{"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":"2026-11-07T06:59:56.276Z","week":"2023-W23","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-W23","start":"2023-06-05","end":"2023-06-11","horizon_end":"2023-06-25","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":"b192292ab5712f3be82d581a91baebde","date":"2023-06-05","title":"Medicine Supply Notification: Clomifene (Clomid® ) 50mg tablets","fact":"Medicine Supply Notification MSN/2023/056 issued 05 Jun 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-056","source":"https://cpe.org.uk/our-news/medicine-supply-notification-clomifene-clomid-50mg-tablets"},{"key":"b6dfa0f72233f6772392290e4acc50ba","date":"2023-06-06","title":"Medicine Supply Notification: Insulin isophane biphasic human 25/75 (Insuman® Comb 25) 100units/ml suspension for injection 3ml cartridge and pre-filled Solostar pens","fact":"Medicine Supply Notification MSN/2023/057 issued 06 Jun 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-057","source":"https://cpe.org.uk/our-news/medicine-supply-notification-insulin-isophane-biphasic-human-25-75-insuman-comb-25-100units-ml-suspension-for-injection-3ml-cartridge-and-pre-filled-solostar-pens"}]},{"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":"f32ab16218e7d2ef313c9adceac3ef38","date":"2023-06-06","title":"Medicine Supply Notification: Insulin isophane biphasic human 25/75 (Insuman® Comb 25) 100units/ml suspension for injection 3ml cartridge and pre-filled Solostar pens","fact":"Discontinuation notified in MSN/2023/057, dated 06 Jun 2023.","page":"https://shortagesignal.co.uk/notice/msn-2023-057","source":"https://cpe.org.uk/our-news/medicine-supply-notification-insulin-isophane-biphasic-human-25-75-insuman-comb-25-100units-ml-suspension-for-injection-3ml-cartridge-and-pre-filled-solostar-pens"}]},{"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-2022-110:2023-06-10","date":"2023-06-10","title":"MSN/2022/110 — Medicine Supply Notification: Sulfasalazine 250mg in 5ml oral suspension sugar free","fact":"Expected back \"early June 2023\", as currently stated by the source. That stated window ends by 10 Jun 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-2022-110","source":"https://cpe.org.uk/our-news/medicine-supply-notification-sulfasalazine-250mg-in-5ml-oral-suspension-sugar-free","resupply_text":"early June 2023"},{"key":"window:msn-2023-035:2023-06-11","date":"2023-06-11","title":"MSN/2023/035 — Medicine Supply Notification: Estradiol (Progynova® TS) 100micrograms/24hours transdermal patches","fact":"Expected back \"w/c 5th June 2023\", as currently stated by the source. That stated window ends by 11 Jun 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-2023-035","source":"https://cpe.org.uk/our-news/medicine-supply-notification-estradiol-progynova-ts-100micrograms-24hours-transdermal-patches","resupply_text":"w/c 5th June 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 12 Jun 2023 to 25 Jun 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":[{"key":"scot:MSAN(2023)6","date":"2023-06-09","title":"MSAN(2023)6 — Bromfenac (Yellox®) 900 micrograms/ml eye drops","fact":"NHS Scotland Medicine Supply Alert Notice issued 09 Jun 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-6","source":"https://www.publications.scot.nhs.uk/files/msan-2023-06.pdf","priority":2},{"key":"scot:MSAN(2023)7","date":"2023-06-09","title":"MSAN(2023)7 — Ethinylestradiol 20microgram / Drospirenone 3mg (Eloine®) tablets","fact":"NHS Scotland Medicine Supply Alert Notice issued 09 Jun 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-7","source":"https://www.publications.scot.nhs.uk/files/msan-2023-07.pdf","priority":2},{"key":"scot:MSAN(2023)8","date":"2023-06-09","title":"MSAN(2023)8 — Glucagon 1mg powder for injection kit (GlucaGen®)","fact":"NHS Scotland Medicine Supply Alert Notice issued 09 Jun 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-8","source":"https://www.publications.scot.nhs.uk/files/msan-2023-08.pdf","priority":2},{"key":"scot:MSAN(2023)9","date":"2023-06-09","title":"MSAN(2023)9 — Tresiba (insulin degludec) FlexTouch 100units/ml solution for injection 3ml pre-filled","fact":"NHS Scotland Medicine Supply Alert Notice issued 09 Jun 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-9","source":"https://www.publications.scot.nhs.uk/files/msan-2023-09.pdf","priority":2},{"key":"scot:MSAN(2023)10","date":"2023-06-09","title":"MSAN(2023)10 — Micronised Progesterone (Utrogestan®) 100mg capsules","fact":"NHS Scotland Medicine Supply Alert Notice issued 09 Jun 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-10","source":"https://www.publications.scot.nhs.uk/files/msan-2023-10.pdf","priority":2},{"key":"scot:MSAN(2023)11","date":"2023-06-09","title":"MSAN(2023)11 — Norditropin® Flexpro® and NordiFlex® (somatropin) solution for injection pre-","fact":"NHS Scotland Medicine Supply Alert Notice issued 09 Jun 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-11","source":"https://www.publications.scot.nhs.uk/files/msan-2023-11.pdf","priority":2}]}],"permalink":"https://shortagesignal.co.uk/digest/2023-W23","corrections_url":"https://shortagesignal.co.uk/corrections"}}