Our Annual Report and Impact
We publish our Annual Report and Accounts each year to show how we raised and spent our money, the impact our work had on people living with cancer, and how we operate as an organisation.
2025 at a glance
£145.2 million paid out
476,000 supported
12 million views
£265.4 million raised
11,000+ cancer experts
31,000 volunteers
Our 2025 Annual Report
- Read our 2025 Annual Report
- Read our 2025 Highlights Report
- Read our 2025 Highlights Report in Welsh
Watch a short video about our impact in 2025. This video contains subtitles and is suitable for users of British Sign Language (BSL).
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Looking for other reports?
Access current and past editions of our annual report and accounts.
Access lists of grants made to institutes and partner organisations.
“When I came home, I felt lost and didn’t recognise the person in the mirror, but Macmillan helped me grieve my former self and reshape who I am today” - Mohammed
Reaching everyone, especially those who need us most
The number of people living with cancer in the UK is rising, and the gap between those having the best and worst experiences and outcomes remains unacceptably wide. We’re doing whatever it takes for everyone living with cancer in the UK today, whoever they are and wherever they live.
In 2025, we helped hundreds of thousands of people with information, support and services as they faced what can be the hardest time in their lives.
- Almost 350,000 people with cancer found support through the Online Community, a 22% increase compared to 2024.
- Our Support Line supported 50,000 people living with cancer, providing specialist clinical advice, expert information and emotional support and guidance on welfare benefits.
- Our Buddies service supported around 3,800 people with cancer, providing more than 17,000 sessions of emotional support.
- We piloted new services including a 1-1 WhatsApp service providing emotional support by our trained Support Line advisors, and a new grant offer designed to reach those most in need of financial support.
Transforming the future of cancer care
We are working in partnership with people living with cancer, healthcare professionals, communities and organisations across the UK to make cancer care better for everyone. This includes tackling health inequities in cancer treatment and care, providing better joined up care and support for those living with cancer and other long term conditions, and reducing the variation in cancer treatment or care people may receive due to where they live in the UK.
- We committed £23.2 million to local projects via three Neighbourhood Transformation Funds.
- We launched our new CARE Grants programme, an initiative that will fund community-led projects that challenge inequities within cancer care and provide solutions that are co-designed with people living with cancer.
- We invested just under £1.2 million in four cutting-edge cancer care innovation start-ups.
- We helped ensure the new National Cancer Plan for England was shaped by the voices of people with cancer.
- By the end of 2025, almost every region of Scotland was supported by a local Improving the Cancer Journey service, which we have co-funded in partnership with the Scottish Government.
- We brought together voices from across the system in Wales including people affected by cancer, academics, healthcare professional and healthcare innovation start ups to understand what needs to change and spark innovative ideas on how to make the biggest difference.
- We partnered with the Northern Ireland Executive’s Department of Health to launch a new £2 million Cancer Charities Grant Scheme.
A man in his 50s undergoing treatment for advanced kidney cancer was referred for support through the ICJ service while facing significant housing insecurity following a relationship breakdown.
“Thank you for putting in place the services that have helped me - I wouldn’t have known where to start or who to contact. Your assistance has meant I have my own home again and I can’t tell you how happy that security has made me…Now I am able to focus on my health instead of worrying.”
How we raised our money in 2025
2025 saw our incredible supporters help us to raise £265.4 million, which was £26 million more than in 2024 and our highest fundraised income on record. This is 99% of our total 2025 income of £268.4 million.
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Total income breakdown
Legacy income: £129.3 million
Donation income: £117.2 million
Fundraising events: £58.6 million. Includes national, challenge and local events.
Direct marketing: £24.1 million. Money raised by activities like direct debit campaigns and mailings.
Corporate income: £15.4 million. Income from corporate partners and supporters.
General donations: £11.2 million. We raise lots of money from general donations by the public.
Philanthropy: £5.2 million. Donations from trusts and major donors.
Local fundraising committees: £2 million. Donation income raised and collected by fundraising committees in their local communities.
Donated services and facilities: £0.7 million. The value of services and facilities donated to us.
Grant income: £0.8 million. Income awarded by grant giving bodies given to support Macmillan initiatives.
Income from charitable activities: £0.1 million. Includes secondment income and other charitable income.
Trading activities: £18.9 million. Includes income from our raffles and lotteries, fundraising committee sales, online shop, licensing and other commercial activities.
How we spent our money in 2025
In 2025, we paid out funds totalling £145.2 million to help people with cancer. This includes £100.1 million to reach and provide support to people living with and affected by cancer, including through our Grants, Support Line and Information & Support Centres.
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Total expenditure
Service offer for all: £71.6 million
We reached and provided support to people living with and affected by cancer, including through our Support Line and Information and Support Centres.
System transformation: £17.4 million
We worked to transform the health and care system through grants, social investment, partnerships and advocacy in national and local systems to help revolutionise the future of cancer care.
Professional engagement: £13.5 million
We engaged and supported our community of Macmillan professionals to deliver best practice cancer care through professional development grants, regional conferences and learning and development courses.
Communities and participation: £5.3 million
We worked with community organisations to reach marginalised groups with trusted, appropriate support, and ensured people from these communities play a key role in decision-making and designing solutions within Macmillan and healthcare systems.
Data, evidence and research: £4.3 million
We gained insight and evidence on the needs and experiences of people living with cancer, evaluated our services and programmes of work, and funded organisations to deliver research into personalised cancer care and support.
In-year charitable expenditure: £112.1 million
Prior year grant writebacks: -£11.7 million
Discounting adjustments: £3.8 million
Total expenditure on charitable activities: £104.2 million
