{"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":"2026-11-07T02:29:09.993Z","week":"2023-W49","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-W49","start":"2023-12-04","end":"2023-12-10","horizon_end":"2023-12-24","complete":true,"last_checked_at":"2026-10-20T20:54:38.356Z","total":5,"sections":[{"id":"new_notices","heading":"New notices","note":"Medicine Supply Notifications and National Patient Safety Alerts dated this week (England).","items":[{"key":"52cff4435df72798a7eea864b21574df","date":"2023-12-05","title":"Medicine Supply Notification: Diazepam 2mg/5ml oral solution sugar free","fact":"Medicine Supply Notification MSN/2023/112 issued 05 Dec 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-112","source":"https://cpe.org.uk/our-news/medicine-supply-notification-diazepam-2mg-5ml-oral-solution-sugar-free"},{"key":"809376858c7634e1085919683354c500","date":"2023-12-05","title":"Medicine Supply Notification: Propantheline bromide (Pro-Banthine® ) 15mg tablets","fact":"Medicine Supply Notification MSN/2023/113 issued 05 Dec 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-113","source":"https://cpe.org.uk/our-news/medicine-supply-notification-propantheline-bromide-pro-banthine-15mg-tablets"},{"key":"f879c835ac834cb46823a9d394c5d194","date":"2023-12-07","title":"National Patient Safety Alert: Potential contamination of some carbomer-containing lubricating eye products with Burkholderia cenocepacia - measures to reduce patient risk","fact":"National Patient Safety Alert issued 07 Dec 2023.","page":"https://cpe.org.uk/our-news/national-patient-safety-alert-potential-contamination-of-some-carbomer-containing-lubricating-eye-products-with-burkholderia-cenocepacia-measures-to-reduce-patient-risk","source":"https://cpe.org.uk/our-news/national-patient-safety-alert-potential-contamination-of-some-carbomer-containing-lubricating-eye-products-with-burkholderia-cenocepacia-measures-to-reduce-patient-risk"},{"key":"ea050813bf1eb00abbc56147fb7e9b56","date":"2023-12-08","title":"National Patient Safety Alert: Potential for inappropriate dosing of insulin when switching insulin degludec (Tresiba®) products","fact":"National Patient Safety Alert NatPSA/2023/016/DHSC issued 08 Dec 2023.","page":"https://shortagesignal.co.uk/notice/natpsa-2023-016-dhsc","source":"https://cpe.org.uk/our-news/national-patient-safety-alert-potential-for-inappropriate-dosing-of-insulin-when-switching-insulin-degludec-tresiba-products"}]},{"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":[]},{"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:57:2023-12-08","date":"2023-12-08","title":"SSP057 Estradot 100mcg patches","fact":"Scheduled end 08 Dec 2023 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/57","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP057%20Estradot%20100mcg%20patches.pdf","ssp_number":57,"medicine_label":"Estradot 100mcg patches"}]},{"id":"protocols_ending_next_14_days","heading":"Protocols scheduled to end in the following 14 days","note":"Register end dates from 11 Dec 2023 to 24 Dec 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-W49","corrections_url":"https://shortagesignal.co.uk/corrections"}}