{"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":"2026-11-07T08:36:03.206Z","week":"2023-W13","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-W13","start":"2023-03-27","end":"2023-04-02","horizon_end":"2023-04-16","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":"1a85d969bac75e4820f916308cb9c88d","date":"2023-03-27","title":"Medicine Supply Notification: Acetazolamide (Diamox® SR) 250mg modified-release capsules","fact":"Medicine Supply Notification MSN/2023/033 issued 27 Mar 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-033","source":"https://cpe.org.uk/our-news/medicine-supply-notification-acetazolamide-diamox-sr-250mg-modified-release-capsules-2"},{"key":"74a554805e919f87c237ba29c0dc5825","date":"2023-03-27","title":"Medicine Supply Notification: Primidone (Aspire Pharma) 50mg tablets","fact":"Medicine Supply Notification MSN/2023/032 issued 27 Mar 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-032","source":"https://cpe.org.uk/our-news/medicine-supply-notification-primidone-aspire-pharma-50mg-tablets"},{"key":"e0bcdc2378cc6632e0acad6d062b78cf","date":"2023-03-27","title":"Medicine Supply Notification: Estradiol valerate/medroxyprogesterone acetate (Indivina® ) 1mg/2.5mg tablets","fact":"Medicine Supply Notification MSN/2023/034 issued 27 Mar 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-034","source":"https://cpe.org.uk/our-news/medicine-supply-notification-estradiol-valerate-medroxyprogesterone-acetate-indivina-1mg-2-5mg-tablets"},{"key":"b5ce97c15232538d2077be32fe463ba5","date":"2023-03-28","title":"Medicine Supply Notification: Estradiol (Progynova® TS) 100micrograms/24hours transdermal patches","fact":"Medicine Supply Notification MSN/2023/035 issued 28 Mar 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-035","source":"https://cpe.org.uk/our-news/medicine-supply-notification-estradiol-progynova-ts-100micrograms-24hours-transdermal-patches"},{"key":"6d9bde5755687a1a8b868653d3a32490","date":"2023-03-29","title":"Medicine Supply Notification: Ciclosporin (Vanquorel® ) 25mg capsules","fact":"Medicine Supply Notification MSN/2023/036 issued 29 Mar 2023 (tier 3 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-036","source":"https://cpe.org.uk/our-news/medicine-supply-notification-ciclosporin-vanquorel-25mg-capsules"}]},{"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-2023-007:2023-03-31","date":"2023-03-31","title":"MSN/2023/007 — Medicine Supply Notification: Fluoxetine 20mg/5ml oral solution and fluoxetine (Olena® ) 20mg dispersible tablets","fact":"Expected back \"March 2023\", as currently stated by the source. That stated window ends by 31 Mar 2023 (the last day of the stated month; 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-2023-007","source":"https://cpe.org.uk/our-news/medicine-supply-notification-fluoxetine-20mg-5ml-oral-solution-and-fluoxetine-olena-20mg-dispersible-tablets","resupply_text":"March 2023"},{"key":"window:msn-2023-017:2023-03-31","date":"2023-03-31","title":"MSN/2023/017 — Medicine Supply Notification: Lamotrigine 5mg dispersible tablets","fact":"Expected back \"late March 2023\", as currently stated by the source. That stated window ends by 31 Mar 2023 (the last day of the stated month; 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-2023-017","source":"https://cpe.org.uk/our-news/medicine-supply-notification-lamotrigine-5mg-dispersible-tablets","resupply_text":"late March 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":[{"key":"71c05aebcb9fb9f27006ba7b75af13f6","date":"2023-03-28","title":"SSP052 Progynova 100mcg patches","fact":"Serious Shortage Protocol SSP052 issued, valid from 28 Mar 2023, first scheduled to end 09 Jun 2023.","page":"https://shortagesignal.co.uk/ssp/52","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:5:2023-03-31","date":"2023-03-31","title":"SSP005 Fluoxetine 10mg tablets","fact":"Scheduled end 31 Mar 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/5","source":null,"ssp_number":5,"medicine_label":"Fluoxetine 10mg tablets"}]},{"id":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 03 Apr 2023 to 16 Apr 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-W13","corrections_url":"https://shortagesignal.co.uk/corrections"}}