Organ donation in England: «yes» by default unless you opt out
Since 2020 England has an opt-out system: an adult is considered willing to be an organ donor after death unless they opted out or are in an excluded group. It's worth knowing who it covers.
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This is something worth knowing in advance and telling your family. In England, organ donation runs on «deemed consent» (opt-out).
How it works
Since 20 May 2020 (also called «Max and Keira's Law»), an adult in England is considered by default to agree to donate organs and tissue after death — unless they have opted out or are in an excluded group. Even so, the family is still consulted before any decision on donation is made.
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Deemed consent does not apply to: people under 18; people who lack the capacity to understand the arrangements; those who are visitors or are not living in England voluntarily; and those who have lived in England for less than 12 months before death. The last point matters for recent arrivals.
You can record your decision — to donate or not — at any time on the NHS Organ Donor Register, and above all tell your family, so your wishes are clear.
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