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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1886 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1277 downloads )
- Proton Pump Inhibitors Key Messages (2113 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (3191 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (896 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1579 downloads )
Respiratory system
- COPD Inhaler Decision Tool - North Cumbria (5568 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2817 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (818 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (771 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (1094 downloads )
- Buprenorphine Patch prescribing update June 2019 (1055 downloads )
- Dosulepin Prescribing Guidance (1982 downloads )
- Fentanyl prescribing update June 2019 (968 downloads )
- Just In Case Medication - patient information leaflet (1015 downloads )
- Just In Case Medication Sheet - North Cumbria (1206 downloads )
- Just In Case meds- SOP - North Cumbria (1034 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (1078 downloads )
- Just In Case Syringe Driver patient leaflet (972 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (867 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (495 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7092 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (1082 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 (1897 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (3291 downloads )
- Ciclosporin SCG Oct 2015 (1686 downloads )
- Dapsone SCG April 2016 (1526 downloads )
- Disulfram SCG (1275 downloads )
- Hydroxycarbamide Dermatology SCG (1313 downloads )
- Hydroxycarbamide Haematology SCG (1523 downloads )
- Leflunomide SCG November 2015 (1777 downloads )
- LHRH analogues for prostate cancer SCG (1192 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2502 downloads )
- Mycophenolate SCG June 2016 (2037 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (896 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4335 downloads )
- Sulfasalazine_SCG (755 downloads )
Other guidance
- Cost Comparison Charts - User Guide (484 downloads )
- NTAG Guidance (2718 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2103 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (855 downloads )
- Non Medical Prescribing Annual Declaration (882 downloads )
- Non Medical Prescribing Reflection (846 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (971 downloads )
- Practice Annual Non Medical Prescribing Declaration (842 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (810 downloads )
- Security of prescription forms (1390 downloads )
- What to do when Prescribers join or leave (603 downloads )