Published: 14/04/23

Purpose

This Circular advises NHS Boards and community pharmacy contractors that eight of the UK-wide Serious Shortage Protocols (SSPs) for Phenoxymethylpenicillin antibiotic products (SSPs 040-047) due to expire on 31 March 2023 have been extended until Friday 28 April 2023.

Similarly, three UK-wide SSPs for Hormone Replacement Therapy (HRT) related to Sandrena® 500 microgram and 1mg gel sachets ( SSPs 029-031) due to expire on 31 March 2023 have also been extended until Friday 28 April 2023

Community Pharmacists are advised to review and familiarise themselves with the new end date for all these SSPs. Please refer to Annex A and B for a detailed list of all eleven SSPs which have been extended .

Background

To assist in alleviating current supply issues with medicines availability, various UK-wide SSPs have been issued by the Department for Health and Social Care (DHSC), in consultation with the Scottish Government. An SSP is an additional tool to manage and mitigate medication shortages for prescribing clinicians, community pharmacies and importantly patients.

Each SSP is individually developed and authorised clinically, to enable community pharmacists and dispensing doctors to dispense a different strength or formulation or alternative medicine or appliances in accordance with the protocol, rather than having to refer prescribing decisions back to the original prescriber. These protocols are time limited.

Community pharmacists are expected to use their professional skill and judgement to decide whether it is reasonable and appropriate to substitute a person's prescribed medicine using the SSP. The person will also have to agree to the alternative supply.

The DHSC frequently reviews which medicines should be under an SSP and for how long they need to be in place.

Any amendments or extensions to existing SSPs are documented on the NHS Business Services Authority website using the following link: Serious shortage protocols (SSPs) | NHSBSA.

Enquiries

For any queries on the details of this circular, please contact the Scottish Government Pharmacy Team at PharmacyTeam@gov.scot.