{"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":"2026-11-07T10:18:17.423Z","week":"2023-W04","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-W04","start":"2023-01-23","end":"2023-01-29","horizon_end":"2023-02-12","complete":true,"last_checked_at":"2026-10-20T20:54:38.356Z","total":9,"sections":[{"id":"new_notices","heading":"New notices","note":"Medicine Supply Notifications and National Patient Safety Alerts dated this week (England).","items":[{"key":"5ee915dc4c9844f9f36279e9dda7fcfe","date":"2023-01-23","title":"Medicine Supply Notification: Senokot® syrup and Senokot® 12 Years Plus syrup (both containing 7.5mg/5ml sennosides)","fact":"Medicine Supply Notification MSN/2023/004 issued 23 Jan 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-004","source":"https://cpe.org.uk/our-news/medicine-supply-notification-senokot-syrup-and-senokot-12-years-plus-syrup-both-containing-7-5mg-5ml-sennosides"}]},{"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":[]},{"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":[{"key":"0f85f5bfdef58852a553ff1a94ee1e52","date":"2023-01-25","title":"SSP048 Estradot 50mcg patches","fact":"Serious Shortage Protocol SSP048 issued, valid from 25 Jan 2023, first scheduled to end 17 Feb 2023.","page":"https://shortagesignal.co.uk/ssp/48","source":null},{"key":"880f5087173b2b65117bf28ebfb64250","date":"2023-01-25","title":"SSP049 Estradot 100mcg patches","fact":"Serious Shortage Protocol SSP049 issued, valid from 25 Jan 2023, first scheduled to end 17 Feb 2023.","page":"https://shortagesignal.co.uk/ssp/49","source":null},{"key":"d33e0c4bdaebd1835384dc1760a54830","date":"2023-01-27","title":"SSP039 Atorvastatin 20mg Chewable","fact":"SSP revoked recorded 27 Jan 2023.","page":"https://shortagesignal.co.uk/ssp/39","source":null}]},{"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: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":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 30 Jan 2023 to 12 Feb 2023. A scheduled end is the register's date, nothing about local stock.","items":[{"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)5","date":"2023-01-24","title":"MSAN(2023)5 — Vigabatrin (Sabril®) 500mg tablets","fact":"NHS Scotland Medicine Supply Alert Notice issued 24 Jan 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-5","source":"https://www.publications.scot.nhs.uk/files/msan-2023-05.pdf","priority":2},{"key":"scot:MSAN(2023)4","date":"2023-01-25","title":"MSAN(2023)4 — • Insulin isophane biphasic human 25/75 (Insuman® Comb 25) 100units/ml","fact":"NHS Scotland Medicine Supply Alert Notice issued 25 Jan 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-4","source":"https://www.publications.scot.nhs.uk/files/msan-2023-04.pdf","priority":2}]}],"permalink":"https://shortagesignal.co.uk/digest/2023-W04","corrections_url":"https://shortagesignal.co.uk/corrections"}}