{"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":"2026-11-07T10:04:10.422Z","week":"2023-W05","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-W05","start":"2023-01-30","end":"2023-02-05","horizon_end":"2023-02-19","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":"1f625c680b7b8417b55494498bad50a2","date":"2023-02-03","title":"Medicine Supply Notification: Estradiol (Estradot ® ) 25micrograms/24hours, 50micrograms/24hours and 100micrograms/24hours patches","fact":"Medicine Supply Notification MSN/2023/009 issued 03 Feb 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-009","source":"https://cpe.org.uk/our-news/medicine-supply-notification-estradiol-estradot-25micrograms-24hours-50micrograms-24hours-and-100micrograms-24hours-patches"},{"key":"25351ac34c8a8c57a3d511d9a40fe1f4","date":"2023-02-03","title":"Medicine Supply Notification: Zopiclone 3.75mg tablets","fact":"Medicine Supply Notification MSN/2023/006 issued 03 Feb 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-006","source":"https://cpe.org.uk/our-news/medicine-supply-notification-zopiclone-3-75mg-tablets"},{"key":"36929052bfd043be2c2954555fd94965","date":"2023-02-03","title":"Medicine Supply Notification: Fluoxetine 20mg/5ml oral solution and fluoxetine (Olena® ) 20mg dispersible tablets","fact":"Medicine Supply Notification MSN/2023/007 issued 03 Feb 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-007","source":"https://cpe.org.uk/our-news/medicine-supply-notification-fluoxetine-20mg-5ml-oral-solution-and-fluoxetine-olena-20mg-dispersible-tablets"},{"key":"80c328ba3f6ea0bd856b793eea19b27f","date":"2023-02-03","title":"Medicine Supply Notification: Hyoscine hydrobromide (Kwells Kids®)150mcg and (Kwells®) 300mcg tablets","fact":"Medicine Supply Notification MSN/2023/011 issued 03 Feb 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-011","source":"https://cpe.org.uk/our-news/medicine-supply-notification-hyoscine-hydrobromide-kwells-kids150mcg-and-kwells-300mcg-tablets"},{"key":"a2751ae525d6ab83bb2f05689476ed51","date":"2023-02-03","title":"Medicine Supply Notification: Imiquimod (Aldara® 5% and Bascellex® 50mg/g) cream","fact":"Medicine Supply Notification MSN/2023/010 issued 03 Feb 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-010","source":"https://cpe.org.uk/our-news/medicine-supply-notification-imiquimod-aldara-5-and-bascellex-50mg-g-cream"},{"key":"f2d45ad822c6cae496a19e19e3037923","date":"2023-02-03","title":"Medicine Supply Notification: Sulfasalazine (Salazopyrin®) 500mg suppositories","fact":"Medicine Supply Notification MSN/2023/008 issued 03 Feb 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-008","source":"https://cpe.org.uk/our-news/medicine-supply-notification-sulfasalazine-salazopyrin-500mg-suppositories"}]},{"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-2022-101:2023-02-05","date":"2023-02-05","title":"MSN/2022/101 — Medicine Supply Notification: Diltiazem (Tildiem Retard® )120mg tablets","fact":"Expected back \"w/c 30th January 2023\", as currently stated by the source. That stated window ends by 05 Feb 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-2022-101","source":"https://cpe.org.uk/our-news/medicine-supply-notification-diltiazem-tildiem-retard-120mg-tablets","resupply_text":"w/c 30th 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: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":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 06 Feb 2023 to 19 Feb 2023. 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":[]}],"permalink":"https://shortagesignal.co.uk/digest/2023-W05","corrections_url":"https://shortagesignal.co.uk/corrections"}}