PCA(P)(2026)10 - Extension to SSP: Estradot Patches and Creon Gastro‑resistant Capsules
Published: 16th July 2026
Purpose
This Circular informs Health Boards and community pharmacy contractors that the four UK‑wide Serious Shortage Protocols (SSPs) for Estradot® (estradiol) transdermal patches, a hormone replacement therapy (HRT) product, which were due to expire on 10 July 2026, have been extended until Friday 2 October 2026.
The extension for Estradot® transdermal patches applies to SSP079 (Estradot® 50 mcg), SSP080 (Estradot® 75 mcg), SSP081 (Estradot® 100 mcg), and SSP082 (Estradot® 25mcg). These protocols allow community pharmacists to substitute prescriptions for the specified Estradot® (estradiol) transdermal patches with the equivalent strength and the same quantity of Evorel® (estradiol) or Estraderm MX® (estradiol) transdermal patches, for eligible patients, in accordance with the requirements of each SSP.
In addition, the two UK‑wide SSPs for Creon® gastro‑resistant capsules, also due to expire on 10 July 2026, have also been extended.
The extension for Creon® gastro‑resistant capsules, applies to SSP060 (Creon® 10000), which has been extended until Friday 7 August 2026 and SSP061 (Creon® 25000), which has been extended until Friday 2 October 2026. Both SSPs allow community pharmacists to restrict the total quantity supplied under the relevant SSP to one month’s supply of the prescribed medicine.
All other terms of these six SSPs remain unchanged. Community pharmacists are advised to review and familiarise themselves with the new end date for the SSPs noted above.
Details of the 2026/27 community pharmacy funding package, including Global Sum, guaranteed funding and remuneration arrangements.
A new Video Remote Interpreting pilot will launch in community pharmacies on 5 October 2026 to support BSL users accessing services.
Please find below the NHS Circulars PCA(P)(2026)14 and PCA(P)(2026)15, advising that Serious Shortage Protocols (SSPs) are in place to help mitigate supply issues affecting lansoprazole 15mg and 30mg orodispersible tablets.
Scottish Government updates prescription stationery arrangements for non-medical prescribers using GP IT systems from August 2026.
The Serious Shortage Protocol for Creon® 10000 has been extended until 2 October 2026. Review the updated SSP arrangements.
The Serious Shortage Protocol for ramipril 1.25mg capsules has been extended until 30th October 2026. Read the latest guidance for pharmacies.
Serious Shortage Protocols (SSPs) for Estradot® (estradiol) transdermal patches, a hormone replacement therapy (HRT) product, which were due to expire on 10 July 2026, have been extended until Friday 2 October 2026.
This Circular advises Health Boards and community pharmacy contractors that the UK-wide Serious Shortage Protocol (SSP) for ramipril 1.25mg capsules remains in place following an extension to its expiry date.
Update on Drug Tariff Part 11 clawback scale for community pharmacy contractors in Scotland from April 2026.
A Serious Shortage Protocol is in place for ramipril 1.25mg capsules from 22 April to 29 May 2026. Guidance for community pharmacies.
UK-wide Serious Shortage Protocols for Estradot® patches and Creon® capsules extended to 10 July 2026. Guidance for community pharmacies.
A new national PGD for oral candidiasis is being added to NHS Pharmacy First Scotland. Guidance for Health Boards and community pharmacy teams.
Scottish Government circular announcing a new Patient Group Direction for skin inflammation within NHS Pharmacy First Scotland.
UK‑wide Serious Shortage Protocols for Estradot patches and Creon 10000 capsules extended to 17 April 2026. Details for pharmacists included.
SSP withdrawal for Adipine® XL modified-release tablets, and Fixapost® preservative-free eye drops, originally due to expire on 6 February 2026, will now be withdrawn early
SSP extensions for Creon 10000 and 25000 have been issued. Pharmacists must review new end dates and continue limiting supply to one month.
Frequently Asked Questions (FAQs)
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Estradot Patches and Creon Gastro‑resistant Capsules
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Extended until Friday 2 October 2026
The devolved government for Scotland has a range of responsibilities that include: the economy, education, health, justice, rural affairs, housing, etc...

Seriouse Shortage Protocols for selected Estradot® patches and Creon® capsules have been extended until 8th January 2027.