{"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":"2026-11-07T04:25:29.189Z","week":"2023-W38","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-W38","start":"2023-09-18","end":"2023-09-24","horizon_end":"2023-10-08","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":"6ba6c4d0823c9b76014c8775c2d90ee6","date":"2023-09-21","title":"Medicine Supply Notification: Somatropin (Genotropin® MiniQuick) 0.6mg, 1.4mg and (Genotropin® GoQuick) 5.3mg powder and solvent for solution for injection pre-filled disposable devices - Update","fact":"Medicine Supply Notification MSN/2023/089 issued 21 Sep 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-089","source":"https://cpe.org.uk/our-news/medicine-supply-notification-somatropin-genotropin-miniquick-1-4mg-1-6mg-and-1-8mg-powder-and-solvent-for-solution-for-injection-pre-filled-disposable-devices"},{"key":"9e9b43ea68b2be23ba51ff93ff11c31c","date":"2023-09-21","title":"Medicine Supply Notification: Discontinuation of lixisenatide (Lyxumia® ) 20micrograms/0.2ml solution for injection 3ml pre-filled disposable devices","fact":"Medicine Supply Notification MSN/2023/088 issued 21 Sep 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-088","source":"https://cpe.org.uk/our-news/medicine-supply-notification-discontinuation-of-lixisenatide-lyxumia-20micrograms-0-2ml-solution-for-injection-3ml-pre-filled-disposable-devices"},{"key":"aeed0cf99a026b0ace51a1de63c3e62d","date":"2023-09-21","title":"Medicine Supply Notification: Hyoscine hydrobromide (Scopoderm® ) 1.5mg patches","fact":"Medicine Supply Notification MSN/2023/087 issued 21 Sep 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-087","source":"https://cpe.org.uk/our-news/medicine-supply-notification-hyoscine-hydrobromide-scopoderm-1-5mg-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":[{"key":"e8615b3ce44736b0e1dda62a10a2e773","date":"2023-09-21","title":"Medicine Supply Notification: Discontinuation of lixisenatide (Lyxumia® ) 20micrograms/0.2ml solution for injection 3ml pre-filled disposable devices","fact":"Discontinuation notified in MSN/2023/088, dated 21 Sep 2023.","page":"https://shortagesignal.co.uk/notice/msn-2023-088","source":"https://cpe.org.uk/our-news/medicine-supply-notification-discontinuation-of-lixisenatide-lyxumia-20micrograms-0-2ml-solution-for-injection-3ml-pre-filled-disposable-devices"}]},{"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-2023-056:2023-09-24","date":"2023-09-24","title":"MSN/2023/056 — Medicine Supply Notification: Clomifene (Clomid® ) 50mg tablets","fact":"Expected back \"w/c 18 September 2023\", as currently stated by the source. That stated window ends by 24 Sep 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-2023-056","source":"https://cpe.org.uk/our-news/medicine-supply-notification-clomifene-clomid-50mg-tablets","resupply_text":"w/c 18 September 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 25 Sep 2023 to 08 Oct 2023. A scheduled end is the register's date, nothing about local stock.","items":[{"key":"ssp-end:56:2023-09-29","date":"2023-09-29","title":"SSP056 Utrogestan 100mg caps","fact":"Scheduled end 29 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/56","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP056%20Utrogestan%20100mg%20caps.pdf","ssp_number":56,"medicine_label":"Utrogestan 100mg caps"}]},{"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)24","date":"2023-09-19","title":"MSAN(2023)24 — Estradiol valerate/medroxyprogesterone acetate (Indivina®) 1mg/5mg tablets","fact":"NHS Scotland Medicine Supply Alert Notice issued 19 Sep 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-24","source":"https://www.publications.scot.nhs.uk/files/msan-2023-24.pdf","priority":2},{"key":"scot:MSAN(2023)25","date":"2023-09-19","title":"MSAN(2023)25 — Estradiol (FemSeven®) 75micrograms/24hours and 100micrograms/24hours","fact":"NHS Scotland Medicine Supply Alert Notice issued 19 Sep 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-25","source":"https://www.publications.scot.nhs.uk/files/msan-2023-25.pdf","priority":2}]}],"permalink":"https://shortagesignal.co.uk/digest/2023-W38","corrections_url":"https://shortagesignal.co.uk/corrections"}}