Last updated on 15 Jul 2021

Living organ donation: Legal Framework

The Human Tissue Authority’s (HTA) role in living organ donation is to ensure that there has been no reward sought or offered for  the organ donation and that there is valid consent in place for the removal and use of the organ or part organ for the purpose of transplantation. 

Independent checks

We do this by providing an independent check to help protect the interests of living organ donors. In doing so, we ensure that each individual donor has an opportunity to speak freely to someone not connected with the transplant centre/unit in order to confirm that their wish to donate is free from any pressure. 

This is achieved through an independent assessment interview process with both the donor and recipient, as outlined in the legislation that governs living organ donation. The regulatory requirements for living donor transplantation are set out in the HT Act and the Regulations.

Human Tissue Act

The Human Tissue Act 2004 (the HT Act) provides a legal framework for living organ donation in England, Wales and Northern Ireland. The HT Act also sets out the licensing framework for the storage and use of human organs and tissue from the living and for the removal, storage and use of human organs and tissue. from the deceased. 

The HTA also assesses all living organ donation cases on behalf of the Scottish Government. In Scotland, the law covering living organ donation is similar to the law in the rest of the UK, although there are some significant differences. 

The legal framework for Scotland is set out in section 17 of the Human Tissue (Scotland) Act 2006. In Scotland, the word ‘authorisation’ is used rather than ‘consent’ and adults with incapacity and children (under 16) can only donate an organ or part organ removed as part of domino donation, which is when an organ or part organ is removed for the primary purpose of a person’s medical treatment.