The UK Charity Commission has opened a regulatory compliance case into Medecins Sans Frontieres (UK), widely known as Doctors Without Borders, responding to a detailed report filed by UK Lawyers for Israel (UKLFI). The report focuses on allegations that the international medical charity maintains connections with terrorist organizations active in the Gaza Strip.
A senior case manager within the Charity Commission’s High Risk Compliance division formally notified UKLFI of the decision via email last Wednesday, indicating that the agency had initiated a compliance case to evaluate the situation and review the specific points outlined in the report.
A UKLFI spokesperson commented in a statement: “We welcome the Charity Commission’s confirmation that it has opened a regulatory compliance case concerning Medecins Sans Frontieres UK and will consider the serious concerns raised in our report.”
“We hope that the Charity Commission will examine these matters thoroughly and establish whether MSF UK and its trustees have complied with their legal and regulatory obligations,” the spokesperson added.
MSF's connection with Hamas, other terror groups
The regulatory development follows a submission presented by UKLFI in early September, which drew attention to the charity’s purported connections with Hamas, Palestinian Islamic Jihad (PIJ), and the Popular Front for the Liberation of Palestine (PFLP). The dossier compiled by UKLFI highlights multiple individuals previously or currently employed by MSF in Gaza who are accused of maintaining active roles within proscribed groups or publicly celebrating terrorist operations.
Prominent among the cited instances is Fadi Jihad Mohammed al-Wadiya, an MSF physiotherapist who was killed during a June 2024 airstrike in Gaza. Although MSF initially rejected Israeli assertions linking him to PIJ operations, the PIJ subsequently released statements and imagery in February 2026 designating al-Wadiya as a commander and deputy head of its manufacturing division. In response, MSF maintained that it lacked prior knowledge of any military affiliation and reiterated its policy against knowingly retaining individuals involved in combat activities.
Additional scrutiny within the report targets other personnel, including a driver flagged by Israeli defense officials as a Hamas sniper and a physician allegedly tied to the PFLP medical apparatus who shared social media content praising terrorist acts. The filing also scrutinizes operational ties between MSF and the Hamas-run Gaza Health Ministry, noting instances where medical stock was shared or transferred.
MSF's financial, governance oversight
Regarding financial and governance oversight, UKLFI has requested that the regulatory body investigate whether MSF UK leadership maintained sufficient supervision over international operational centers receiving charitable capital, and whether safeguards are robust enough to prevent asset diversion to militant factions. Public filings indicate that MSF UK generated upwards of £95 million in total income throughout 2024, which included £2.7 million earmarked specifically for humanitarian initiatives across the Palestinian territories.
While the Charity Commission emphasized that opening a regulatory compliance case does not imply formal findings of culpability or breaches of charity legislation on the part of the trustees, the move ensures a formal examination of the points raised.
A UKLFI spokesperson said in a statement: “MSF is one of the world’s most prominent medical charities, and its humanitarian work depends on the confidence of donors that their contributions are being used exclusively for legitimate charitable purposes.”
The spokesperson added, “Providing medical care to civilians in conflict zones is vital, but humanitarian objectives do not remove the obligation to undertake rigorous due diligence and ensure that charitable funds, facilities, and personnel are not used to support terrorism.”
After the compliance case opened, MSF said in a statement that it “unequivocally rejects the allegations that we knowingly hired people with ‘ties to terrorism.’ MSF would never knowingly employ anyone involved in military activities, which contradicts our core values and ethics. Any employee who engages in military activity would pose a danger to our staff and patients.
“We understand why the Charity Commission is engaging with us in relation to these allegations and we are cooperating fully. We are confident in the integrity of our processes. MSF remains fully committed to transparency, regulatory compliance, and its charitable mission of providing vital medical assistance to people who need it most.”