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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1938 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1400 downloads )
- Proton Pump Inhibitors Key Messages (2238 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (3315 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (985 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1804 downloads )
Respiratory system
- COPD Inhaler Decision Tool - North Cumbria (5620 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2889 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (919 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (872 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (1138 downloads )
- Buprenorphine Patch prescribing update June 2019 (1115 downloads )
- Dosulepin Prescribing Guidance (2115 downloads )
- Fentanyl prescribing update June 2019 (1013 downloads )
- Just In Case Medication - patient information leaflet (1063 downloads )
- Just In Case Medication Sheet - North Cumbria (1252 downloads )
- Just In Case meds- SOP - North Cumbria (1078 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (1122 downloads )
- Just In Case Syringe Driver patient leaflet (1021 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (916 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (546 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7228 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (1132 downloads )
Diabetes
Other endocrine
Obstetrics, gynaecology and urinary tract
Nutrition and blood
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (2022 downloads )
- Ciclosporin SCG Oct 2015 (1800 downloads )
- Dapsone SCG April 2016 (1578 downloads )
- Disulfram SCG (1401 downloads )
- Hydroxycarbamide Dermatology SCG (1424 downloads )
- Hydroxycarbamide Haematology SCG (1664 downloads )
- LHRH analogues for prostate cancer SCG (1244 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2554 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (985 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4496 downloads )
Other guidance
- Cost Comparison Charts - User Guide (529 downloads )
- NTAG Guidance (2988 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2151 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (926 downloads )
- Non Medical Prescribing Annual Declaration (934 downloads )
- Non Medical Prescribing Reflection (900 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (1026 downloads )
- Practice Annual Non Medical Prescribing Declaration (891 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (862 downloads )
- Security of prescription forms (1458 downloads )
- What to do when Prescribers join or leave (655 downloads )