{"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":"2026-11-07T01:41:49.278Z","week":"2024-W35","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-W35","start":"2024-08-26","end":"2024-09-01","horizon_end":"2024-09-15","complete":true,"last_checked_at":"2026-10-20T20:54:38.356Z","total":17,"sections":[{"id":"new_notices","heading":"New notices","note":"Medicine Supply Notifications and National Patient Safety Alerts dated this week (England).","items":[{"key":"1a39135d7d41567376a136767d44bf53","date":"2024-08-27","title":"Medicine Supply Notification: Isosorbide mononitrate 60mg modified-release tablets and capsules.","fact":"Medicine Supply Notification MSN/2024/092 issued 27 Aug 2024 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2024-092","source":"https://cpe.org.uk/our-news/medicine-supply-notification-isosorbide-mononitrate-60mg-modified-release-tablets-and-capsules"},{"key":"a2b4398023ac1628b3dbe921bf28475b","date":"2024-08-28","title":"Medicine Supply Notification: Naloxone (Nyxoid® ) 1.8mg/0.1ml nasal spray unit dose","fact":"Medicine Supply Notification MSN/2024/093 issued 28 Aug 2024 (tier 2 of 4).","page":"https://shortagesignal.co.uk/notice/msn-2024-093","source":"https://cpe.org.uk/our-news/medicine-supply-notification-naloxone-nyxoid-1-8mg-0-1ml-nasal-spray-unit-dose"}]},{"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-2024-063:2024-08-31","date":"2024-08-31","title":"MSN/2024/063 — Medicine Supply Notification: Memantine (Valios® ) 10mg and 20mg orodispersible tablets sugar free","fact":"Expected back \"late August 2024\", as currently stated by the source. That stated window ends by 31 Aug 2024 (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-2024-063","source":"https://cpe.org.uk/our-news/medicine-supply-notification-memantine-valios-10mg-and-20mg-orodispersible-tablets-sugar-free","resupply_text":"late August 2024"}]},{"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 02 Sep 2024 to 15 Sep 2024. A scheduled end is the register's date, nothing about local stock.","items":[{"key":"ssp-end:62:2024-09-13","date":"2024-09-13","title":"SSP062 Quetiapine 150","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/62","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP062%20Quetiapine%20150%20substitution%20SIGNED.pdf","ssp_number":62,"medicine_label":"Quetiapine 150"},{"key":"ssp-end:63:2024-09-13","date":"2024-09-13","title":"SSP063 Quetiapine 150","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/63","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP063%20Quetiapine%20150%20restriction%20SIGNED.pdf","ssp_number":63,"medicine_label":"Quetiapine 150"},{"key":"ssp-end:64:2024-09-13","date":"2024-09-13","title":"SSP064 Quetiapine 150","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/64","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP064%20Quetiapine%20150%20substitution%20and%20restriction%20SIGNED.pdf","ssp_number":64,"medicine_label":"Quetiapine 150"},{"key":"ssp-end:65:2024-09-13","date":"2024-09-13","title":"SSP065 Quetiapine 200","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/65","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP065%20Quetiapine%20200%20substitution%20SIGNED.pdf","ssp_number":65,"medicine_label":"Quetiapine 200"},{"key":"ssp-end:66:2024-09-13","date":"2024-09-13","title":"SSP066 Quetiapine 200","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/66","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP066%20Quetiapine%20200%20restriction%20SIGNED.pdf","ssp_number":66,"medicine_label":"Quetiapine 200"},{"key":"ssp-end:67:2024-09-13","date":"2024-09-13","title":"SSP067 Quetiapine 200","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/67","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP067%20Quetiapine%20200%20substitution%20and%20restriction%20%20SIGNED.pdf","ssp_number":67,"medicine_label":"Quetiapine 200"},{"key":"ssp-end:68:2024-09-13","date":"2024-09-13","title":"SSP068 Quetiapine 300","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/68","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP068%20Quetiapine%20300%20substitution%2002072024%20SIGNED.pdf","ssp_number":68,"medicine_label":"Quetiapine 300"},{"key":"ssp-end:69:2024-09-13","date":"2024-09-13","title":"SSP069 Quetiapine 300","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/69","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP069%20Quetiapine%20300%20restriction%20SIGNED.pdf","ssp_number":69,"medicine_label":"Quetiapine 300"},{"key":"ssp-end:70:2024-09-13","date":"2024-09-13","title":"SSP070 Quetiapine 300","fact":"Scheduled end 13 Sep 2024 per the NHSBSA register as last checked. An extension moves this date; check the register before acting.","page":"https://shortagesignal.co.uk/ssp/70","source":"https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/serious-shortage-protocols-ssps#SSP070%20Quetiapine%20300%20substitution%20and%20restriction%20SIGNED.pdf","ssp_number":70,"medicine_label":"Quetiapine 300"}]},{"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)49","date":"2024-08-28","title":"MSAN(2024)49 — Naltrexone 50mg tablets","fact":"NHS Scotland Medicine Supply Alert Notice issued 28 Aug 2024, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2024-49","source":"https://www.publications.scot.nhs.uk/files/msan-2024-49.pdf","priority":2},{"key":"scot:MSAN(2024)50","date":"2024-08-28","title":"MSAN(2024)50 — Norethisterone (Noriday®) 350microgram tablets","fact":"NHS Scotland Medicine Supply Alert Notice issued 28 Aug 2024, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2024-50","source":"https://www.publications.scot.nhs.uk/files/msan-2024-50.pdf","priority":2},{"key":"scot:MSAN(2024)51","date":"2024-08-28","title":"MSAN(2024)51 — Creon® Micro Pancreatin 60.12mg gastro-resistant granules","fact":"NHS Scotland Medicine Supply Alert Notice issued 28 Aug 2024, priority level 3. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2024-51","source":"https://www.publications.scot.nhs.uk/files/msan-2024-51.pdf","priority":3},{"key":"scot:MSAN(2024)52","date":"2024-08-28","title":"MSAN(2024)52 — Isosorbide mononitrate 60mg modified-release tablets and capsules","fact":"NHS Scotland Medicine Supply Alert Notice issued 28 Aug 2024, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2024-52","source":"https://www.publications.scot.nhs.uk/files/msan-2024-52.pdf","priority":2},{"key":"scot:MSAN(2024)53","date":"2024-08-30","title":"MSAN(2024)53 — Naloxone (Nyxoid®) 1.8mg/0.1ml nasal spray unit dose","fact":"NHS Scotland Medicine Supply Alert Notice issued 30 Aug 2024, priority level 2. Scotland only — never added to England counts.","page":"https://shortagesignal.co.uk/scotland/2024-53","source":"https://www.publications.scot.nhs.uk/files/msan-2024-53.pdf","priority":2}]}],"permalink":"https://shortagesignal.co.uk/digest/2024-W35","corrections_url":"https://shortagesignal.co.uk/corrections"}}