{"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":"2026-11-06T18:01:35.497Z","week":"2024-W21","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":"2024-W21","start":"2024-05-20","end":"2024-05-26","horizon_end":"2024-06-09","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":"0a2cfa429bbc080b96103d16fa4c7631","date":"2024-05-20","title":"Medicine Supply Notification: Humulin® S (insulin soluble human) 100units/ml solution for injection 10ml vials","fact":"Medicine Supply Notification MSN/2024/053 issued 20 May 2024 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2024-053","source":"https://cpe.org.uk/our-news/medicine-supply-notification-humulin-s-insulin-soluble-human-100units-ml-solution-for-injection-10ml-vials"},{"key":"1e219153a0a2877db4cab7328af4587a","date":"2024-05-23","title":"Medicine Supply Notification: Clarithromycin 125mg/5ml and 250mg/5ml oral suspensions","fact":"Medicine Supply Notification MSN/2024/060 issued 23 May 2024 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2024-060","source":"https://cpe.org.uk/our-news/medicine-supply-notification-clarithromycin-125mg-5ml-and-250mg-5ml-oral-suspensions-2"},{"key":"ecb01007de902047a54896105d8fcd60","date":"2024-05-23","title":"Medicine Supply Notification: Salbutamol 2.5mg/2.5ml and 5mg/2.5ml nebuliser liquid unit dose vials","fact":"Medicine Supply Notification MSN/2024/059 issued 23 May 2024 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2024-059","source":"https://cpe.org.uk/our-news/medicine-supply-notification-salbutamol-2-5mg-2-5ml-and-5mg-2-5ml-nebuliser-liquid-unit-dose-vials-2"},{"key":"aed2e02459586d789623aea8c257ea5e","date":"2024-05-24","title":"National Patient Safety Alert: Shortage of Pancreatic enzyme replacement therapy (PERT)","fact":"National Patient Safety Alert MSN/2024/054 issued 24 May 2024.","page":"https://shortagesignal.co.uk/notice/msn-2024-054","source":"https://cpe.org.uk/our-news/national-patient-safety-alert-shortage-of-pancreatic-enzyme-replacement-therapy-pert"}]},{"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":"233c2c24cc256ab2e15c66caa22aee5c","date":"2024-05-24","title":"SSP060 Creon® 10000 gastro-resistant capsules","fact":"Serious Shortage Protocol SSP060 issued, valid from 24 May 2024, first scheduled to end 22 Nov 2024.","page":"https://shortagesignal.co.uk/ssp/60","source":null},{"key":"bf475119a1544880fc683006716f78ae","date":"2024-05-24","title":"SSP061 Creon® 25000 gastro-resistant capsules","fact":"Serious Shortage Protocol SSP061 issued, valid from 24 May 2024, first scheduled to end 22 Nov 2024.","page":"https://shortagesignal.co.uk/ssp/61","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 27 May 2024 to 09 Jun 2024. A scheduled end is the register's date, nothing about local stock.","items":[{"key":"ssp-end:59:2024-06-07","date":"2024-06-07","title":"SSP059 Monomil XL 60mg","fact":"Scheduled end 07 Jun 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/59","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#Endorsement%20guidance%20SSP059%20Monomil%20XL%2060mg%2026032024.pdf","ssp_number":59,"medicine_label":"Monomil XL 60mg"}]},{"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(2024)26","date":"2024-05-20","title":"MSAN(2024)26 — Humulin® S (insulin soluble human) 100units/ml solution for injection 10ml","fact":"NHS Scotland Medicine Supply Alert Notice issued 20 May 2024, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2024-26","source":"https://www.publications.scot.nhs.uk/files/msan-2024-26.pdf","priority":2}]}],"permalink":"https://shortagesignal.co.uk/digest/2024-W21","corrections_url":"https://shortagesignal.co.uk/corrections"}}