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How NHS Medicine Shortages Work

Source data checked 26 June 2026, 17:17 UTC
Medicine shortages are more common than most people realise. Here's how the system works and what happens behind the scenes when your medication runs low.

Why Do Medicine Shortages Happen?

There are many causes of medicine shortages in the UK:

How Does the DHSC Respond?

The Department of Health and Social Care (DHSC) issues Medicine Supply Notifications (MSNs) when they become aware of a shortage. These are rated by severity from Tier 1 (minor) to Tier 4 (critical).

What Are Serious Shortage Protocols?

Serious Shortage Protocols (SSPs) are issued by the NHSBSA and allow pharmacists to supply alternative medications without going back to the prescriber. This speeds up access for patients and reduces GP workload.

SSPs specify exactly which alternatives a pharmacist can provide, ensuring patient safety. Currently, there are multiple active SSPs in the UK.

How MediWatch Helps

We monitor both DHSC MSNs and NHSBSA SSPs daily, combining them into a single, patient-friendly service. Instead of trawling government websites, you get a simple email alert when your medications are affected.

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Reviewed for source alignment: 7 June 2026 · Clinical reviewer: pending · Report an accuracy issue
Data sources: DHSC Medicine Supply Notifications · NHSBSA Serious Shortage Protocols · NHS England
MediWatch is not medical advice. Always follow your prescription label and ask a pharmacist, GP, specialist, NHS 111, or emergency services if you are unsure or unwell. Data checked daily.

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