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England switched to an opt-out system of consent in 2020 aiming to increase the number of organs available. Spain also operates an opt-out system yet has almost twice the organ donations per million population compared with England. We aimed to identify both differences and similarities in the consent policies, documents and procedures in deceased donation between the two countries using comparative qualitative content and discourse analysis. Spain had simpler, locally tailored documents, the time taken for families to review and process information may be shorter, there were more pathways leading to organ donation in Spain, and more robust legal protections for the decisions individuals made in life. The language in the Spanish documents was one of support and reassurance. Documents in England by comparison appeared confusing, since additions were designed to protect the NHS against risk and made to previous document versions to reflect the law change rather than being entirely recast. If England's ambition is to achieve consent rates similar to Spain this analysis has highlighted opportunities that could strengthen the English system-by giving individuals' decisions recorded on the organ donor register legal weight, alongside unifying and simplifying consent policies and procedures to support families and healthcare professionals. [ABSTRACT FROM AUTHOR]

The article focuses on the evaluation of staff training on legislation change in organ and tissue donation. Topics discussed Organ Donation Act 2019 known as Max and Keira's law has passed through final legislative process, becoming law in England on 20 May 2020, this law saw organ donation change to an opt-out system; and the training is being delivered by members of the NHSBT Legislative Change Team, seconded into specific roles for fundamental and historically groundbreaking project.

The article examines efforts to implement changes to organ and tissue donation legislation under the Human Transplantation and Anatomy (Jersey) Law 2018 and the Organ Donation (Deemed Consent) Act 2019 in England. Topics discussed include the aim of the shift from opt-in to opt-out organ donation system to increase donor numbers, and the use of debriefs and regular temperature check surveys as interventions to ensure a successful implementation of the changes in England and Jersey.

The article informs that the British Government has passed the Organ Donation (Deemed Consent) Act 2019, a new law to change the mode of consent for organ and tissue donation in England from 2020. It reports of deemed consent legislation means that we need to modify the way that the organ and tissue donation conversation with families is conducted.

The article focuses on implementing a legislation change in organ and tissue donation in England. Topics include organ and tissue donation helping to save and improve the lives of people; efforts to increase organ and tissue donation by assessing and addressing elements of the organ and tissue donation pathway from relationship building with hospital staff; and identification of donors and referring to a specialist nurse–organ donation to improve donor management and organ utilisation.