Background:
The DHSC is responsible for the continuity of supply of medicines and manufacturers have a legal requirement to inform DHSC of any supply problems.
DHSC and NHSE/I have now launched an online Medicines Supply Tool, which provides up to date information about medicine supply issues. The contents of this report can now be viewed on the Tool. To access the Tool, you will be required to register with the SPS website. Please be aware that emails from SPS may be diverted to your junk mail folder.
Further information may be issued by a Medicine Supply Notification (MSN) to providers.
We are also aware that prescribers may also be asked for an alternative by pharmacies if there is a local supply issue. This will need to be considered on a case-by-case basis.
Serious Shortage Protocols (SSPs) have also recently been introduced to enable community pharmacies to dispense agreed alternatives without requesting a prescription amendment.
How to access information:
SPS Medicines Supply Tool : Requires simple free registration process and log in to access – Medicines Supply Tool – SPS – Specialist Pharmacy Service – The first stop for professional medicines advice
Mims Shortage Tracker : requires registration and is only available to subscribers – not free Drug shortages – live tracker | MIMS online
Current SSPs: https://psnc.org.uk/dispensing-supply/supply-chain/live-ssps/
BSW ICB Medicines Shortages - Local tips
Medication Unavailable - alternative request form for Community Pharmacy use
Prescribing available medicines to treat ADHD during national shortages
Oct 2023 - National information, including links to the relevant National Patient Safety Alert and lists of availability of ADHD medicines (content maintained by DHSC) is hosted by SPS Medicine Supply Tool https://www.sps.nhs.uk/articles/prescribing-available-medicines-to-treat-adhd/ [note SPS website requires users to register and log in].
Additionally, SPS have published a series of national resources to support the ongoing management of supply disruption of medicines used to treat ADHD:-
- Continuing management of the ADHD medicines shortage
- Supporting system response to the ADHD medicine shortage
- Considerations when prescribing modified-release methylphenidate
- Prescribing available medicines to treat ADHD
Medicines Information Bulletin from AWP - Managing ADHD Medicines Shortages in ADULTS: Advice for Primary Care (October - August 2024)
BSW ICB commission a CAMHS service from Oxford for ADHD in children and young people. They have produced Patient Information Leaflets to be shared with patients. These leaflets can be found here: ADHD medication shortage | Oxford Health CAMHS
Community paediatric teams contact information:
| HCRG Contacts | ||
| Wiltshire SPA | ||
| Telephone | 03002470090 | |
| vcl.wiltshirespa@nhs.net | ||
| BANES SPA | ||
| Telephone | 03002470055 | |
| hcrg.bathnesspa@nhs.net | ||
| Swindon area | ||
| Contact via Cinapsis advice and guidance email for Community Paediatrics | ||
| CAMHS Services – Oxfordshire 9am – 5pm Monday to Friday | ||
| Oxfordshire Neurodevelopmental Conditions Pathway | NDC.OxonCAMHS@oxfordhealth.nhs.uk | |
| Getting More Help South | OxonCAMHSGMHSouth@oxfordhealth.nhs.uk | |
Further Comments:
OptimiseRx also create messages if there are known supply issues with the prescribed medication at the point of prescribing to alert the prescriber to consider an alternative.
Contact bswicb.prescribing@nhs.net for support with specific shortages or feedback.