Supply Issues Flexicare Medical Limited Respiratory Solutions Multiple Products (ICN 2192)

• The supply issue with multiple Respiratory Solutions products from Flexicare Medical Limited is continuing.
• Flexicare Medical is currently set up as a distributor while Clement Clarke is in the process of novating their product lines over to them.
• 12 product codes are now delisted due to a system integration error during the transition. They are temporarily unavailable via NHS Supply Chain until new codes are created:
  • FDD1160, FAG1082, FAG3442, FAG3444, FXU007, FAG1208, FAG1209, FAG1206, FAG3720, FAG3721, FAG3722 and FAG3443.
• Four product codes remain available to order but subject to intermittent supply:
  • FDE85133, FDE923, FDD848 and FDE210.
• 16 product codes are now affected in total.
• Potential indirect alternative products are available to order through our online catalogue for some of the affected products.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We are continuously working with supplier to set up new codes and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 11 February 2025.

• The supply issue with Respiratory Solutions products from Flexicare Medical Limited (previously from Clement Clarke International Ltd) has improved.
• Flexicare Medical Limited is currently set up as the distributor for these products while Clement Clarke is in the process of novating their product lines over to them.
• Three product codes are now available to order through our online catalogue:
  • FAG2129, FAG85225 and FDD466.
• Four product codes remain available for order but are subject to intermittent supply:
  • FDE85133, FDE923, FDD848 and FDE210.
• Four product codes are now affected in total.
• There are currently no identified alternative products available to order through our online catalogue.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 28 February 2025.

• The supply issue with multiple Respiratory Solutions products from Clement Clarke International Ltd has improved.
• One product code is now available to order through our online catalogue:
  • FDE583 – Support products for nebulisers Filter inlet for nebuliser for Clement Clarke AC4000-AC2000 World Traveller-Econoneb-Turboneb.
• One product code which was suspended is now available but subject to intermittent supply:
  • FDD466 – Peak Flow Meter mouthpiece.
• Six product codes remain subject to intermittent supply:
  • FAG2129, FAG85225, FDE85133, FDE923, FDD848 and FDE210.
• Seven product codes are now affected in total.
• Potential indirect alternative products are available to order through our online catalogue for some of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note six of the affected codes have no alternatives listed:
  • FAG2129, FAG85225, FDE210, FDE85133, FDE923 and FDD848.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and to view the product codes currently subject to Protect Demand Management.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is still anticipated to be resolved by 31 December 2024.

• The supply issue with multiple Respiratory Solutions products from Clement Clarke International Ltd is continuing.
• One product code remains suspended and unavailable to order:
  • FDD466 – Peak Flow Meter mouthpiece.
• Six product codes remain subject to intermittent supply:
  • FAG2129 FAG85225, FDE85133, FDE923, FDD848 and FDE210.
• FDE583 is no longer suspended and is now being threshold managed as it is subject to Protect Demand Management.
• FDE583 is available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Eight product codes remain affected in total.
• Potential indirect alternative products are available to order through our online catalogue for some of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note, seven of the affected products have no alternatives listed:
  • FAG2129, FAG85225, FDE210, FDE583, FDE85133, FDE923 and FDD848.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and to view the product codes currently subject to Protect Demand Management.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is still anticipated to be resolved by 31 December 2024.

• The supply issue with Respiratory Solutions products from Clement Clarke International Ltd has improved.
• Five product codes are now available to order through our online catalogue:
  • FDD162, FDE205, FDE483, FDD161 and FDD541.
• Two product codes remain suspended and unavailable to order:
  • FDD466 – Peak Flow Meter mouthpiece
  • FDE583 – Support products for nebulisers.
• Six product codes are now subject to intermittent supply:
  • FAG2129, FAG85225, FDE85133, FDE923, FDD848 and FDE210.
• Eight product codes are now affected in total.
• Potential indirect alternative products are available to order through our online catalogue for some of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternative.
• Please note, only one of the affected product codes has an identified alternative:
  • FDD466 – Peak Flow Meter mouthpiece.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is still anticipated to be resolved by 31 December 2024.

• The supply issue with Respiratory products from Clement Clarke International Ltd has improved.
• 46 product codes are now available to order through our online catalogue.
• Seven product codes remain suspended and unavailable to order:
  • FDD466, FDD162, FDE210, FDE583, FDD161, FDD541 and FDD848.
• Six product codes are available to order but are subject to intermittent supply:
  • FDE483, FDE205, FAG2129, FAG85225, FDE85133 and FDE923.
• 13 product codes are now affected in total.
• Potential direct and indirect alternative products are available to order through our online catalogue for some of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note, seven affected product codes have no identified alternatives listed:
  • FAG2129, FAG85225, FDE210, FDE583, FDE85133, FDE923 and FDD848.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 31 December 2024.

• The supply issue with Respiratory products from Clement Clarke International Ltd is continuing.
• 10 previously affected product codes are now suspended and unavailable to order:
  • FAG011, FDD162, FDD536, FDD560, FDE023, FDE205, FDE583, FDD562, FDD541 and FDE210.
• 49 previously affected product codes are now subject to intermittent supply.
• 59 product codes remain affected in total.
• Potential direct and indirect alternative products are available to order through our online catalogue for some of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note 19 of the affected codes have no alternatives listed:
  • FAG1082, FAG1208, FAG1209, FAG2129, FAG3443, FAG3444, FAG3721, FAG3722, FAG85225, FDE210, FDE583, FDE841, FDE85133, FDE923, FXU007, FDD167, FDD848, FDE448 and FDD694.
• Four indirect alternatives are currently suspended and unavailable to order:
  • FDD551, FDD162, FDD562 and FDD560.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 7 June 2024.

• The supply issue of Respiratory products from Clement Clarke International Ltd is continuing.
• FDE210 is now suspended and unavailable to order.
• Nine product codes remain suspended and unavailable to order:
  • FDD562, FDE085, FDE303, FDD466, FDD449, FDD541, FAG3442, FDD694 and FDE210.
• 50 of the affected product codes are subject to intermittent supply.
• 59 product codes remain affected in total.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note that 20 of the affected codes have no alternatives:
  • FAG1082, FAG1208, FAG1209, FAG2129, FAG3443, FAG3444, FAG3721, FAG3722, FAG85225, FDD4449, FDE210, FDE583, FDE841, FDE85133, FDE923, FXU007, FDD167, FDD848, FDE448 and FDD694.
• Two indirect alternatives are currently suspended and unavailable to order:
  • FDD466 and FDD562.
• See our Downloads ▼ section to access the product listing for further information on the affected product code and potential alternatives.
• We will continue to review the stock to minimise further disruption. We will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 3 May 2024.

• The supply issue of Respiratory products from Clement Clarke International Ltd is continuing.
• 12 product codes are now suspended and unavailable to order:
  • FDD562, FDE085, FDE303, FDD466, FDD449, FDD541, FDD694, FDE583, FDD4315, FDD536, FDE210 and FDD162.
• 47 product codes are now subject to intermittent supply.
• 59 product codes remain affected in total.
• Potential indirect alternative products are available to order through our online catalogue for some of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note that 21 of the affected codes have no alternatives listed:
  • FAG1082, FAG1208, FAG1209, FAG2129, FAG3442, FAG3443, FAG3444, FAG3721, FAG3722, FAG85225, FDD167, FDD4449, FDD694, FDD848, FDE210, FDE448, FDE583, FDE841, FDE85133, FDE923 and FXU007.
• Three indirect alternative product codes are currently suspended and unavailable to order:
  • FDD466, FDD162 and FDD562.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 31 March 2024.

• The supply issue of Respiratory products from Clement Clarke International Ltd is continuing.
• 25 further product codes are now affected.
• 15 product codes are suspended and unavailable to order.
• 44 product codes are subject to intermittent supply.
• 59 product codes are affected in total.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note that 18 of the affected codes have no alternatives:
  • FAG1082, FAG1208, FAG1209, FAG2129, FAG3442, FAG3443, FAG3444, FAG3721, FAG3722, FAG85225, FDD4449, FDE210, FDE583, FDE841, FDE85133, FDE923, FXU007 and FDD167.
• Three indirect alternatives are currently suspended and unavailable to order:
  • FDD466, FDD562 and FDD609.
• See our Downloads ▼ section to access the product listing for further information on the affected product code and potential alternatives.
• We will continue to review the stock to minimise further disruption. We will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 1 February 2024.

• The supply issue of Respiratory products from Clement Clarke International Ltd is continuing.
• Seven further product codes are now affected and unavailable to order:
  • FDD562, FDE054, FDE085, FDE303, FDE481, FDE483 and FDD609.
• Nine product codes remain suspended and unavailable to order:
  • FDE305, FDD466, FDE583, FDD848, FDD449, FDD541, FAG3442, FAG966 and FDD694.
• 18 affected product codes are subject to intermittent supply.
• 34 product codes are affected in total.
• Potential direct and indirect alternative products are available to order through our online catalogue for most of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note five of the affected codes have no alternatives listed:
  • FAG3442, FDE85133, FDE841, FDE583, and FAG2129.
• Three indirect alternatives are currently suspended and unavailable to order:
  • FDD466, FDD166 and FDE191.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is still anticipated to be resolved by 11 January 2024.

• The supply issue of Respiratory products from Clement Clarke International Ltd is continuing.
• One further product code is now affected:
  • FDD449 – Facemask combination adult.
• Six product codes remain suspended and unavailable to order:
  • FDE191, FDE305, FDD466, FDE448, FDE583, and FDD848.
• 20 affected product codes are now subject to intermittent supply.
• 27 product codes are affected in total.
• FDD609 is currently available to order but could become suspended and unavailable to order once stock is depleted and until stock is replenished.
• Potential direct and indirect alternative products are available to order through our online catalogue for most of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Please note five affected product codes have no alternatives:
  • FAG3442, FDE85133, FDE841, FDE583, and FAG2129.
• FDE255 an indirect alternative product is subject to Protect Demand Management. The indirect alternative product code is available to order through the NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure a fair supply of available stock across the NHS.
• Three indirect alternatives are currently suspended and unavailable to order:
  • FDD466, FDD166 and FDE191.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and for a full list of product codes subject to Protect Demand Management.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is still anticipated to be resolved by 11 January 2024.

• The supply issue of Respiratory products from Clement Clarke International Ltd is continuing.
• FDE210 is now available for order from our online catalogue.
• One further product code is now affected:
  • FDD449 – Facemask combination adult.
• FDD449 and FDD609 are currently available to order but could become suspended and unavailable to order once stock is depleted and until stock is replenished.
• Eight product codes remain suspended and unavailable to order:
  • FDE191, FDE205, FDE305, FDD466, FDE448, FDE583, FDD694 and FDD848.
• 18 affected product codes are subject to intermittent supply.
• 26 product codes are affected in total.
• Potential direct and indirect alternative products are available to order through our online catalogue for most of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• Five affected codes have no alternatives listed:
  • FAG3442, FDE85133, FDE841, FDE583 and FAG2129.
• FDE255 an indirect alternative product is subject to Protect Demand Management. The indirect alternative product code is available to order through the NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure a fair supply of available stock across the NHS.
• Four Indirect alternatives are currently suspended and unavailable to order:
  • FDE276, FDD466, FDE193 and FDE191.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and for a full list of product codes subject to Protect Demand Management.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 11 January 2024.

• The supply issue of respiratory products with Clement Clarke International Ltd is continuing.
• Three further product codes are now affected:
  • FDD694, FDD848 and FDD609.
• FDD609 is currently available to order but could become suspended and unavailable to order once stock is depleted and until stock is replenished.
• FDD694 and FDD848 are suspended and unavailable to order.
• Nine product codes are suspended and unavailable to order:
  • FDE191, FDE205, FDE305, FDD466, FDE448, FDE583, FDE210, FDD694 and FDD848.
• 16 affected product codes remain subject to intermittent supply.
• Potential direct and indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• 26 product codes are affected in total.
• FDE027 an indirect alternative product is suspended and unavailable to order.
• FDE255 an indirect alternative product is subject to Protect Demand Management. The indirect alternative product code is available to order through the NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure a fair supply of available stock across the NHS.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives and for a full list of product codes subject to Protect Demand Management.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is now anticipated to be resolved by 30 November 2023.

• The supply issue due to the relocation of their manufacturing site with Clement Clarke International Ltd is continuing.
• A further three product codes are now suspended and unavailable to order:
  • FDE210, FDE448 and FDE205.
• Seven product codes are now suspended and unavailable to order in total.
• 16 affected product codes remain subject to intermittent supply.
• 23 product codes are affected in total.
• Potential indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We will continue to review the stock to minimise further disruption.
• The supply issue is anticipated to be resolved by 30 November 2023.

• The supplier Clement Clarke International Ltd has informed us that due to relocation of their manufacturing site, the supply issue is ongoing.
• 16 further product codes are now affected.
• 19 affected product codes remain subject to intermittent supply.
• Four affected product codes remain suspended and unavailable to order:
  • FDE191, FDE305, FDD466 and FDD583.
• 23 product codes are affected in total.
• Due to this ongoing supply issue FDE205 is now being threshold managed as it is subject to Protect Demand Management.
• FDE205 is available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• Potential direct and indirect alternative products are available to order through our online catalogue for the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section for a full list of product codes subject to Protect Demand Management and to access the product listing for further information on the affected product code and potential alternatives.
• We will continue to review the stock to minimise further disruption. We will update this ICN as soon as we have further information.
• The supply issue is anticipated to be resolved by 30 November 2023.

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 organisations use of these products.

• The supplier Clement Clarke International Ltd has informed us that the supply issue with its Respiratory products is ongoing.
• Six further product codes are now affected.
• Four are subject to intermittent supply:
  • FDD467 – Peak Flow Meter mouthpiece
  • FDE023 – Peak Flow Meter mouthpiece
  • FDE480 – Venturi valve with reservoir tubing
  • FDE583 – Support products for nebulisers.
• Two codes are subject to Protect Demand Management:
  • FDE191- Nebuliser chamber kit with mouthpiece and tubing adult
  • FDE205 – Nebuliser chamber kit with mask and tubing paediatric.
• FDE305 remains suspended and unavailable to order.
• Seven product codes are affected in total.
• Due to this ongoing supply issue FDE191 and FDE205 are now being threshold managed as they are subject to Protect Demand Management. And will be available to order through NHS Supply Chain. However, trusts are allocated a maximum daily quantity or “threshold” to ensure fair supply of available stock across the NHS.
• See ourDownloads ▼ section for a full list of product codes subject to Protect Demand Management.
• There are no alternative products available for FDE583.
• Potential direct and indirect alternative products are available to order through our online catalogue for some of the affected products. However, some of these products may also become subject to intermittent supply with the increase in demand.
• See our Downloads ▼ section to access the product listing for further information on the affected product codes and potential alternatives.
• We will continue to review the stock to minimise further disruption and will update this ICN as soon as we have further information.
• The supply issue is anticipated to be resolved by 30 November 2023.

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 organisations use of these products.

Change:

• The supplier Clement Clarke International Ltd has informed us of a supply issue with its Nebuliser chamber kit with mask and tubing adult Nebuliser 10ml capacity mask and 1.8m tubing, FDE305.
• The supply issue is due to supplier manufacturing issues.

Impact:

• FDE305 is currently suspended and unavailable to order.
• Potential indirect and direct alternative products are available to order through our online catalogue:
  • FDE1605 – Nebuliser Kit Adult Neb Medi-mist with Mask & Tubing 10-20ml
  • FDE255 – Nebuliser chamber kit with mask and tubing adult Maxineb nebuliser adult kit (10ml capacity) with aerosol mask and 2.1m tubing.
  • FDE191 – Nebuliser chamber kit with mouthpiece and tubing adult Nebuliser 10ml capacity with adaptor and 1.8m tubing.
• We are currently sourcing further alternatives and updates will be made to the product listing as soon as possible.
• See our Downloads ▼ section to access the product listing for further information on the affected product code and potential alternatives.
• The supply issue is anticipated to be resolved by 30 November 2023.

Next Steps:              

• Customers are advised to log into our website to view the direct and potential indirect alternative products.
• The continuing supply issue is being monitored in conjunction with the supplier and we will continue to monitor the stock situation to minimise further disruption and update this ICN with the latest information as it becomes available.
• However, as this is currently a disrupted market and supply is subject to rapid change, the alternatives offered may also be experiencing temporary supply issues and therefore, customers may need to consider clinically reviewing all additional alternatives provided.
• If you have any further questions, please contact your local NHS Supply Chain 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 organisations use of these products.