{"meta":{"service":"ShortageSignal API v1","schema_version":"1.2","docs":"https://shortagesignal.co.uk/api","changelog":"https://shortagesignal.co.uk/api/changelog","source_note":"Re-expressed facts derived from published sources (DHSC notifications as relayed publicly; NHSBSA SSP register; NHS Scotland MSANs on a separate surface). Records carry source_url where the source publishes a document for that event; SSP register entries derived from the register itself have none.","license":"ShortageSignal's derived facts and statistics: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). NHSBSA and gov.uk material is reused under the Open Government Licence v3.0. CPE-derived items are re-expressed facts linking to the source post, never verbatim editorial.","attribution":"ShortageSignal (Doctor Data Ltd), https://shortagesignal.co.uk. Contains public sector information licensed under the Open Government Licence v3.0.","coverage_note":"England-first: DHSC Medicine Supply Notifications as relayed publicly by Community Pharmacy England (the record is a floor, not the complete set of posts; see /methodology), the NHSBSA Serious Shortage Protocol register, and NHS Scotland Medicine Supply Alert Notices on a separate surface that is never added to England counts. Sources are checked twice daily, not continuously. Absence of a record is never availability. Records recovered from the Internet Archive are labelled route 'internet_archive' and dated by the Archive's capture. as_of= returns only what had been captured by that date, so it is only as complete as capture was then; events whose recorded_at is only an upper bound (recorded_at_precision 'no_later_than': rows written before v1.1, whose write time was never stored) are left out of any as_of date before that bound.","disclaimer":"Not an official NHS or DHSC service. No clinical advice. Fuzzy source dates are preserved as stated.","generated_at":"2026-11-07T21:04:16.532Z","week":"2021-W45","freshness":"Sources are checked twice daily by scheduled jobs; digest.last_checked_at is the latest check. Not live.","dating":"Change events are filed by the date the source gives them, so a week can gain items when a source is captured late. Protocol end dates and expected-back windows are shown as the register and notices stood when last checked, not as they stood during that week, so a later extension or update can move one to another week or remove it."},"digest":{"week":"2021-W45","start":"2021-11-08","end":"2021-11-14","horizon_end":"2021-11-28","complete":true,"last_checked_at":"2026-10-20T20:54:38.356Z","total":8,"sections":[{"id":"new_notices","heading":"New notices","note":"Medicine Supply Notifications and National Patient Safety Alerts dated this week (England).","items":[{"key":"71c72476522aa07e0c16ab24b9ccfe4b","date":"2021-11-08","title":"Medicine Supply Notification: DDAVP (Desmopressin) 0.01% w/v (100 micrograms/ml) intranasal solution - Updated","fact":"Medicine Supply Notification issued 08 Nov 2021 (no tier stated).","page":"https://cpe.org.uk/our-news/medicine-supply-notification-ddavp-desmopressin-0-01-w-v-100-micrograms-ml-intranasal-solution","source":"https://cpe.org.uk/our-news/medicine-supply-notification-ddavp-desmopressin-0-01-w-v-100-micrograms-ml-intranasal-solution"},{"key":"ad1a9bda00d28706243edf0e9dcd800d","date":"2021-11-08","title":"Medicine Supply Notification: Desmopressin (Octim) 150mcg per actuation nasal spray (Ferring Pharmaceuticals) - Updated","fact":"Medicine Supply Notification issued 08 Nov 2021 (no tier stated).","page":"https://cpe.org.uk/our-news/medicine-supply-notification-desmopressin-octim-150mcg-per-actuation-nasal-spray-ferring-pharmaceuticals","source":"https://cpe.org.uk/our-news/medicine-supply-notification-desmopressin-octim-150mcg-per-actuation-nasal-spray-ferring-pharmaceuticals"},{"key":"fc407160805200e500dc857bc0893bcd","date":"2021-11-08","title":"Medicine Supply Notification - Xylocaine® 1% and 2% (lidocaine) with adrenaline 100micrograms/20ml (1:200,000) solution for injection vials - Updated","fact":"Medicine Supply Notification MSN/2021/053 issued 08 Nov 2021 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2021-053","source":"https://cpe.org.uk/our-news/medicine-supply-notification-xylocaine-1-and-2-lidocaine-with-adrenaline-100micrograms-20ml-1200000-solution-for-injection-vials"}]},{"id":"updated_notices","heading":"Updated notices","note":"Notifications whose source post records an update dated this week.","items":[]},{"id":"discontinuations","heading":"Discontinuations","note":"Discontinuations stated in a notice, dated by the notice or update that states them.","items":[{"key":"835fb373805bd81c7179b3193899d231","date":"2021-11-08","title":"Medicine Supply Notification: DDAVP (Desmopressin) 0.01% w/v (100 micrograms/ml) intranasal solution - Updated","fact":"Discontinuation notified, dated 08 Nov 2021.","page":"https://cpe.org.uk/our-news/medicine-supply-notification-ddavp-desmopressin-0-01-w-v-100-micrograms-ml-intranasal-solution","source":"https://cpe.org.uk/our-news/medicine-supply-notification-ddavp-desmopressin-0-01-w-v-100-micrograms-ml-intranasal-solution"}]},{"id":"expected_back_windows","heading":"Expected-back windows ending this week","note":"Notices whose current stated expected-back window ends this week. The end is derived from the phrase: the stated day where the source gave one; six days after a stated week-commencing day; otherwise the 10th for \"early\", the 20th for \"mid\" and the last day of the month for \"late\" or a bare month (six days after it for a \"week commencing\" phrase with no readable day). The sources mostly give phrases like \"late July\", not days, so each item says which rule applied.","items":[]},{"id":"protocols_issued","heading":"Protocols issued, expired or revoked","note":"Serious Shortage Protocols (UK-wide) whose issue, expiry or revocation is dated this week.","items":[]},{"id":"protocols_extended","heading":"Protocols extended","note":"Extensions are dated by the scheduled end they replaced, as the NHSBSA register and announcements record them.","items":[]},{"id":"protocols_ending_this_week","heading":"Protocol end dates this week","note":"Protocols whose NHSBSA register end date falls this week, per the register as last checked.","items":[]},{"id":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 15 Nov 2021 to 28 Nov 2021. A scheduled end is the register's date, nothing about local stock.","items":[]},{"id":"scotland","heading":"Scotland","note":"NHS Scotland Medicine Supply Alert Notices issued this week — a separate source, never summed with England.","items":[{"key":"scot:MSAN(2021)31","date":"2021-11-08","title":"MSAN(2021)31 — Acebutolol (Sectral®) 100mg capsules","fact":"NHS Scotland Medicine Supply Alert Notice issued 08 Nov 2021, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2021-31","source":"https://www.publications.scot.nhs.uk/files/msan-2021-31.pdf","priority":2},{"key":"scot:MSAN(2021)32","date":"2021-11-08","title":"MSAN(2021)32 — Latanoprost 50microgram/ml / timolol 5mg/ml (Fixapost®) 0.2ml unit dose","fact":"NHS Scotland Medicine Supply Alert Notice issued 08 Nov 2021, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2021-32","source":"https://www.publications.scot.nhs.uk/files/msan-2021-32.pdf","priority":2},{"key":"scot:MSAN(2021)33","date":"2021-11-09","title":"MSAN(2021)33 — Champix® (varenicline) 0.5mg and 1mg tablets","fact":"NHS Scotland Medicine Supply Alert Notice issued 09 Nov 2021, priority level 3. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2021-33","source":"https://www.publications.scot.nhs.uk/files/msan-2021-33.pdf","priority":3},{"key":"scot:MSAN(2021)34","date":"2021-11-09","title":"MSAN(2021)34 — Tocilizumab (RoActemra®) 162mg/0.9ml solution for injection pre-filled","fact":"NHS Scotland Medicine Supply Alert Notice issued 09 Nov 2021, priority level 3. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2021-34","source":"https://www.publications.scot.nhs.uk/files/msan-2021-34.pdf","priority":3}]}],"permalink":"https://shortagesignal.co.uk/digest/2021-W45","corrections_url":"https://shortagesignal.co.uk/corrections"}}