{"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":"2026-11-07T02:09:59.308Z","week":"2023-W51","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-W51","start":"2023-12-18","end":"2023-12-24","horizon_end":"2024-01-07","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":"10c9df46dc4307cf3f5834fea04549df","date":"2023-12-18","title":"Medicine Supply Notification: Glucagon (GlucaGen®) 1mg powder for injection kit","fact":"Medicine Supply Notification MSN/2023/051 issued 18 Dec 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-051","source":"https://cpe.org.uk/our-news/medicine-supply-notification-glucagon-glucagen-1mg-powder-for-injection-kit"},{"key":"3bfb727392d752a13739165ed75ea955","date":"2023-12-18","title":"Medicine Supply Notification: Oxybutynin 5mg modified-release tablets","fact":"Medicine Supply Notification MSN/2023/116 issued 18 Dec 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-116","source":"https://cpe.org.uk/our-news/medicine-supply-notification-oxybutynin-5mg-modified-release-tablets-2"},{"key":"a3f6086c100f9d6fc944badb1893293e","date":"2023-12-21","title":"Medicine Supply Notification: Estradiol (Estring® ) 7.5micrograms/24hours vaginal delivery system","fact":"Medicine Supply Notification MSN/2023/119 issued 21 Dec 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-119","source":"https://cpe.org.uk/our-news/medicine-supply-notification-estradiol-estring-7-5micrograms-24hours-vaginal-delivery-system"},{"key":"c40d7aa1e78c672ab8461d547e2587cc","date":"2023-12-21","title":"Medicine Supply Notification: Testosterone (Testim® ) 50mg/5g transdermal gel unit dose tubes","fact":"Medicine Supply Notification MSN/2023/118 issued 21 Dec 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-118","source":"https://cpe.org.uk/our-news/medicine-supply-notification-testosterone-testim-50mg-5g-transdermal-gel-unit-dose-tubes/?unlid=3213882592024924172516"},{"key":"c06d1042f3d854c8c5b5ec1d65348f05","date":"2023-12-22","title":"Medicine Supply Notification: Phosphate Sandoz® (sodium dihydrogen phosphate anhydrous 1.936g) effervescent tablets","fact":"Medicine Supply Notification MSN/2023/121 issued 22 Dec 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-121","source":"https://cpe.org.uk/our-news/medicine-supply-notification-phosphate-sandoz-sodium-dihydrogen-phosphate-anhydrous-1-936g-effervescent-tablets"},{"key":"f3cba88f845e6f7abe4e8a2e896c2a1d","date":"2023-12-22","title":"Medicine Supply Notification: Sando-K ® (potassium chloride 600mg and potassium bicarbonate 400mg [total potassium 12mmol] effervescent tablets","fact":"Medicine Supply Notification MSN/2023/120 issued 22 Dec 2023 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2023-120","source":"https://cpe.org.uk/our-news/medicine-supply-notification-sando-k-potassium-chloride-600mg-and-potassium-bicarbonate-400mg-total-potassium-12mmol-effervescent-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":[{"key":"466380c65de13f3df7b97d2afa4c5cb7","date":"2023-12-21","title":"Medicine Supply Notification: Testosterone (Testim® ) 50mg/5g transdermal gel unit dose tubes","fact":"Discontinuation notified in MSN/2023/118, dated 21 Dec 2023.","page":"https://shortagesignal.co.uk/notice/msn-2023-118","source":"https://cpe.org.uk/our-news/medicine-supply-notification-testosterone-testim-50mg-5g-transdermal-gel-unit-dose-tubes/?unlid=3213882592024924172516"}]},{"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-2023-107:2023-12-20","date":"2023-12-20","title":"MSN/2023/107 — Medicine Supply Notification: Rasagiline 1mg tablets","fact":"Expected back \"mid-December 2023\", as currently stated by the source. That stated window ends by 20 Dec 2023 (the 20th of the stated month, the end this record uses for \"mid\"; 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-2023-107","source":"https://cpe.org.uk/our-news/medicine-supply-notification-rasagiline-1mg-tablets","resupply_text":"mid-December 2023"},{"key":"window:msn-2023-099:2023-12-24","date":"2023-12-24","title":"MSN/2023/099 — Medicine Supply Notification: Bisacodyl (Dulcolax®) 5mg suppositories","fact":"Expected back \"w/c 18th December 2023\", as currently stated by the source. That stated window ends by 24 Dec 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-2023-099","source":"https://cpe.org.uk/our-news/medicine-supply-notification-bisacodyl-dulcolax-5mg-suppositories","resupply_text":"w/c 18th December 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 Dec 2023 to 07 Jan 2024. 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-W51","corrections_url":"https://shortagesignal.co.uk/corrections"}}