Organ donation law in Crown dependencies

Organ donation law in Guernsey

Guernsey moved to a deemed consent system for organ and tissue donation 1 January 2023 by implementing the Human Tissue and Transplantation (Bailiwick of Guernsey) Legislation Act (2020). This means you need to 'opt out' of organ and tissue donation if you do not wish to donate organs or tissue.

If you haven’t recorded a decision about organ and tissue donation and you are not in an excluded group, it will be considered that you agree to become an organ donor when you die.

It is important that you make a decision about organ and tissue donation and record this on the NHS Organ Donor Register. Make sure you share your decision with your family, as they will still be consulted about organ and tissue donation.

Get more information on the Government of Guernsey website

Organ donation law in Jersey

In April 2018 the Jersey States Assembly passed legislation that saw the Island move towards a deemed consent system, but with the ability for individuals to ‘opt out’ if they wish. The new legislation took effect on 1st July 2019.

It is important that you make a decision about organ and tissue donation – to be a donor, or not to donate - and record this on the NHS Organ Donor Register. Make sure you share your decision with your family, as they will still be consulted about organ and tissue donation.

Organ donation law on the Isle of Man

The Isle of Man will be moving to an opt out system on 1 January 2026.

This means that from 1 January 2026, it will be considered that you agree to become an organ donor when you die, unless you have opted out or are in an excluded group.

Get more information about Daniel's Law on the Public Health Isle of Man website

The Isle of Man will continue to operate an ‘opt in’ consent system until 1 January 2026.  You can opt in to organ and tissue donation by joining the NHS Organ Donor Register. You can also record a decision not to be a donor.

More information



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