{"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":"2026-11-07T10:30:20.985Z","week":"2023-W03","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-W03","start":"2023-01-16","end":"2023-01-22","horizon_end":"2023-02-05","complete":true,"last_checked_at":"2026-10-20T20:54:38.356Z","total":11,"sections":[{"id":"new_notices","heading":"New notices","note":"Medicine Supply Notifications and National Patient Safety Alerts dated this week (England).","items":[{"key":"60999d1376fdac1a8d47a8ecc64a70dc","date":"2023-01-17","title":"Medicine Supply Notification: Various Insuman Insulin preparations discontinued - Updated","fact":"Medicine Supply Notification MSN/2023/002 issued 17 Jan 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-002","source":"https://cpe.org.uk/our-news/medicine-supply-notification-various-insuman-insulin-preparations/?unlid=7959968242024716103648"},{"key":"c6d32e07da5dd4234fb0d893a80c64af","date":"2023-01-17","title":"Medicine Supply Notification: Vigabatrin (Sabril®) 500mg tablets","fact":"Medicine Supply Notification MSN/2023/003 issued 17 Jan 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-003","source":"https://cpe.org.uk/our-news/medicine-supply-notification-vigabatrin-sabril-500mg-tablets"}]},{"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":"85f04125907424357db5f4b07388ef8d","date":"2023-01-17","title":"Medicine Supply Notification: Various Insuman Insulin preparations discontinued - Updated","fact":"Discontinuation notified in MSN/2023/002, dated 17 Jan 2023.","page":"https://shortagesignal.co.uk/notice/msn-2023-002","source":"https://cpe.org.uk/our-news/medicine-supply-notification-various-insuman-insulin-preparations/?unlid=7959968242024716103648"}]},{"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-2022-072:2023-01-20","date":"2023-01-20","title":"MSN/2022/072 — Medicine Supply Notification: Methylprednisolone (Medrone®) 4mg tablets","fact":"Expected back \"mid-January 2023\", as currently stated by the source. That stated window ends by 20 Jan 2023 (the 20th of the stated month, the end this record uses for \"mid\"; 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-2022-072","source":"https://cpe.org.uk/our-news/medicine-supply-notification-methylprednisolone-medrone-4mg-tablets","resupply_text":"mid-January 2023"},{"key":"window:msn-2022-113:2023-01-22","date":"2023-01-22","title":"MSN/2022/113 — Medicine Supply Notification: Prochlorperazine (Stemetil®) 12.5mg/ml solution for injection ampoules","fact":"Expected back \"w/c 16th January 2023\", as currently stated by the source. That stated window ends by 22 Jan 2023 (six days after the week-commencing day the source stated). Reaching it is an observation about the record, not about stock at your wholesaler.","page":"https://shortagesignal.co.uk/notice/msn-2022-113","source":"https://cpe.org.uk/our-news/medicine-supply-notification-prochlorperazine-stemetil-12-5mg-ml-solution-for-injection-ampoules-2","resupply_text":"w/c 16th 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":[]},{"id":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 23 Jan 2023 to 05 Feb 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"},{"key":"ssp-end:39:2023-02-03","date":"2023-02-03","title":"SSP039 Atorvastatin 20mg Chewable","fact":"Scheduled end 03 Feb 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/39","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#Endorsement%20guidance%20SSP039%20Atorvastatin%2020mg%20Chewable%2022112022.pdf","ssp_number":39,"medicine_label":"Atorvastatin 20mg Chewable"}]},{"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(2023)1","date":"2023-01-16","title":"MSAN(2023)1 — Selegiline (Eldepryl®) 5mg and 10mg tablets","fact":"NHS Scotland Medicine Supply Alert Notice issued 16 Jan 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-1","source":"https://www.publications.scot.nhs.uk/files/msan-2023-01.pdf","priority":2},{"key":"scot:MSAN(2023)2","date":"2023-01-16","title":"MSAN(2023)2 — Dalteparin (Fragmin®) 10,000units/1mL solution for injection ampoule","fact":"NHS Scotland Medicine Supply Alert Notice issued 16 Jan 2023, priority level 3. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-2","source":"https://www.publications.scot.nhs.uk/files/msan-2023-02.pdf","priority":3},{"key":"scot:MSAN(2023)3","date":"2023-01-16","title":"MSAN(2023)3 — Sulfasalazine 250mg in 5ml oral suspension sugar free","fact":"NHS Scotland Medicine Supply Alert Notice issued 16 Jan 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-3","source":"https://www.publications.scot.nhs.uk/files/msan-2023-03.pdf","priority":2}]}],"permalink":"https://shortagesignal.co.uk/digest/2023-W03","corrections_url":"https://shortagesignal.co.uk/corrections"}}