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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1780 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1184 downloads )
- Proton Pump Inhibitors Key Messages (2022 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2540 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (1254 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (746 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1284 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1572 downloads )
- COPD Inhaler Decision Tool - North Cumbria (5448 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (2005 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1726 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2689 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (687 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (642 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (989 downloads )
- Buprenorphine Patch prescribing update June 2019 (951 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1335 downloads )
- Dosulepin Prescribing Guidance (1865 downloads )
- Fentanyl prescribing update June 2019 (859 downloads )
- Just In Case Medication - patient information leaflet (900 downloads )
- Just In Case Medication Sheet - North Cumbria (1104 downloads )
- Just In Case meds- SOP - North Cumbria (927 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (971 downloads )
- Just In Case Syringe Driver patient leaflet (863 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (763 downloads )
- STOMP STAMP key messages (964 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (386 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6869 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (976 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. (290 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (291 downloads )
- Thickeners - Key Safety Messages (254 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1791 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2998 downloads )
- Ciclosporin SCG Oct 2015 (1572 downloads )
- Dapsone SCG April 2016 (1415 downloads )
- Disulfram SCG (1166 downloads )
- Hydroxycarbamide Dermatology SCG (1201 downloads )
- Hydroxycarbamide Haematology SCG (1400 downloads )
- Leflunomide SCG November 2015 (1665 downloads )
- LHRH analogues for prostate cancer SCG (1081 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2389 downloads )
- Mycophenolate SCG June 2016 (1930 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (746 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4116 downloads )
- Sulfasalazine_SCG (637 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (382 downloads )
- NTAG Guidance (2573 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2001 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (730 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1090 downloads )
- Model Repeat Prescribing System (4562 downloads )
- Non Medical Prescribing Annual Declaration (757 downloads )
- Non Medical Prescribing Reflection (724 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (850 downloads )
- Practice Annual Non Medical Prescribing Declaration (714 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (695 downloads )
- Security of prescription forms (1277 downloads )
- What to do when Prescribers join or leave (488 downloads )