{"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":"2026-11-07T10:38:25.366Z","week":"2023-W02","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":"2023-W02","start":"2023-01-09","end":"2023-01-15","horizon_end":"2023-01-29","complete":true,"last_checked_at":"2026-10-20T20:54:38.356Z","total":7,"sections":[{"id":"new_notices","heading":"New notices","note":"Medicine Supply Notifications and National Patient Safety Alerts dated this week (England).","items":[]},{"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":[]},{"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":[{"key":"window:msn-2022-108:2023-01-10","date":"2023-01-10","title":"MSN/2022/108 — Medicine Supply Notification: Fluticasone 50microgram / Salmeterol 25microgam (Combisal® ) pressurised metered dose inhaler (pMDI)","fact":"Expected back \"early January 2023\", as currently stated by the source. That stated window ends by 10 Jan 2023 (the 10th of the stated month, the end this record uses for \"early\"; the source gives no day). Reaching it is an observation about the record, not about stock at your wholesaler.","page":"https://shortagesignal.co.uk/notice/msn-2022-108","source":"https://cpe.org.uk/our-news/medicine-supply-notification-fluticasone-50microgram-salmeterol-25microgam-combisal-pressurised-metered-dose-inhaler-pmdi","resupply_text":"early January 2023"}]},{"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":[{"key":"ssp-end:26:2023-01-13","date":"2023-01-13","title":"SSP026 Lenzetto","fact":"Scheduled end 13 Jan 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/26","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP026%20Lenzetto%20restriction.pdf","ssp_number":26,"medicine_label":"Lenzetto"},{"key":"ssp-end:27:2023-01-13","date":"2023-01-13","title":"SSP027 Lenzetto","fact":"Scheduled end 13 Jan 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/27","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP027%20Lenzetto%20Substitution.pdf","ssp_number":27,"medicine_label":"Lenzetto"},{"key":"ssp-end:28:2023-01-13","date":"2023-01-13","title":"SSP028 Lenzetto","fact":"Scheduled end 13 Jan 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/28","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP028%20Lenzetto%20Substitution%20and%20Restriction.pdf","ssp_number":28,"medicine_label":"Lenzetto"},{"key":"ssp-end:37:2023-01-13","date":"2023-01-13","title":"SSP037 Estraderm MX 50 mcg patches","fact":"Scheduled end 13 Jan 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/37","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#Endorsement%20guidance%20SSP037%20Estraderm%20MX%2050%2015112022.pdf","ssp_number":37,"medicine_label":"Estraderm MX 50 mcg patches"}]},{"id":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 16 Jan 2023 to 29 Jan 2023. A scheduled end is the register's date, nothing about local stock.","items":[{"key":"ssp-end:36:2023-01-27","date":"2023-01-27","title":"SSP036 Estraderm MX 100","fact":"Scheduled end 27 Jan 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/36","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP036%20Estraderm%20MX%20100mcg%20patches%20ANNEX%20B%20FINAL%2006092022.pdf","ssp_number":36,"medicine_label":"Estraderm MX 100"},{"key":"ssp-end:38:2023-01-27","date":"2023-01-27","title":"SSP038 Estraderm MX 75 mcg patches","fact":"Scheduled end 27 Jan 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/38","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#Endorsement%20guidance%20SSP038%20Estraderm%20MX%2075%2015112022.pdf","ssp_number":38,"medicine_label":"Estraderm MX 75 mcg patches"}]},{"id":"scotland","heading":"Scotland","note":"NHS Scotland Medicine Supply Alert Notices issued this week — a separate source, never summed with England.","items":[]}],"permalink":"https://shortagesignal.co.uk/digest/2023-W02","corrections_url":"https://shortagesignal.co.uk/corrections"}}