Below you can find all of the shared care guidelines approved for use across the North East and North Cumbria ICS.

For legacy shared care guidelines, you may still need to visit the previous APC websites until a single NENC ICB version is available.

NTAG workplan includes the review of shared care clinical protocols across NENC ICS. Due to historical arrangements shared care clinical protocols differ geographically. Following review by NTAG, these new ICS wide approved clinical protocols are now being published to ensure clinical information is correct and up to date. NTAG is aware that there is an ongoing LIS/LES review (Local Incentive Scheme and Local Enhanced Service) within the ICB that is reviewing the remuneration to GP practices for undertaking shared care across the ICS.

Title Documents Decision Date
NENC Shared Care Protocol - Amiodarone for patients in adult services NENC SCP - amiodarone - v2.0 - approved Feb 2024 Approved by NENC Medicines Subcommittee 12/02/2024
NENC Shared Care Protocol - Apomorphine injection for patients within adult services with Parkinson's disease NENC SCG - apomorphine injection in parkinson - v1.0 - approved Dec 2024 Approved by NENC Clinical Effectiveness and Governance (CEG) Subcommittee 12/12/2024

New

12/03/2025
NENC Shared Care Protocol - Azathioprine and mercaptopurine within adult services (non-transplant indications) NENC SCG azathioprine mercaptopurine in adults for non-transplant indications - v1.0 - approved Dec 2024 Approved by NENC Clinical Effectiveness and Governance (CEG) Subcommittee 12/12/2024
NENC Shared Care Protocol - Dronedarone for patients in adult services NENC SCP - dronedarone - v2.0 - approved Feb 2024 Approved by NENC Medicines Subcommittee 12/02/2024

Updated

11/03/2025
NENC Shared Care Protocol - Hydroxychloroquine for patients within adult services NENC SCP - hydroxychloroquine - v1.1 - approved Feb 2025 Approved by NENC Clinical Effectiveness and Governance (CEG) Subcommittee 13/02/2025

New

12/03/2025
NENC Shared Care Protocol - Leflunomide for patients within adult services NENC SCP -Leflunomide for patients within adult services- v1.0 - approved Feb 2025 Approved by NENC Clinical Effectiveness and Governance (CEG) Subcommittee 13/02/2025

New

11/03/2025
NENC Shared Care Protocol - Lithium for adult patients within mental health services NENC-SCP-lithium-in-adults - v1.0 - approved Feb 2025 Approved by NENC Clinical Effectiveness and Governance (CEG) Subcommittee 13/02/2025
NENC Shared Care Protocol - Riluzole for patients in adult services NENC SCP - riluzole - v1.0 - approved Feb 2024 Approved by NENC Medicines Subcommittee 12/02/2024
NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis - June 2023 NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis - June 2023 Approved by NENC Medicines Subcommittee 20/06/2023

New

12/03/2025
NENC Shared Care Protocol - Sulfasalazine for patients within adult services NENC SCP - Sulfasalazine for patients within adult services- v1.0 - approved Feb 2025 Approved by NENC Clinical Effectiveness and Governance (CEG) Subcommittee 13/02/2025