Table 1

Comparison of the previous opt-in and new soft out-opt system in Wales

Decision type
ActivePassiveGeographical reachRole of family
Former opt-in systemExpressed decision
Register to opt-in on the organ donor register
Verbally tell a relative or friend you want or do not want to be a donor
Write telling a relative or friend you want or do not want to be a donor
Nominate a representative to make the decision for you (nowhere to record this decision)
Do nothing and remain a non-donorUK wideTo give consent for organ donation
New opt-out system in WalesExpressed decision
Register to opt-in on the organ donor register
Verbally tell a relative or friend you want to be a donor
Write telling a relative or friend you want or do not want to be a donor
Register to opt-out on the organ donor register
Appoint a patient representative on the organ donor register to make the decision for you
Do nothing and remain as a donor
(deemed consent)
Wales only
Welsh citizens have to die in Wales for the soft opt-out to apply. If they die in England the opt-in system applies
To support the donation decision of their relative made in life, but family members can still not support the donation decision if specific evidence requirements are met.