ENThis article identifies current trends that shape work and employment in domiciliary elderly care. The findings are based on empirical research in five EU countries with different care regimes: Denmark, Germany, Italy, Lithuania, and the United Kingdom. The contribution looks at recent developments on the macro-level of political care regimes and markets, and their implications for the meso-level of work organisation as well as the micro-level of workers’ everyday working lives. It concludes that budget cuts, outsourcing, standardisation, and the reablement approach in care place crucial impacts on employment and working conditions, such as wage insecurity and increased time pressure. Moreover, these current changes apparently also alter cultures of care.