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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1789 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1193 downloads )
- Proton Pump Inhibitors Key Messages (2032 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2555 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (1262 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (759 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1297 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1584 downloads )
- COPD Inhaler Decision Tool - North Cumbria (5476 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (2021 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1741 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2717 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (699 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (657 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (995 downloads )
- Buprenorphine Patch prescribing update June 2019 (955 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1346 downloads )
- Dosulepin Prescribing Guidance (1872 downloads )
- Fentanyl prescribing update June 2019 (866 downloads )
- Just In Case Medication - patient information leaflet (907 downloads )
- Just In Case Medication Sheet - North Cumbria (1113 downloads )
- Just In Case meds- SOP - North Cumbria (936 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (989 downloads )
- Just In Case Syringe Driver patient leaflet (871 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (775 downloads )
- STOMP STAMP key messages (973 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (396 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6890 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (990 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. (302 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (298 downloads )
- Thickeners - Key Safety Messages (267 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1802 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (3016 downloads )
- Ciclosporin SCG Oct 2015 (1582 downloads )
- Dapsone SCG April 2016 (1423 downloads )
- Disulfram SCG (1170 downloads )
- Hydroxycarbamide Dermatology SCG (1215 downloads )
- Hydroxycarbamide Haematology SCG (1411 downloads )
- Leflunomide SCG November 2015 (1680 downloads )
- LHRH analogues for prostate cancer SCG (1093 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2396 downloads )
- Mycophenolate SCG June 2016 (1939 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (759 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4139 downloads )
- Sulfasalazine_SCG (649 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (391 downloads )
- NTAG Guidance (2588 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2010 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (744 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1098 downloads )
- Model Repeat Prescribing System (4588 downloads )
- Non Medical Prescribing Annual Declaration (763 downloads )
- Non Medical Prescribing Reflection (729 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (858 downloads )
- Practice Annual Non Medical Prescribing Declaration (722 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (709 downloads )
- Security of prescription forms (1288 downloads )
- What to do when Prescribers join or leave (501 downloads )