Non-urgent advice: The ICB Medicines Sub-Committee
The NENC Integrated Care System now has one governance procedure through the ICB Medicines Sub-Committee. This is supported by Northern Treatment Advisory Group (NTAG) and its subgroups. Until guidance can be reviewed by the ICB Medicines Sub-Committee and its sub-groups all guidance and agreements previously approved by the predecessor three Area Prescribing Committees (APCs) of County Durham & Tees Valley; North of Tyne, Gateshead & North Cumbria; and South Tyneside & Sunderland are still valid whilst within their review date. Clinicians referring to this guidance after any expiry date should exercise caution. ICB approved prescribing guidance and agreements will be hosted on the NTAG website moving forward and this is available publicly at https://ntag.nhs.uk/ .
Guidance approved and endorsed by the North of Tyne, Gateshead and North Cumbria Area Prescribing Committee (NoTGhdNC APC) and applicable to North Cumbria will continue to be posted on the NoTGhdNC APC website.
Formulary
From 1st January 2019 all patient prescribing across North Cumbria followed the North of Tyne, Gateshead and North Cumbria formulary. This has been superseded by the North East and North Cumbria ICS Formulary:
North of Tyne and North Cumbria brand name prescribing guidance (1736 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (910 downloads )
- Proton Pump Inhibitors Key Messages (1708 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2247 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (988 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (652 downloads )
- North Cumbria anticoagulation guideline 2022 (957 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1315 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4993 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1745 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1469 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2224 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1607 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (603 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (553 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (941 downloads )
- Buprenorphine Patch prescribing update June 2019 (901 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1290 downloads )
- Dosulepin Prescribing Guidance (1817 downloads )
- Fentanyl prescribing update June 2019 (815 downloads )
- Just In Case Medication - patient information leaflet (842 downloads )
- Just In Case Medication Sheet - North Cumbria (1034 downloads )
- Just In Case meds- SOP - North Cumbria (867 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (918 downloads )
- Just In Case Syringe Driver patient leaflet (806 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (722 downloads )
- STOMP STAMP key messages (893 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (319 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6743 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (935 downloads )
Diabetes
Other endocrine
Obstetrics, gynaecology and urinary tract
Nutrition and blood
- Managing unintentional weight loss in adults guidelines and the appropriate prescribing of oral nutritional supplements (ONS) for adults in primary care. (145 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (148 downloads )
- Thickeners - Key Safety Messages (69 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1757 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2642 downloads )
- Ciclosporin SCG Oct 2015 (1498 downloads )
- Dapsone SCG April 2016 (1367 downloads )
- Disulfram SCG (1100 downloads )
- Enoxaparin SCG May 2016 (11242 downloads )
- Hydroxycarbamide Dermatology SCG (1125 downloads )
- Hydroxycarbamide Haematology SCG (1326 downloads )
- Leflunomide SCG November 2015 (1585 downloads )
- LHRH analogues for prostate cancer SCG (1034 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2340 downloads )
- Mycophenolate SCG June 2016 (1874 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (652 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3777 downloads )
- Sulfasalazine_SCG (567 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (322 downloads )
- NTAG Guidance (2492 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1959 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (662 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1030 downloads )
- Model Repeat Prescribing System (4458 downloads )
- Non Medical Prescribing Annual Declaration (699 downloads )
- Non Medical Prescribing Reflection (665 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (802 downloads )
- Practice Annual Non Medical Prescribing Declaration (665 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (650 downloads )
- Security of prescription forms (1239 downloads )
- What to do when Prescribers join or leave (443 downloads )