It represents the workers in the energy, water and waste sectors, health and social services and local, regional and central government in all European countries.

EPSU appeal and it was finally resolved in September 2021 giving a major blow to the EU social dialogue as the court upholds the right of initiative of the Commission against article 154 and 155 of Treaty on the Functioning of the European Union.

[7] In 2010, EPSU negotiated an agreement with HOSPEEM,[8] the European health sector employer's organisation, on the management of sharp objects.

[10] EPSU recruits and organises trade unions in health and social services and represents trade unions organising nurses, health care assistants, midwives, doctors, elderly and child care workers, social workers, laboratory staff, hospital cleaners and medical secretaries in public, non-for-profit and private services across Europe.

[12] EPSU is the most representative organisation of professional firefighters in Europe[13] and has been campaigning with its affiliates, like Fire Brigades Union, for better working conditions and for more staff in light of the current climate crisis and droughts.