Olwyn Enright (Laois-Offaly, Fine Gael)
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Question 166: To ask the Tánaiste and Minister for Health and Children the Government's policy on organ donation; if there is a central register of people wishing to donate their organs; the law in respect of a donor's next of kin carrying out a donor's wishes; if she intends to address and highlight the issues surrounding organ donation and transplantation here; and if she will make a statement on the matter. [7706/06]

Mary Harney (Dublin Mid West, Progressive Democrats)
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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 an 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.

Two systems can be used to ascertain an individual's wishes on organ donation, namely, the opt-in and opt-out systems. 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 here 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, relatives will always be aware that a donation is being considered and can register an objection to the donation.

The European Commission is 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 position. 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 was 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. This review has commenced.