Last year the highest-ever share of people who donated organs after death in the UK were aged over 50, NHS Blood and Transplant (NHSBT) data show. There were 932 donors in that age group, representing 63% of all deceased donors, a milestone NHSBT says reflects a shifting donor profile and clinical practice.

NHSBT has stressed that this shift has not been matched by sign-ups: only around one in four people on the NHS Organ Donor Register are aged 50 or older. Anthony Clarkson, director for organ and tissue donation and transplantation at NHSBT, told The Independent that many people in this age group mistakenly believe they are “too old to donate” or that their health will prevent them from doing so. “The reality is the over‑50s are more important to organ donation than ever,” he said, adding that there is no fixed upper age limit for organ and tissue donation and that organs from older donors can be lifesaving.

NHSBT points to several likely causes of the rising proportion of older donors: an ageing population, greater public awareness, and advances in surgical techniques, organ preservation and clinical research that have widened the pool of usable organs. The charity’s appeals are illustrated by personal stories: Nick Beresford, who died aged 57 after a brain haemorrhage while working abroad, had his kidneys and liver donated and those organs went on to save three recipients. His wife Angela told The Independent that “being a donor gives others that chance” and urged others over 50 to join the register.

Other donor families report similar motivations. Margaret Humphries, who died aged 65 following a brain haemorrhage, donated both kidneys; her husband John described donation as “very fitting” and a final act that reflected her generous nature. NHSBT uses these human stories to highlight the tangible impact of donation and to encourage conversations within families about people’s wishes.

But the good news on donor age arrives against the backdrop of mounting pressure on the transplant system. NHSBT’s recent activity figures show the UK transplant waiting list reached a record high in 2024/25, with around 8,100 people actively waiting and nearly 12,000 when those temporarily suspended are included. The same report recorded 4,583 transplants and 1,403 deceased donors in the year — both down on the previous year — and family consent rates remain a limiting factor. NHSBT has urged more people to register their decision and to make their wishes clear to relatives, while calling for continued investment and modernisation to improve donation and transplant services.

Clinical research underpins NHSBT’s message that donor age alone should not be a barrier. A 2024 study in Transplantation Direct that analysed kidney transplants from donors aged 70 and over found that, although graft survival was somewhat lower than for younger-donor kidneys, outcomes were acceptable and the transplants provided substantial benefit — particularly for older recipients who otherwise face long waits. A 2023 systematic review of nearly 30,000 patients across multiple studies reached a similar conclusion: older-donor kidneys produce satisfactory one‑ and five‑year graft and patient survival, despite higher rates of delayed graft function and some early complications. The authors of these papers emphasise that allocation strategies and careful recipient selection are important to maximise benefit.

Taken together, the statistics, NHSBT’s appeals and the clinical literature point to a pragmatic policy stance: expanding the use of older donors can help relieve waiting‑list pressures, provided that clinical selection, consent practices and the wider transplant pathway are strengthened. NHSBT has highlighted the need for better technology, streamlined processes and public engagement to raise consent rates and make the most of every potential donor.

For now the practical takeaway is straightforward: adults of all ages who are comfortable donating are encouraged to register their decision and to discuss it with family. NHSBT and clinicians caution that while not every older donor’s organs will be suitable for every recipient, the evidence shows many more lives can be saved if age is not treated as an automatic disqualifier.

📌 Reference Map:

Reference Map:

Source: Noah Wire Services