As an MSF donor, you can feel confident that we will use your money in a responsible, effective, and innovative way.
MSF UK receives no government funding. Our work is only possible because of supporters like you.
So, across more than 75 countries, including conflict zones, epidemics and natural disasters, we work hard to make sure that your donation is spent in an efficient way that ultimately saves lives.
Staff story: Making every penny count in South Sudan
"Every penny you donate helps us provide our life-saving work here – treating communities displaced by floods, people injured by conflict, survivors of sexual and gender-based violence, and children suffering from malnutrition, malaria and other diseases. Without MSF, many communities have no access to medical care.
"My role involves carefully scrutinising the expenditure of our projects and ensuring your money is spent on essential activities that benefit our patients and local communities.
"My team and I carefully analyse and monitor all costs for transparency and accuracy so that we can ensure money is getting to where it’s most needed. As both an MSF staff member and as a national of this country, I would like to extend my personal thanks for your ongoing support to MSF and the people we serve.
Ggale Sharim | Deputy finance coordinator in South Sudan
78p
OF EVERY £ DONATED GOES TO MEDICAL OPERATIONS
£6.24
RAISED FOR EVERY £ SPENT ON FUNDRAISING
9p
OF EVERY £ DONATED SPENT ON UK GENERAL SUPPORT COSTS
Four reasons to trust MSF with your donation
1 | Your money keeps us independent
MSF UK does not take money from governments. We rely on the support of passionate individuals, as well as the institutions, foundations and companies they are a part of.
This independent funding means we have the freedom to act fast. We can stay neutral in complex environments and conflict zones, and we can provide impartial care to people regardless of ethnicity, religion or politics.
2 | Support without restrictions
MSF’s emergency teams can only launch a rapid response thanks to ‘unrestricted’ donations – money generously given to our general funds.
This means we don't always need to launch a fundraising appeal when a humanitarian emergency is in the news or wait for funding to be cleared. Instead, our teams around the world can act fast with valuable flexibility.
In short, our donors trust us to use their donations wherever the need is greatest.
3 | Direct medical aid
MSF delivers healthcare directly to people in need. We set up and run medical services, build facilities, transport supplies and train staff ourselves.
In many places, we also support existing healthcare staff with professional development and resources – an investment that means life-improving and life-saving healthcare will continue, even after we leave.
The money you give to MSF is spent by MSF.
4 | Transparency
Money transferred to an MSF medical programme is carefully managed by expert project teams – including financial staff.
Funds are subject to a rigorous accounting system, with every penny logged and all the information flowing back to headquarters, offices and our donors. We believe transparency and accountability are essential.
We are also transparent about our charity appeals. We will always make it clear how your donation is spent - there are no hidden disclaimers that will divert your donation to other parts of the organisation.
Essential costs
Money donated to MSF is directed to crises wherever the need is greatest – this is coordinated across 26 offices and our projects in more than 70 countries around the world.
We aim to maximise the funds spent on medical operations and humanitarian emergencies. However, there are essential running costs for any organisation and a small percentage is spent in the UK.
For every £1 donated to MSF UK
- 78p goes directly to medical operations around the world
- 13p is reinvested in future fundraising – we raise £6.24 for every £1 spent
- 9p is spent on general support costs
Our finances: In-depth
MSF UK is part of an international movement of entities – please note the figures on this page apply only to staff whose salary is set and paid by MSF UK.
What is the highest salary in MSF UK?
The highest salary in MSF UK is paid to our Executive Director, Dr Natalie Roberts. Natalie's annual salary was £118,626 as of 31 December 2025. There were no additional bonuses or performance-related additional payments.
How is the Executive Director’s salary set?
The Board review the salary of the Executive Director in line with our pay policy, which includes external salary benchmarking in similar not-for-profit organisations nationally.
Using this information, the Board set a salary that is fair and competitive while reflecting our commitment to directing as much funding as possible towards frontline work.
The Executive Director of MSF UK is running a £105 million organisation with a workforce of over 200 people.
For further information about salaries, please read our Annual Report and the Charity Commission website.
Please find below copies of our annual accounts and activity reports. You can easily download them by right-clicking and choosing 'Save link as ...'.
MSF UK accounts
- MSF UK Annual Report and Accounts 2025
- MSF UK Annual Report and Accounts 2024
- MSF UK Annual Report and Accounts 2023
- MSF UK Annual Report and Accounts 2022
- MSF UK Annual Report and Accounts 2021
- MSF UK Annual Report and Accounts 2020
- MSF UK Annual Report and Accounts 2019
- MSF UK Annual Report and Accounts 2018
- MSF UK Annual Report and Accounts 2017
- MSF UK Annual Report and Accounts 2016
- MSF UK Annual Report and Accounts 2015
- MSF UK Annual Report and Accounts 2014
- MSF UK Annual Report and Accounts 2013
- MSF UK Annual Report and Accounts 2012
- MSF UK Annual Report and Accounts 2011
- MSF UK Annual Report and Accounts 2010
- MSF UK Annual Report and Accounts 2009
- MSF UK Annual Report and Accounts 2008
- MSF UK Annual Report and Accounts 2007
- MSF UK Annual Report and Accounts 2006
- MSF UK Annual Report and Accounts 2005
International MSF accounts
For international MSF accounts and activity reports, visit the activity report website.
We are an independent, international medical humanitarian organisation. Your support allows us to provide medical aid whenever and wherever it is needed.
Seventy-eight pence of every pound you donate is spent on our medical operations. We try our utmost to make sure that your donations are spent on saving lives rather than on administration and management costs.
Income | 2025 | 2024 | ||
|---|---|---|---|---|
in million £ | in percentage | in million £ | in percentage | |
Private | 103.35 | 99% | 84.2 | 98% |
Public institutional | 0 | 0% | 0 | 0% |
Other* | 1.33 | 1% | 1.7 | 2% |
Total | 104.68 | 100% | 85.8 | 100% |
* Includes income from other MSF entities for the recruitment and remuneration of staff working in MSF projects.
How money is spent | 2025 | 2024 | ||
|---|---|---|---|---|
in million £ | in percentage | in million £ | in percentage | |
Operations | 81.83 | 78% | 65.33 | 78% |
Fundraising | 13.63 | 13% | 11.52 | 14% |
Support costs | 8.89 | 9% | 7.39 | 9% |
Total | 104.34 | 100% | 84.23 | 100% |