5 November 2026
Champion House, Tromdoe, Isle of Man IM4 4RL
Isle of Man News Politics

Opt-Out Organ Donation to Start in New Year

Tynwald has approved measures for an opt-out system for organ donation, which will come into effect on January 1 2026.

The new opt-out law means that adults over 18 who have not opted out of being an organ donor and are not in an excluded group, will be presumed to consent to organ donation upon their death.   

Despite the transition to an opt-out system, individuals will still be encouraged to register or update their decision on the NHS Organ Donor Register, which will continue to be consulted if organ donation is being considered. 

Since Royal Assent was granted in 2021, officers from Public Health have been undertaking preparatory work to introduce the new processes and systems necessary to support the opt-out process and the new regulatory requirements. 

Consulted

A similar opt-out system was introduced in Wales in 2018, Jersey and Scotland in 2019, England in 2020, and Guernsey and Northern Ireland in 2023. As with other jurisdictions, families will always be consulted before any donation proceeds. 

Director of Public Health, Dr Matt Tyrer, said: “Organ donation is a choice, and families are always involved if there is the option of donation taking place. It is now, and will continue to be, an individual’s choice whether they want to register as an organ donor or to opt out.  

“We want to ensure that people are making the right decision for them based on facts rather than misinformation. Public Health has issued a series of frequently asked questions which are available on the Government website.

“These cover various aspects including how to register or update your decision, and the role of families in the organ donation process.”

Awareness

Cabinet Office Minister David Ashford added: “Public Health will continue to collaborate closely with local media, Manx Care, community groups, charities, and the general public to ensure a wide understanding of the opt-out system. 

“An awareness campaign will be launched, utilising both traditional and digital media across various channels throughout the island.

“Special efforts will focus on engaging key groups, including religious communities and older residents, to ensure inclusivity.”

Organ donation decisions can be made or updated via the NHS Organ Donor Register website, through the NHS app or by calling the Organ Donor Helpline on 0300 123 23 23.

For more information, visit the Government website: www.gov.im/organdonation.

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