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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1925 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1384 downloads )
- Proton Pump Inhibitors Key Messages (2218 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (3290 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (966 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1770 downloads )
Respiratory system
- COPD Inhaler Decision Tool - North Cumbria (5605 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2868 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (892 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (844 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (1122 downloads )
- Buprenorphine Patch prescribing update June 2019 (1098 downloads )
- Dosulepin Prescribing Guidance (2101 downloads )
- Fentanyl prescribing update June 2019 (1000 downloads )
- Just In Case Medication - patient information leaflet (1049 downloads )
- Just In Case Medication Sheet - North Cumbria (1239 downloads )
- Just In Case meds- SOP - North Cumbria (1063 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (1108 downloads )
- Just In Case Syringe Driver patient leaflet (1008 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (903 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (529 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7202 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (1112 downloads )
Diabetes
Other endocrine
Obstetrics, gynaecology and urinary tract
Nutrition and blood
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (2008 downloads )
- Ciclosporin SCG Oct 2015 (1782 downloads )
- Dapsone SCG April 2016 (1563 downloads )
- Disulfram SCG (1389 downloads )
- Hydroxycarbamide Dermatology SCG (1412 downloads )
- Hydroxycarbamide Haematology SCG (1650 downloads )
- LHRH analogues for prostate cancer SCG (1232 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2539 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (966 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4454 downloads )
Other guidance
- Cost Comparison Charts - User Guide (518 downloads )
- NTAG Guidance (2962 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2136 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (907 downloads )
- Non Medical Prescribing Annual Declaration (919 downloads )
- Non Medical Prescribing Reflection (885 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (1011 downloads )
- Practice Annual Non Medical Prescribing Declaration (874 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (842 downloads )
- Security of prescription forms (1440 downloads )
- What to do when Prescribers join or leave (639 downloads )