Máire Hoctor (Tipperary North, Fianna Fail)
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Question 84: To ask the Tánaiste and Minister for Health and Children if she will clarify the law regarding organ donations here; and her intention to introduce measures or legislation to help provide more organs for transplant (details supplied). [6121/06]

Joe Higgins (Dublin West, Socialist Party)
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Question 89: To ask the Tánaiste and Minister for Health and Children the steps she is taking to raise awareness regarding the importance of organ donation in view of the imbalance between the need for and supply of organs for transplantation. [6095/06]

Joe Higgins (Dublin West, Socialist Party)
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Question 90: To ask the Tánaiste and Minister for Health and Children if she will review current practice with regard to organ donation in view of the fact that there is no central register of persons who would be willing to have their organs used for transplant and in further view of the fact that signing an organ donor card indicating willingness to have organs used for transplant, does not necessarily mean such organs will be used in practice. [6096/06]

Máire Hoctor (Tipperary North, Fianna Fail)
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Question 96: To ask the Tánaiste and Minister for Health and Children if she will clarify the law regarding organ donations here as applied in hospitals; and her intentions to introduce measures or legislation to help provide more organs for transplant (details supplied). [6122/06]

Mary Harney (Dublin Mid West, Progressive Democrats)
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I propose to take Questions Nos. 84, 89, 90 and 96 together.

The annual organ donor awareness campaign, which is organised by the Irish Donor Network and administered by the Irish Kidney Association, highlights the necessity for organ donation generally. The campaign, which is supported by my Department, highlights the need for organ donors by promoting the carrying of a organ donor card. My Department has been providing financial support to the donor awareness campaign for a number of years. The grant in 2005 amounted to €500,000.

There are two systems that can be used to ascertain an individual's wishes on organ donation: the opt-in system and the opt-out system. The former system, which operates in this country, requires that the specific consent to donation of each person, or their relatives, be obtained before organs or tissues are removed. The opt-out system presumes that all citizens consent to donation unless they have specifically expressed a wish to the contrary.

The practice in this country is that, even when a person has indicated his or her willingness to donate organs by way of carrying an organ donor card, or a driving licence marked accordingly, the consent of the next-of-kin is always sought. Even where opt-out systems are in operation, the relatives of the deceased are approached as part of the donor screening process to seek a medical history of any high-risk behaviour. Thus, the relatives will always be aware that a donation is being considered and can register an objection to the donation.

The European Commission is currently considering the question of a directive in respect of organ transplantation, including the issue of consent, and proposes to conduct a thorough scientific evaluation of the situation. It will present a report on its analysis to the Council of the European Union and it is expected that this report will inform decisions regarding the development of a legislative framework in this area.

In the context of increasing the number of donor organs available for transplant, the Health Service Executive has been asked by the Department to undertake a review and analysis of the factors that impact on organ procurement and retrieval rates in hospitals around the country.