PT - JOURNAL ARTICLE AU - Heena Khiroya AU - Adnan Sharif AU - June Jones AU - Derek Willis TI - Will the unusual become usual? A new legal change that aims to increase discussions around organ and tissue donation in England AID - 10.7861/fhj.2020-0098 DP - 2021 Mar 01 TA - Future Healthcare Journal PG - e170--e173 VI - 8 IP - 1 4099 - http://www.rcpjournals.org/content/8/1/e170.short 4100 - http://www.rcpjournals.org/content/8/1/e170.full SO - Future Healthc J2021 Mar 01; 8 AB - UK guidelines recommend that discussions about organ and tissue donation are conducted as part of end-of-life care. However, there are several barriers to discussing organ donation, and this is reflected in a critical shortage of donors. This article explores who should start the conversation about donation and how all healthcare practitioners can maximise their communication skills to have success in this area. It is particularly pertinent to be upskilled in this area in light of the recent legal change in England, where the system moved from an opt-in to a ‘soft’ opt-out one. Based on a similar legal change that took place in Wales and global data, it is unlikely that the legal change alone will prompt an increase in donation rates in England. This article proposes suggestions to increase awareness and conversations among healthcare professionals and patients with education, public health campaigns and interventions rooted in psychological theory.