{"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":"2026-11-07T04:13:25.058Z","week":"2023-W39","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-W39","start":"2023-09-25","end":"2023-10-01","horizon_end":"2023-10-15","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":"2fff9ff316c95963505b937026348b9c","date":"2023-09-27","title":"Medicine Supply Notification: Azelaic acid (Skinoren®) 20% cream","fact":"Medicine Supply Notification MSN/2023/090 issued 27 Sep 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-090","source":"https://cpe.org.uk/our-news/medicine-supply-notification-azelaic-acid-skinoren-20-cream"},{"key":"70ed50ebdd03e79926110972fb5fe238","date":"2023-09-27","title":"Medicine Supply Notification: Disopyramide (Rythmodan®)100mg capsules","fact":"Medicine Supply Notification MSN/2023/091 issued 27 Sep 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-091","source":"https://cpe.org.uk/our-news/medicine-supply-notification-disopyramide-rythmodan100mg-capsules"},{"key":"53c4fcf93f77e48dcf420c4474515e30","date":"2023-09-27","title":"National Patient Safety Alert: Shortage of methylphenidate prolonged-release capsules and tablets, lisdexamfetamine capsules, and guanfacine prolonged-release tablets.","fact":"National Patient Safety Alert NatPSA/2023/011/DHSC issued 27 Sep 2023.","page":"https://shortagesignal.co.uk/notice/natpsa-2023-011-dhsc","source":"https://cpe.org.uk/our-news/national-patient-safety-alert-shortage-of-methylphenidate-prolonged-release-capsules-and-tablets-lisdexamfetamine-capsules-and-guanfacine-prolonged-release-tablets"}]},{"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-2023-068:2023-09-30","date":"2023-09-30","title":"MSN/2023/068 — Medicine Supply Notification: Atomoxetine 40mg and 60mg capsules","fact":"Expected back \"September 2023\", as currently stated by the source. That stated window ends by 30 Sep 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-2023-068","source":"https://cpe.org.uk/our-news/medicine-supply-notification-atomoxetine-40mg-and-60mg-capsules","resupply_text":"September 2023"},{"key":"window:msn-2023-082:2023-09-30","date":"2023-09-30","title":"MSN/2023/082 — Medicine Supply Notification: Estradiol (Estradot® ) 25micrograms/24 hours, 37.5micrograms/24 hours and 100micrograms/24 hours transdermal patches","fact":"Expected back \"late September 2023\", as currently stated by the source. That stated window ends by 30 Sep 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-2023-082","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","resupply_text":"late 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":[{"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":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 02 Oct 2023 to 15 Oct 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)26","date":"2023-09-29","title":"MSAN(2023)26 — Discontinuation of lixisenatide (Lyxumia®) 20micrograms/0.2ml solution for","fact":"NHS Scotland Medicine Supply Alert Notice issued 29 Sep 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-26","source":"https://www.publications.scot.nhs.uk/files/msan-2023-26.pdf","priority":2},{"key":"scot:MSAN(2023)27","date":"2023-09-29","title":"MSAN(2023)27 — Midazolam (Epistatus®) 2.5mg/0.25mL and 10mg/1mL oromucosal solution pre-","fact":"NHS Scotland Medicine Supply Alert Notice issued 29 Sep 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-27","source":"https://www.publications.scot.nhs.uk/files/msan-2023-27.pdf","priority":2},{"key":"scot:MSAN(2023)28","date":"2023-09-29","title":"MSAN(2023)28 — Somatropin (Genotropin® MiniQuick) 1.4mg powder and solvent for solution for","fact":"NHS Scotland Medicine Supply Alert Notice issued 29 Sep 2023, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2023-28","source":"https://www.publications.scot.nhs.uk/files/msan-2023-28.pdf","priority":2}]}],"permalink":"https://shortagesignal.co.uk/digest/2023-W39","corrections_url":"https://shortagesignal.co.uk/corrections"}}