Hubner L, Miller C, Roberts C, Paterson S. Implementing a legislation change in organ and tissue donation in England. Br J Nurs. 2020; 29:(3)168-169

Kotter JP. Leading change.Boston (MA): Harvard Business Review Press; 2012

Madden S, Collett D, Walton P The effect on consent rates for deceased organ donation in Wales after the introduction of an opt-out system. Anaesthesia. 2020; 75:(9)1146-1152

Miller C, Hubner L, Griffiths A. Legislation change in organ and tissue donation: educating specialist staff. Br J Nurs. 2020; 12:(5)318-320

Noyes J, Mclaughlin L, Morgan K Process evaluation of specialist nurse implementation of a soft opt-out organ donation system in Wales. BMC Health Serv Res. 2019; 19:(1)

Walton P, Miller C, Maycock S, Nicol K. Deemed consent to organ donation: what critical care nurses need to know. Br J Nurs. 2020; 29:(15)910-912

Embedding changes in legislation for organ and tissue donation across England and Jersey

11 March 2021
Volume 30 · Issue 5


Cathy Miller, Louise Hubner (, Sonya Paterson, Bobbee Cotter, Phil Walton, Helen Bentley, and Claire Roberts, of NHS Blood and Transplant

The legislations around organ and tissue donation changed in 2019 and 2020 with the implementation of Human Transplantation and Anatomy (Jersey) Law 2018 and The Organ Donation (Deemed Consent) Act 2019 in England.

Wales was the first nation in the UK to move from an opt-in to an opt-out system in 2015, with the implementation of the Human Transplantation (Wales) Act 2013 (Madden et al, 2020). With the opt-in system, people have to actively sign up to the register to donate their organs and tissue after death. The opt-out system works on the understanding that all adults agree to become organ donors when they die, unless they have made it known that they do not wish to donate by opting out or raising an objection. There are safeguards in place and, as such, certain groups are excluded:

The changes from an opt-in to an opt-out system of organ donation were introduced to save and improve more lives by increasing donor numbers. The blended training approach has been discussed in previous articles (Hubner et al, 2020; Miller et al, 2020; Walton et al, 2020), and we are now in the implementation and embedding phase of the change.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content