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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1690 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (788 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (731 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (663 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (629 downloads )
- Prescription Pad Newsletter No.5 July 2021 (323 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (342 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (630 downloads )
- Proton Pump Inhibitors Key Messages (1396 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2478 downloads )
- Cardiovascular workplan 2022 (1837 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (807 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (553 downloads )
- North Cumbria anticoagulation guideline 2022 (651 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1028 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4608 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1461 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1197 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1841 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1218 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (520 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (471 downloads )
- Atypical Antipsychotics Key Messages (1416 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (887 downloads )
- Buprenorphine Patch prescribing update June 2019 (853 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1238 downloads )
- Dosulepin Prescribing Guidance (1764 downloads )
- Fentanyl prescribing update June 2019 (769 downloads )
- Gabapentin & Pregabalin MO Key Messages (1661 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3531 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1532 downloads )
- Hypnotics MO Key Messages (1226 downloads )
- Just In Case Medication - patient information leaflet (794 downloads )
- Just In Case Medication Sheet - North Cumbria (992 downloads )
- Just In Case meds- SOP - North Cumbria (806 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (863 downloads )
- Just In Case Syringe Driver patient leaflet (755 downloads )
- Lidocaine Patches MO Key Messages (1498 downloads )
- NSAIDs Key Messages (1661 downloads )
- Oxycodone Key Messages (1375 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (680 downloads )
- STOMP STAMP key messages (797 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (270 downloads )
- Prescribing for UTI's MO Key Messages (1824 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1423 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6617 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (891 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1481 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1755 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (808 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1761 downloads )
- PDE5 Inhibitors Prescribing Guidance (1444 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1714 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (833 downloads )
Nutrition and blood
- Managing unintentional weight loss in adults guidelines and the appropriate prescribing of oral nutritional supplements (ONS) for adults in primary care. (1145 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (922 downloads )
- Sip Feeds MO Key Messages (866 downloads )
- Thickeners - Key Safety Messages (217 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1715 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2583 downloads )
- Ciclosporin SCG Oct 2015 (1438 downloads )
- Dapsone SCG April 2016 (1306 downloads )
- Disulfram SCG (1045 downloads )
- Enoxaparin SCG May 2016 (10974 downloads )
- Hydroxycarbamide Dermatology SCG (1026 downloads )
- Hydroxycarbamide Haematology SCG (1232 downloads )
- Leflunomide SCG November 2015 (1521 downloads )
- LHRH analogues for prostate cancer SCG (985 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2290 downloads )
- Mycophenolate SCG June 2016 (1812 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (553 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3511 downloads )
- Sulfasalazine_SCG (513 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (277 downloads )
- NTAG Guidance (2379 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1913 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (576 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (984 downloads )
- Model Repeat Prescribing System (4368 downloads )
- Non Medical Prescribing Annual Declaration (645 downloads )
- Non Medical Prescribing Reflection (609 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (755 downloads )
- Practice Annual Non Medical Prescribing Declaration (621 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (599 downloads )
- Security of prescription forms (1191 downloads )
- What to do when Prescribers join or leave (397 downloads )