core working conditions if they are more favourable in the host country
Your main obligations
- Inform the worker posted for more than four weeks in writing on important aspects of posting before departure - this is in addition to the standard written information on employment terms required for all workers
- Notify competent authorities in the host country about the posting before it begins
- Guarantee the host country's mandatory working conditions, including equal treatment with workers in comparable roles at the user undertaking
- Obtain and keep available the A1 certificate
- Pay agreed wages and meet your obligations as employer
-
Coordinate with the user undertaking on occupational health and safety
- The user undertaking manages workplace risks and applies safety rules in practice;
- You, as employer, ensure that workers are properly informed and that health and safety obligations are reflected in the employment relationship
What would you like to know next?
- You remain the employer, even though the user undertaking directs daily work
- Equal treatment depends on accurate information from the user undertaking (for example on pay and working time)
- Health and safety responsibilities are shared and complementary
- If accommodation is provided, standards and costs must be clear
- Keep required documents available and cooperate with inspections
- Unequal treatment: failing to ensure equal treatment or correct pay can lead to back payments or penalties.
- Health and safety failures: not applying health and safety rules in long-term care can lead to serious liability.
- Social security errors: incorrect use or absence of A1 certificates can result in double contributions or retroactive claims.
- Blurred roles of the employer, the user undertaking or care recipient: lack of clarity on who gives instructions exposes workers to uncertainty about their status.
- Administrative non-compliance: rules vary across countries and areas of law. Get informed or seek advice before the posting begins.
General overview
Who does what in long-term care?
Your role determines your rights, your obligations and relationship with others.
Not sure which category applies to you? Use the interactive tool above.
What is long-term care?
Long-term care is assistance to people who cannot fully care for themselves due to old age, illness or disability. It is provided over a long period of time.
It includes help with daily activities such as preparing meals, shopping, or housework and nursing care such as assistance in personal hygiene, eating, dressing or moving around.
Care is provided by professionals, including nurses and nursing assistants, physiotherapists and assistants, social workers, psychologists, and home-based care workers. It can take place in residential care facilities such as nursing homes or elderly homes. At the community level it can take place through, for example, adult day care. It can also take place in the person's home.
Know your status, know your rights
You are likely an employee if:
- You concluded an employment contract
- The contract respects labour law or collective agreement standards
- Your employer pays social security contributions and taxes on your behalf
- Your employer organises and supervises your work
- You have less autonomy, but more protection
You are likely self-employed if:
- You work independently under a trade licence
- Labour law standards typically do not apply to you
- You agree with your client about conditions under which you will provide services
- You are responsible for paying taxes, contributions and for respecting applicable rules
- You bear full responsibility for your services
- You have more autonomy, but less protection
Are you really self-employed? If you are formally self-employed but someone else controls where, when and how you work - you may be in so-called false or bogus self-employment, and missing out on certain rights.
Check your situation with the tool above.
Working across borders: one social security system at a time
What type of mobile worker are you?
- If you move for work to another EU country - that country's labour and social security rules apply to you
- If you live in one EU country, but daily or weekly commute to another, you are probably a frontier worker. In that case the labour law and social security rules of the country of work apply, but you can access some benefits in your country of residence.
- If your employer sends you temporarily to provide services abroad, you are likely considered a posted worker. In this case host country's labour rules apply, home country's social security stays.
- If you are self-employed, you are responsible for your own contributions and other paperwork - check the applicable legislation!
Typically:
- if you established a business in another country and provide services there, that country's social security rules apply.
- if you established a business in one country and temporarily provide services in another, you pay social security contributions in the country where your business is registered
Before moving
- Check which country's legislation applies to your situation
- Request written information from your employer or an agency, if applicable
- Make sure you ticked all the boxes, depending on your situation
- In case of doubt, ask competent authorities for clarification or assistance
Declared work is fair care
Workers - make sure:
- You have a legal contract and written information on working conditions
- All your hours are declared - including overtime
- You are registered under the applicable social security system
- If live-in: your accommodation is decent and your privacy respected
- Your off-time is clearly defined and respected
Employers - you must:
- Respect all elements of employment contract, including working time, rest periods and leave
- Pay social security contributions and taxes
- Declare all working hours
- Respect all occupational safety and health rules
- Ensure there are clear boundaries between work and personal time for live-in carers
Suspect undeclared or underdeclared work? If your hours are not fully registered or paid, contact a labour inspectorate in the country where you work.
Use the interactive tool to better understand your rights
Resources and materials
Campaign videos
Employee or self-employed? Understanding your work status in long-term care across EU/EEA borders.
How labour law and social security rules apply when working in long-term care across borders.
Your right to clear information about working conditions - and employers' duty to provide it.
How qualifications and regulated professions differ across EU countries, and what to check before starting work.
Spotting fraud, avoiding false self-employment, and knowing where to get help.
Downloadable material
Not sure about your situation?
EU services can help you - in your own language





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