Organ donation law in England

England has an opt out system for organ donation, also known as deemed consent.

This system was introduced on 20 May 2020.

How does the opt out system work?

Under the opt out system, it will be considered that you agree to become an organ donor when you die, if:

• you are over 18
• you have not opted out
• you are not in an excluded group

You still have a choice whether or not you want to become an organ donor, and can register or amend your decision at any time.

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More about the opt out system in England

Who does the opt out system affect?

The opt out system applies to everyone in England, except for those who are part of what are called excluded groups. 

Excluded groups are:

• Those under the age of 18
• People who lack the mental capacity to understand the new arrangements and take the necessary action
• Visitors to England, and those not living here voluntarily
• People who have lived in England for less than 12 months before their death

Why was the opt out system introduced?

The opt out system for organ donation in England was introduced to allow more people to help save and improve more lives.  

See the timeline of events leading up to this change

What do you need to do?

1. Use the information on this page to help you understand how the system works
2. Register your organ donation decision
3. Talk to your loved ones about what you've decided. Your family will be consulted if organ donation is a possibility, even in an opt out system

More information

Still have questions about the opt out system?

Get answers to some of the key questions around the changes to English organ donation