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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1765 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1019 downloads )
- Proton Pump Inhibitors Key Messages (1826 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2339 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (1098 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (708 downloads )
- North Cumbria anticoagulation guideline 2022 (1062 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1420 downloads )
- COPD Inhaler Decision Tool - North Cumbria (5080 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1866 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1586 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2318 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1685 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (656 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (608 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (962 downloads )
- Buprenorphine Patch prescribing update June 2019 (934 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1318 downloads )
- Dosulepin Prescribing Guidance (1839 downloads )
- Fentanyl prescribing update June 2019 (843 downloads )
- Just In Case Medication - patient information leaflet (871 downloads )
- Just In Case Medication Sheet - North Cumbria (1076 downloads )
- Just In Case meds- SOP - North Cumbria (902 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (954 downloads )
- Just In Case Syringe Driver patient leaflet (837 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (747 downloads )
- STOMP STAMP key messages (921 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (351 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6805 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (955 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. (228 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (237 downloads )
- Thickeners - Key Safety Messages (140 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1774 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2664 downloads )
- Ciclosporin SCG Oct 2015 (1531 downloads )
- Dapsone SCG April 2016 (1394 downloads )
- Disulfram SCG (1130 downloads )
- Enoxaparin SCG May 2016 (11368 downloads )
- Hydroxycarbamide Dermatology SCG (1163 downloads )
- Hydroxycarbamide Haematology SCG (1362 downloads )
- Leflunomide SCG November 2015 (1621 downloads )
- LHRH analogues for prostate cancer SCG (1060 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2369 downloads )
- Mycophenolate SCG June 2016 (1909 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (708 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3964 downloads )
- Sulfasalazine_SCG (592 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (356 downloads )
- NTAG Guidance (2537 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1985 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (701 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1064 downloads )
- Model Repeat Prescribing System (4518 downloads )
- Non Medical Prescribing Annual Declaration (736 downloads )
- Non Medical Prescribing Reflection (696 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (831 downloads )
- Practice Annual Non Medical Prescribing Declaration (695 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (678 downloads )
- Security of prescription forms (1256 downloads )
- What to do when Prescribers join or leave (470 downloads )