{"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":"2026-11-07T05:09:36.190Z","week":"2023-W34","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-W34","start":"2023-08-21","end":"2023-08-27","horizon_end":"2023-09-10","complete":true,"last_checked_at":"2026-10-20T20:54:38.356Z","total":10,"sections":[{"id":"new_notices","heading":"New notices","note":"Medicine Supply Notifications and National Patient Safety Alerts dated this week (England).","items":[{"key":"3a71f47edf94eb8c493b005b4086c349","date":"2023-08-22","title":"Medicine Supply Notification: Minims® Povidone Iodine 5% w/v Eye Drops, Solution","fact":"Medicine Supply Notification MSN/2023/080 issued 22 Aug 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-080","source":"https://cpe.org.uk/our-news/medicine-supply-notification-minims-povidone-iodine-5-w-v-eye-drops-solution"},{"key":"77e68f26ec65dc5f1f820286240e8e68","date":"2023-08-22","title":"Medicine Supply Notification: Minims® Oxybuprocaine hydrochloride 0.4% eye drops 0.5ml unit dose Minims® Proxymetacaine 0.5% eye drops 0.5ml unit dose","fact":"Medicine Supply Notification MSN/2023/079 issued 22 Aug 2023 (tier 3 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-079","source":"https://cpe.org.uk/our-news/medicine-supply-notification-minims-oxybuprocaine-hydrochloride-0-4-eye-drops-0-5ml-unit-dose-minims-proxymetacaine-0-5-eye-drops-0-5ml-unit-dose"},{"key":"854f3aa033f7e2bb8d1bc32f5c38335c","date":"2023-08-22","title":"Medicine Supply Notification: Phenytoin sodium 100mg capsules (Accord)","fact":"Medicine Supply Notification MSN/2023/078 issued 22 Aug 2023 (tier 3 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-078","source":"https://cpe.org.uk/our-news/medicine-supply-notification-phenytoin-sodium-100mg-capsules-accord"},{"key":"8f4e5b6756f83b9b5f87fd4144485c23","date":"2023-08-22","title":"Medicine Supply Notification: Jext® 300micrograms/0.3ml (1 in 1000) solution for injection auto-injector pen","fact":"Medicine Supply Notification MSN/2023/077 issued 22 Aug 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-077","source":"https://cpe.org.uk/our-news/medicine-supply-notification-jext-300micrograms-0-3ml-1-in-1000-solution-for-injection-auto-injector-pen"},{"key":"05cf31838d0a21dc3f8bf4356c0b8009","date":"2023-08-23","title":"Medicine Supply Notification: Estradiol (Estradot® ) 25micrograms/24 hours, 37.5micrograms/24 hours and 100micrograms/24 hours transdermal patches","fact":"Medicine Supply Notification MSN/2023/082 issued 23 Aug 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-082","source":"https://cpe.org.uk/our-news/medicine-supply-notification-estradiol-estradot-25micrograms-24-hours-37-5micrograms-24-hours-and-100micrograms-24-hours-transdermal-patches"}]},{"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":"7c475fadd2a54013f299c32a3fc2c93a","date":"2023-08-21","title":"SSP058 Jext 300mcg autoinjector","fact":"Serious Shortage Protocol SSP058 issued, valid from 21 Aug 2023, first scheduled to end 15 Sep 2023.","page":"https://shortagesignal.co.uk/ssp/58","source":null},{"key":"e1e71cab6df4fd21416d4a780a7eb381","date":"2023-08-21","title":"SSP057 Estradot 100mcg patches","fact":"Serious Shortage Protocol SSP057 issued, valid from 21 Aug 2023, first scheduled to end 08 Sep 2023.","page":"https://shortagesignal.co.uk/ssp/57","source":null},{"key":"6f881b119d651021d9d13303b4c8911b","date":"2023-08-25","title":"SSP052 Progynova 100mcg patches","fact":"SSP revoked recorded 25 Aug 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":[]},{"id":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 28 Aug 2023 to 10 Sep 2023. A scheduled end is the register's date, nothing about local stock.","items":[{"key":"ssp-end:52:2023-09-08","date":"2023-09-08","title":"SSP052 Progynova 100mcg patches","fact":"Scheduled end 08 Sep 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/52","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP052%20Progynova%20100mcg%20patches%20FINAL%2028032023.pdf","ssp_number":52,"medicine_label":"Progynova 100mcg patches"}]},{"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)16","date":"2023-08-22","title":"MSAN(2023)16 — Disulfiram 200mg tablets","fact":"NHS Scotland Medicine Supply Alert Notice issued 22 Aug 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-16","source":"https://www.publications.scot.nhs.uk/files/msan-2023-16.pdf","priority":2}]}],"permalink":"https://shortagesignal.co.uk/digest/2023-W34","corrections_url":"https://shortagesignal.co.uk/corrections"}}