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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1640 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (732 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (676 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (597 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (553 downloads )
- Prescription Pad Newsletter No.5 July 2021 (255 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (281 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (488 downloads )
- Proton Pump Inhibitors Key Messages (1261 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2308 downloads )
- Cardiovascular workplan 2022 (1309 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (729 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (383 downloads )
- North Cumbria anticoagulation guideline 2022 (482 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (889 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4243 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1326 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1062 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1462 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (834 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (384 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (337 downloads )
- Atypical Antipsychotics Key Messages (1359 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (833 downloads )
- Buprenorphine Patch prescribing update June 2019 (796 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1183 downloads )
- Dosulepin Prescribing Guidance (1699 downloads )
- Fentanyl prescribing update June 2019 (707 downloads )
- Gabapentin & Pregabalin MO Key Messages (1598 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3466 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1462 downloads )
- Hypnotics MO Key Messages (1164 downloads )
- Just In Case Medication - patient information leaflet (736 downloads )
- Just In Case Medication Sheet - North Cumbria (931 downloads )
- Just In Case meds- SOP - North Cumbria (746 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (806 downloads )
- Just In Case Syringe Driver patient leaflet (689 downloads )
- Lidocaine Patches MO Key Messages (1438 downloads )
- NSAIDs Key Messages (1578 downloads )
- Oxycodone Key Messages (1306 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (619 downloads )
- STOMP STAMP key messages (733 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (209 downloads )
- Prescribing for UTI's MO Key Messages (1765 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1361 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6458 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (842 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1421 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1699 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (753 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1683 downloads )
- PDE5 Inhibitors Prescribing Guidance (1380 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1653 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (779 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. (1087 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (860 downloads )
- Sip Feeds MO Key Messages (796 downloads )
- Thickeners - Key Safety Messages (158 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1660 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2528 downloads )
- Ciclosporin SCG Oct 2015 (1371 downloads )
- Dapsone SCG April 2016 (1237 downloads )
- Disulfram SCG (972 downloads )
- Enoxaparin SCG May 2016 (10881 downloads )
- Hydroxycarbamide Dermatology SCG (964 downloads )
- Hydroxycarbamide Haematology SCG (1173 downloads )
- Leflunomide SCG November 2015 (1454 downloads )
- LHRH analogues for prostate cancer SCG (919 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2232 downloads )
- Mycophenolate SCG June 2016 (1751 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (383 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3339 downloads )
- Sulfasalazine_SCG (436 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (214 downloads )
- NTAG Guidance (2226 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1860 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (508 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (927 downloads )
- Model Repeat Prescribing System (4224 downloads )
- Non Medical Prescribing Annual Declaration (587 downloads )
- Non Medical Prescribing Reflection (543 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (701 downloads )
- Practice Annual Non Medical Prescribing Declaration (565 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (534 downloads )
- Security of prescription forms (1128 downloads )
- What to do when Prescribers join or leave (338 downloads )