The directors present their annual report and financial statements for the year ended 31 July 2025.

The principal activity of the company is to campaign for a change in law in the UK, to allow medical assistance to die to be given to mentally competent adults, with incurable health problems that result in their perceived quality of life falling permanently below the level they are able to accept, provided this is their own persistent request.

The directors who held office during the year and up to the date of signature of the financial statements were as follows:

Progress in the last 12 months 

Since July 2024, a general election resulted in a brand new parliament, with younger, more progressive, and less religious MPs. We began the year in earnest, reaching out to MPs and attending party conferences, speaking with over 100 politicians, many of whom were brand new in parliament.

In September, a Private Members' Ballot took place, and the MP drawn highest in the ballot, Kim Leadbeater, chose to introduce a Bill on assisted dying. She formally introduced the Terminally Ill Adults (End of Life) Bill. The long title of the Bill is “This Bill will allow adults who are terminally ill, subject to safeguards and protections, to request and be provided with assistance to end their own life; and for connected purposes”

As the title of the Bill includes ‘terminally ill’, the Bill will exclude people who are suffering unbearably but are not necessarily terminally ill. It’s not possible to amend long and short titles of Bills. In response, Trevor Moore, Chair at the time, of My Death My Decision, said:

“This is a bittersweet moment. On the one hand, the introduction of an assisted dying Bill in the House of Commons is a significant and long-awaited step. We commend Kim Leadbeater MP for putting forward the case for change, and we wholeheartedly support efforts to end the inhumane blanket ban on assisted dying.

Many conditions such as Multiple Sclerosis, Parkinson’s and Motor Neurone Disease can make life intolerable for the sufferer well before they can be described as terminal, or the diagnosis of terminal status may come too late, when the patient has lost mental capacity. My Death, My Decision aims to represent these people, and we will continue to do so as the Bill progresses.”

To that end, My Death, My Decision has not achieved its goals under its principal activity. Nevertheless, we recognise that supporting an Assisted Dying Bill is more compassionate and relieves far more suffering than no Bill at all. We have continuously communicated that to our members and supporters.

Parliamentary Strategy and Briefing Operations

The success of our advocacy was underpinned by a sophisticated briefing operation that provided high-level technical support to legislators at every stage of the Bill’s journey. We authored and distributed over 20 evidence-based briefings to MPs and Peers, addressing complex issues such as the medical definitions of terminal illness, the intersection of assisted dying with palliative care, and the specific concerns of the disability community. During the intensive Committee and Report stages, MDMD produced real-time amendment trackers that exceeded 41,000 words in total, providing a detailed rationale for why supportive MPs should either champion or oppose over 580 proposed changes. This level of expertise ensured that the debate remained focused on workable, safe, and compassionate solutions, positioning MDMD as an indispensable partner in the legislative process.

Media Presence and Public Narrative

Our media work throughout the last year has been unprecedented in its scale and impact, successfully shifting the public narrative toward compassion and choice. In collaboration with Humanists UK, we secured 457 media hits across online, print, and broadcast platforms.

A central component of this strategy was the amplification of human-interest case studies, which personalised the legal debate by highlighting the lived experiences of those with incurable conditions. By coordinating high-profile interviews with medical experts and legal scholars, we provided a counter-narrative to opposition groups and maintained a constant presence in major national outlets, including the BBC, The Guardian, and The Telegraph.

Parliamentary Events and Symbolic Advocacy

We hosted events within parliament, as well as symbolic stunts within and around the Parliamentary estate to keep our message at the forefront of the political agenda. We organised multiple rallies in Parliament Square, including a significant joint demonstration ahead of the Second Reading and a dedicated "Stop exporting compassion" event featuring custom-made suitcases to symbolise those forced to travel to Switzerland.

We delivered highly detailed leaflets to all MPs to help inform the debate, and ahead of the final vote, we shared the final message of Dan Tuckley, a man who had an assisted death in Switzerland, with MPs. This received direct, positive feedback from several Members of Parliament.

These actions ensured that the human cost of the current law was never far from the minds of those voting on the Bill.

Mobilisation of Grassroots Support

Recognising that parliamentary votes are often won at the constituency level, we implemented a robust mobilisation strategy to connect local supporters with their elected representatives. Whenever we identified that an MP was hosting a town hall meeting or survey on assisted dying, we proactively contacted our local members to ensure they were equipped to attend and represent the campaign’s goals. Furthermore, we provided our supporters with specialised briefings and one-page templates, enabling thousands of individuals to engage in clear, effective correspondence with their MPs.

Raising funds:

While last year was MDMD’s most successful year of individual giving, the lack of a large legacy means costs were higher than our income of £51,364. Whilst we have sufficient reserves to continue our activities in 2025/26 we will need to remain prudent in our expenditure and to continue to raise more funds.

All of our board members are volunteers. We use funds raised for the following purposes:

· Freelance officers’ fees

· Campaigning and lobbying

· Working with our media contacts

· Organising events to promote the campaign

· Legal and policy work

· Member communications and supporter development

· Governance and operations

This report has been prepared in accordance with the provisions applicable to companies entitled to the small companies' exemption.

The average number of persons, including directors, employed by the company during the year was as follows:

My Death, My Decision Limited is a private company limited by guarantee incorporated in England and Wales. The registered office is 61 Bridge Street, Kington, Herefordshire, HR5 3DJ.

For the year ended 31 July 2025 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies.

The directors acknowledge their responsibilities for complying with the requirements of the Companies Act 2006 with respect to accounting records and the preparation of financial statements.

The members have not required the company to obtain an audit of its financial statements for the year in question in accordance with section 476.

These financial statements have been prepared in accordance with the micro-entity provisions and in accordance with FRS 105 'The Financial Reporting Standard applicable to the Micro-entities Regime', and have been delivered in accordance with the provisions applicable to companies subject to the small companies regime.

The directors of the company have elected not to include a copy of the income and expenditure account within the financial statements.true