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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1775 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1149 downloads )
- Proton Pump Inhibitors Key Messages (1988 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2504 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (1230 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (737 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1219 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1544 downloads )
- COPD Inhaler Decision Tool - North Cumbria (5305 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1974 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1698 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2542 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (677 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (634 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (985 downloads )
- Buprenorphine Patch prescribing update June 2019 (943 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1330 downloads )
- Dosulepin Prescribing Guidance (1862 downloads )
- Fentanyl prescribing update June 2019 (853 downloads )
- Just In Case Medication - patient information leaflet (894 downloads )
- Just In Case Medication Sheet - North Cumbria (1100 downloads )
- Just In Case meds- SOP - North Cumbria (921 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (966 downloads )
- Just In Case Syringe Driver patient leaflet (858 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (757 downloads )
- STOMP STAMP key messages (957 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (378 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6846 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (972 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. (276 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (277 downloads )
- Thickeners - Key Safety Messages (231 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1787 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2934 downloads )
- Ciclosporin SCG Oct 2015 (1556 downloads )
- Dapsone SCG April 2016 (1411 downloads )
- Disulfram SCG (1161 downloads )
- Enoxaparin SCG May 2016 (11493 downloads )
- Hydroxycarbamide Dermatology SCG (1195 downloads )
- Hydroxycarbamide Haematology SCG (1390 downloads )
- Leflunomide SCG November 2015 (1653 downloads )
- LHRH analogues for prostate cancer SCG (1077 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2384 downloads )
- Mycophenolate SCG June 2016 (1926 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (737 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4084 downloads )
- Sulfasalazine_SCG (626 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (376 downloads )
- NTAG Guidance (2561 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1995 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (720 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1080 downloads )
- Model Repeat Prescribing System (4549 downloads )
- Non Medical Prescribing Annual Declaration (752 downloads )
- Non Medical Prescribing Reflection (715 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (841 downloads )
- Practice Annual Non Medical Prescribing Declaration (709 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (689 downloads )
- Security of prescription forms (1271 downloads )
- What to do when Prescribers join or leave (482 downloads )