Intended for healthcare professionals


Organ donation: opt-out system should be in place by 2020 in England

BMJ 2018; 362 doi: (Published 06 August 2018) Cite this as: BMJ 2018;362:k3414
  1. Jacqui Wise
  1. London

All adults in England will be presumed to be organ and tissue donors unless they have explicitly recorded a decision not to be, under a new system of consent announced by the government to tackle a shortage of donors.1

The plans follow a public consultation launched last December.2 The proposed new system, which needs to be ratified in parliament in the autumn, is expected to come into effect in England in spring 2020. This will give a 12 month transition period to allow people time for discussion with friends and family about organ donation preferences.

Groups excluded from the presumed consent include under 18s, people who lack the mental capacity to understand the changes, and people who have not …

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