I've spent a few weeks in Germany and England for various jobs. For driving cars a US license works fine--I don't know if that carries over to something bigger like an RV (although as you mention RVs aren't as big over there).
I didn't notice a lot of campgrounds but then I was working in cities (likewise you don't notice a lot of campgrounds in US cities either)--I was looking for them though.
There seemed to be a class of "gypsy" (especially in England) that would find any open space and plop down their trailer, live for a week or two, and then move on.
The RVs can't be as big over there because their roads are older and smaller than ours. On one trip to Germany I saw someone with a GMC 3500 pickup with dually's and a crew cab--I have no idea how he got it into the parking lot he was parked at! LOL
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