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England != UK

(I don't know what the law in Scotland, Wales and Northern Ireland is, might be that England is just the last of UKs nations to make opt-out standard)

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Opt-out is the position in Wales already.

Scotland is working on it but as far as I'm aware it hasn't completed the required legislative process yet.

NI is still opt-in.

Apparently it became law in Scotland in July 2019, and will become opt-out in Scotland in March 2021

https://www.organdonation.nhs.uk/uk-laws/organ-donation-law-...

Thanks. That does say it received Royal Assent, so the legislative process has indeed finished now, the relevant preovisions just haven't come into effect yet.

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