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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1824 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1233 downloads )
- Proton Pump Inhibitors Key Messages (2069 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2615 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (807 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1385 downloads )
Respiratory system
- COPD Inhaler Decision Tool - North Cumbria (5511 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (2056 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2756 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (741 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (698 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (1030 downloads )
- Buprenorphine Patch prescribing update June 2019 (998 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1379 downloads )
- Dosulepin Prescribing Guidance (1906 downloads )
- Fentanyl prescribing update June 2019 (904 downloads )
- Just In Case Medication - patient information leaflet (946 downloads )
- Just In Case Medication Sheet - North Cumbria (1145 downloads )
- Just In Case meds- SOP - North Cumbria (976 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (1014 downloads )
- Just In Case Syringe Driver patient leaflet (910 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (813 downloads )
- STOMP STAMP key messages (1019 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (430 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6947 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (1022 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. (338 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (336 downloads )
- Thickeners - Key Safety Messages (308 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1837 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (3084 downloads )
- Ciclosporin SCG Oct 2015 (1620 downloads )
- Dapsone SCG April 2016 (1460 downloads )
- Disulfram SCG (1209 downloads )
- Hydroxycarbamide Dermatology SCG (1251 downloads )
- Hydroxycarbamide Haematology SCG (1451 downloads )
- Leflunomide SCG November 2015 (1714 downloads )
- LHRH analogues for prostate cancer SCG (1132 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2435 downloads )
- Mycophenolate SCG June 2016 (1977 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (807 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4199 downloads )
- Sulfasalazine_SCG (688 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (419 downloads )
- NTAG Guidance (2634 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2045 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (780 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1132 downloads )
- Model Repeat Prescribing System (4620 downloads )
- Non Medical Prescribing Annual Declaration (798 downloads )
- Non Medical Prescribing Reflection (768 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (904 downloads )
- Practice Annual Non Medical Prescribing Declaration (755 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (743 downloads )
- Security of prescription forms (1327 downloads )
- What to do when Prescribers join or leave (537 downloads )