Supply Issues Multiple Suppliers Blood Collection Multiple Products (ICN 1324)

Important Customer Notice Update

Ref: 2021/1324 ICN Number: 1324
  • Blood collection continues to be a product area with supply disruptions.
  • An additional 26 products are affected:
    • 20 Smiths International products
    • 4 Greiner Bio-One products
    • 2 Becton Dickinson products.
  • The product listing has been updated and the additional products highlighted. Please see our Downloads section ▼ to access the product listing.
  • The supply issue is anticipated to be resolved by September 2022.
  • Blood collection continues to be a product area with supply disruptions. The product listing has been updated, see our Downloads section to access the product listing.
  • As the codes are due to intermittent supply (changing daily), the red and green RAG has been removed. Codes suspended but available through the ICU webpage will continue to be highlighted in amber.
    • At the time of publication of this latest update, all codes are available without suspension. There are no suspended codes available via the webform either.
    • Should codes be suspended but available through the webpage, this ICN’s product listing will be updated.
  • Customers are advised to review codes on the catalogue for information on the latest availability.
  • Suppliers communications directly to customers are available below – please see our Downloads section to view the letters.
  • Also see related ICNs
  • The supply issue is anticipated to be resolved by September 2022.
  • Blood collection continues to be a product area with supply disruptions. Suppliers have released communications directly to customers detailing the reasons why – please see the download sections to view the letters.
  • The product listing has been updated to reflect current product availability. See our Downloads ▼ section to access the product listing and note:
    • Red codes – products suspended and currently unavailable to order.
    • Green codes – products available to order.
  • 15 Products have been added in this update from the below suppliers:
    • Becton Dickinson Uk Ltd
    • Greiner Bio-One Ltd
  • This ICN and the product list will be updated regularly to reflect the current supply position.
  • Please familiarise yourself with further issues in the Blood Collection product area;
  • The supply issue is anticipated to be resolved by September 2022.
  • The product listing has been updated to reflect current product availability. See our Downloads ▼ section to access the product listing and note:
    • Red codes – products suspended and currently unavailable to order.
    • Green codes – products available to order.
  • 27 Products have been added in this update from the below suppliers:
    • Smith’s Medical International Ltd
    • Becton Dickinson UK Ltd
    • Greiner Bio-One Ltd.
  • This ICN and the product list will be updated regularly to reflect the current supply position.
  • The product listing has been updated to reflect current product availability. See our Downloads ▼ section to access the product listing and note:
    • Red codes – products suspended and currently unavailable to order.
    • Green codes – products available to order.
  • This ICN and the product list will be updated regularly to reflect the current supply position.
  • There continues to be an intermittent supply disruption of multiple Blood Collection products from suppliers Becton Dickinson and Greiner Bio-one. As the stock position is constantly changing, the product listing will now contain a RAG status, this listing includes alternatives where available.
    • Amber codes – products suspended however available via the ICU webform due to being demand managed
    • Red codes – products suspended and currently unavailable to order.
    • Green codes – products available to order.
  • The product listing (see our Downloads ▼ section) shows all codes impacted by this supply chain disruption.
  • An additional 35 product codes have been added to the ICN.
  • In total there are now 41 product codes affected.
  • Should customers need to order the products that are demand managed, please our Useful Links section and follow the link to access the ICU suspended products submission webform.
  • This ICN and the product list will be updated regularly to reflect the current supply position.
  • The supply issue is anticipated to be resolved by the end of September 2022.
  • Blood Gas Syringes are also affected, further details are available on ICN 1201. (see our Useful Links section).
  • Following a full review of the Becton Dickinson UK Ltd (BD) Blood Tube stock position the updated product listing provides detail around the current supply disrupted codes.
  • The renewed stock position: we have an additional four codes being added, and four remaining from the previous ICN updates (see below updates).

New products added

  • KFK058 – Blood Collection Set Safety 23G – Intermittent supply – Added to demand management.
  • KFK254 – Blood Collection Set Safety 23G – 23G – Intermittent supply – Added to demand management.
  • KFK360 – Venous Tube Trace Elements – No stock available until the end of April 2022.
  • KFK036 – Blood Collection Support Product Adaptor – No stock available until end of May 2022.

Remaining lines on current ICN

  • KFK348 – Blood Collection Set Safety with Holder 21G disposable with green needle 18cm tube with safety lock luer. We have no stock available until early May 2022.
  • KFK359 – Venous Tube Trace Elements – We have no stock available until early May 2022.
  • FWC197 – Blood Gas Syringe Safety – We have no stock available until mid May 2022.
  • FWC091 – Blood gas syringe without needle 3ml preset luer lock – Intermittent supply – this has been added to demand management.
  • Following a full review of the Becton Dickinson UK Ltd (BD) Blood Tube stock position the updated product listing. provides detail around the current supply disrupted codes.
  • Due to an improved stock position three of the previous seven codes details on the previous ICN are now available to order (see below updates).

Products Removed from the ICN as supply issue has been resolved

  • KFK578 – Blood Collection Set Safety with Holder 21G disposable with 305mm tubing.
  • KFK173 – Venous Tube lithium heparin
  • KCM067 – Capillary/Low Draw Tube Glucose

Remaining Products on current ICN

  • KFK348  – Blood Collection Set Safety with Holder 21G disposable with green needle 18cm tube with safety lock luer. We have no stock available until early May 2022
  • KFK359 – Venous Tube Trace Elements –  We have no stock available until early May 2022
  • FWC197 – Blood Gas Syringe Safety –  We have no stock available until mid May 2022.
  • FWC091 –  Blood gas syringe without needle 3ml preset luer lock –  Intermittent supply  – will remain a challenge until end May 2022 this has been added to demand management.

Summary

  • In total there are four product codes now impacted by intermittent or no supply from BD.
  • Please see our Downloads ▼ section to refer to the product listing for further information on the affected product codes and suggested potential alternatives.
  • The potential indirect alternative product codes are available to order through our online catalogue.
  • If you have any further questions, please contact your local NHS Supply Chain Customer Services Advisor or Customer Relationship Manager.
  • Following a full review of the Becton Dickinson UK Ltd (BD) Blood Tube stock position the updated product listing provides detail around the current supply disrupted codes.
  • Due to an improved stock position two of the previous eight codes details on the Previous ICN are now available to order  (see below updates).
  • Due to inbound supply disruption from BD a further code has been impacted and will be demand managed, this have been highlighted on the product listing and listed below with an expected resolution timeframe.

Products Removed from the ICN as supply issue has been resolved

  • KFK277 – Venous Tube K2 EDTA plastic 6ml pink 13 x 100mm X match hemogard cap
  • KFK112 – Venous Tube Serum

Remaining lines on current ICN

  • KFK578 – Blood Collection Set Safety with Holder 21G disposable with 305mm tubing. We have no stock available until March 2022.
  • KFK348  – Blood Collection Set Safety with Holder 21G disposable with green needle 18cm tube with safety lock luer. We have no stock available until March 2022.
  • KFK173 – Venous Tube lithium heparin –  Interrupted supply until mid March 2022.
  • KCM067 – Capillary/Low Draw Tube Glucose – Interrupted supply until mid March 2022.
  • KFK359 – Venous Tube Trace Elements –  Interrupted supply until April 2022.
  • FWC197 – Blood Gas Syringe Safety –  Supply will remain a challenge until  June  2022.

New products added

  • FWC091 –  Blood gas syringe without needle 3ml preset luer lock –  Supply will remain a challenge until end of March 2022 and this has been added to demand management

Summary

  • In total there are seven product codes now impacted by intermittent or no supply from BD.
  • The potential indirect alternative product codes are available to order through our online catalogue.
  • Please see our Downloads ▼ section to refer to the product listing for further information on the affected product codes and suggested potential alternatives.
  • If you have any further questions, please contact your local NHS Supply Chain Customer Services Advisor or Customer Relationship Manager.

Change:

  • Due to mitigations in place and the on-going efforts of colleagues across the NHS, the supply situation of these products has stabilised. Customers are instructed to return to their usual supply routes for these codes and seek to build local stocks slowly.
  • The on-going supply of Becton Dickinson (BD) US stock has eased pressure and we would like to thank those providers who have opted to use these tubes and support the national continuity of supply.
  • Supply constraints may persist on particular codes whilst the position continues to recover over the next four to six weeks.

Impact:

  • Best Practice guidance from NHS England will be updated to reflect the current supply position and will be circulated. Restrictions on testing will be removed.
  • Customers are to return to their ordering routes that were in place prior to the disruption, i.e., if you ordered direct from BD, please return to ordering direct.
  • Customers who are using the BD US Stock (NPC codes KFK1273, and KFK1272) should continue to use these, ordering via NHS Supply Chain, even if they previously ordered via BD until notified otherwise.

Next Steps:

  • Any issues in obtaining sufficient. stock please contact your supplier, if this is NHS Supply Chain, please contact Customer Services.
  • Please see our Downloads ▼ section to view the communications from NHS England and NHS Improvement.
  • As part of the response to the Becton Dickinson UK Ltd (BD) blood tubes supply disruption, NHS Supply Chain has obtained some BD tubes (KFK1269, KFK1271, KFK1270) which have previously been part of European stocks but were manufactured in the UK. While these stocks will help, supply of the BD blood tubes will remain constrained.
  • These tubes are identical in every respect to the stock used in the UK and they are CE marked. However, the label is slightly different. The label on the European stock is blank, with no guidance on which Patient Identifiers to add onto label.
  • They are being set up as direct alternatives for the following existing BD codes:
    KFK1269 for KFK031
    KFK1271 for KFK233
    KFK1270 for KFK117.
  • This stock will be receipted into NHS Supply Chain from this week so your organisation may start receiving deliveries of these tubes. These should be used in the same way as the UK stock.
  • Please make your staff aware that some tubes being delivered may appear different, but they are identical in terms of use.
  • Please ensure your normal labelling guidance is reiterated to staff especially where manual tube labelling takes place.
  • If you or your teams have any questions about this, please contact your Pathology Incident Director in the first instance.
  • Alternatives have been brought in to support KFK117 and KFK031 due to the switching of demand away from the four affected products. Demand smoothing measures remain across all codes and their alternatives.
  • There has been a change in the national supply position for KFK114.
  • Due to the ongoing intermittent supply, only limited quantities will continue to be available of KFK114. In order to meet their clinical requirements, providers will need to consider alternative products and prioritisation of use.
  • NHS England and NHS Improvement published patient safety guidance on 10 August 2021 which sets out recommended actions for medical directors, nursing directors, GPs and pathology laboratories to optimise resources for pathology laboratory work.
  • Please see our Useful Links section to read the guidance.

Change:

  • The supplier Becton Dickinson UK Ltd has informed us of a supply issue with its Blood Collection range.
  • The four product codes affected are:
    KFK114 – Venous Tube Serum Plastic 5ml gold with gel SST11 13 x 100mm hemogard cap
    KFK119 – Venous Tube sodium citrate for coagulation Plastic 2.7ml light blue 13 x 75mm hemogard cap
    KFK171 – Venous Tube K2 EDTA Plastic 4ml lavender 13 x 75mm hemogard cap
    KFK233 – Venous Tube K2 EDTA Plastic 3ml lavender 13 x 75mm hemogard cap
  • The supply constraints are due to significant COVID-19 related increases in global demand.

Impact:

  • As we are experiencing intermittent supply of these four product codes, we are implementing demand smoothing measures across all four product codes and their alternatives to maintain the continuity of national supply for the NHS.
  • Orders will be managed in line with current and inbound national stock availability.
  • As part of the demand smoothing measures and to provide enhanced control over available stock customers will need to place regular (daily) orders to meet their immediate clinical need.
  • Where possible, customers should use a single, or reduced number, of ordering requisition points to support product allocation across the trust.
  • We are working closely with suppliers to manage the supply of alternative products.

Specific impact by NPC:

  • KFK114 / KFK119
    We anticipate being able to maintain continuity of supply on these product codes subject to providers ordering in line with their clinical requirements and normal usage. More regular (daily) ordering may be required in order to obtain the quantities which are required.
  • KFK171 / KFK233
    More limited supplies will be available of these product codes. In order to meet their clinical requirements, providers will need to consider alternative products and prioritisation of use.

See our Downloads ▼ section to refer to the product listing for further information on the affected product codes and up to date available alternatives. This document will be updated if any additional alternatives become available.

  • Limited stocks of potential indirect alternative products are currently available to order through our online catalogue.
  • We expect to see some improvement in the supply position in September, however, controls are likely to continue to be applied beyond this until supply stabilises. Note that demand on all products in this category will be closely monitored to support continuity of supply for all customers.
  • Further updates will be provided as more information is available.

Next Steps:

  • Customers are advised to perform a risk assessment of the impact of this disruption and consider the prioritisation of these products. Customers can log into our website to view the potential indirect alternative products, however as advised, supply of alternative products is limited.
  • If you have any further questions, please contact your local NHS Supply Chain Customer Relationship Manager or Customer Services Advisor.

Please note that due to the clinical nature of these alternative products we advise you to consult your own clinical experts to ensure suitability for your organisation’s use of these products.

Downloads ▼

  • 1324 Product Listing With Alternatives 3 August 2022

    An Excel file detailing the affected product codes for ICN 1324.
    Login to view the downloads
  • 1324 Becton Dickinson Communications Letter

    A PDF of the Communications Letter for ICN 1324.