{"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":"2026-11-07T07:31:57.918Z","week":"2023-W19","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-W19","start":"2023-05-08","end":"2023-05-14","horizon_end":"2023-05-28","complete":true,"last_checked_at":"2026-10-20T20:54:38.356Z","total":17,"sections":[{"id":"new_notices","heading":"New notices","note":"Medicine Supply Notifications and National Patient Safety Alerts dated this week (England).","items":[{"key":"b67369b3f4fc14fd0fc9dd18fcee4c16","date":"2023-05-09","title":"National Patient Safety Alert: Class 1 Medicines Recall: Emerade 500 micrograms and Emerade 300 micrograms auto-injectors","fact":"National Patient Safety Alert NatPSA/2023/004/MHRA issued 09 May 2023.","page":"https://shortagesignal.co.uk/notice/natpsa-2023-004-mhra","source":"https://cpe.org.uk/our-news/national-patient-safety-alert-class-1-medicines-recall-emerade-500-micrograms-and-emerade-300-micrograms-auto-injectors"}]},{"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-2023-047:2023-05-10","date":"2023-05-10","title":"MSN/2023/047 — Medicine Supply Notification: Estradiol (Estradot® ) 75micrograms/24hours transdermal patches","fact":"Expected back \"early May 2023\", as currently stated by the source. That stated window ends by 10 May 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-2023-047","source":"https://cpe.org.uk/our-news/medicine-supply-notification-estradiol-estradot-75micrograms-24hours-transdermal-patches","resupply_text":"early May 2023"},{"key":"window:msn-2023-020:2023-05-14","date":"2023-05-14","title":"MSN/2023/020 — Medicine Supply Notification: Paracetamol 120mg and 240mg suppositories - Updated","fact":"Expected back \"w/c 8th May 2023\", as currently stated by the source. That stated window ends by 14 May 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-2023-020","source":"https://cpe.org.uk/our-news/medicine-supply-notification-paracetamol-120mg-suppositories-2","resupply_text":"w/c 8th May 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:29:2023-05-12","date":"2023-05-12","title":"SSP029 Sandrena","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/29","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP029%20Sandrena%20Restriction.pdf","ssp_number":29,"medicine_label":"Sandrena"},{"key":"ssp-end:30:2023-05-12","date":"2023-05-12","title":"SSP030 Sandrena","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/30","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP030%20Sandrena%20Substitution.pdf","ssp_number":30,"medicine_label":"Sandrena"},{"key":"ssp-end:31:2023-05-12","date":"2023-05-12","title":"SSP031 Sandrena","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/31","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP031%20Sandrena%20Substitution%20and%20Restriction.pdf","ssp_number":31,"medicine_label":"Sandrena"},{"key":"ssp-end:32:2023-05-12","date":"2023-05-12","title":"SSP032 Atorvastatin 10mg chewable tabs","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/32","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP032%20Atorvastatin%2010mg%20chewable%20tabs%2031052022.pdf","ssp_number":32,"medicine_label":"Atorvastatin 10mg chewable tabs"},{"key":"ssp-end:40:2023-05-12","date":"2023-05-12","title":"SSP040 Phenoxymethylpenicillin 125mg-5ml oral solution sugar free","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/40","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP040%20Phenoxymethylpenicillin%20125mg-5ml%20oral%20solution%20sugar%20free%201.1%2020122022.pdf","ssp_number":40,"medicine_label":"Phenoxymethylpenicillin 125mg-5ml oral solution sugar free"},{"key":"ssp-end:41:2023-05-12","date":"2023-05-12","title":"SSP041 Phenoxymethylpenicillin 250mg-5ml oral solution sugar free","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/41","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP041%20Phenoxymethylpenicillin%20250mg-5ml%20oral%20solution%20sugar%20free%201.1%2020122022.pdf","ssp_number":41,"medicine_label":"Phenoxymethylpenicillin 250mg-5ml oral solution sugar free"},{"key":"ssp-end:42:2023-05-12","date":"2023-05-12","title":"SSP042 Phenoxymethylpenicillin 250mg-5ml oral solution","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/42","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP042%20Phenoxymethylpenicillin%20250mg-5ml%20oral%20solution%201.1%2020122022.pdf","ssp_number":42,"medicine_label":"Phenoxymethylpenicillin 250mg-5ml oral solution"},{"key":"ssp-end:43:2023-05-12","date":"2023-05-12","title":"SSP043 Phenoxymethylpenicillin 125mg/5ml oral solution","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/43","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP043~1.PDF","ssp_number":43,"medicine_label":"Phenoxymethylpenicillin 125mg/5ml oral solution"},{"key":"ssp-end:44:2023-05-12","date":"2023-05-12","title":"SSP044 Phenoxymethylpenicillin 125mg/5ml oral solution sugar free","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/44","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP044~1.PDF","ssp_number":44,"medicine_label":"Phenoxymethylpenicillin 125mg/5ml oral solution sugar free"},{"key":"ssp-end:45:2023-05-12","date":"2023-05-12","title":"SSP045 Phenoxymethylpenicillin 250mg/5ml oral solution","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/45","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP045~1.PDF","ssp_number":45,"medicine_label":"Phenoxymethylpenicillin 250mg/5ml oral solution"},{"key":"ssp-end:46:2023-05-12","date":"2023-05-12","title":"SSP046 Phenoxymethylpenicillin 250mg/5ml oral solution sugar free","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/46","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP046~1.PDF","ssp_number":46,"medicine_label":"Phenoxymethylpenicillin 250mg/5ml oral solution sugar free"},{"key":"ssp-end:47:2023-05-12","date":"2023-05-12","title":"SSP047 Penicillin 250mg tabs","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/47","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP047~1.PDF","ssp_number":47,"medicine_label":"Penicillin 250mg tabs"},{"key":"ssp-end:50:2023-05-12","date":"2023-05-12","title":"SSP050 Paracetamol 120mg suppositories","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/50","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP050%20Paracetamol%20120mg%20suppositories%2016022023.pdf","ssp_number":50,"medicine_label":"Paracetamol 120mg suppositories"},{"key":"ssp-end:51:2023-05-12","date":"2023-05-12","title":"SSP051 Paracetamol 240mg suppositories","fact":"Scheduled end 12 May 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/51","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP051%20Paracetamol%20240mg%20suppositories%2016022023.pdf","ssp_number":51,"medicine_label":"Paracetamol 240mg suppositories"}]},{"id":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 15 May 2023 to 28 May 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-W19","corrections_url":"https://shortagesignal.co.uk/corrections"}}