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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1863 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1248 downloads )
- Proton Pump Inhibitors Key Messages (2087 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2962 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (854 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1448 downloads )
Respiratory system
- COPD Inhaler Decision Tool - North Cumbria (5529 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (2066 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2778 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (776 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (740 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (1069 downloads )
- Buprenorphine Patch prescribing update June 2019 (1032 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1416 downloads )
- Dosulepin Prescribing Guidance (1951 downloads )
- Fentanyl prescribing update June 2019 (943 downloads )
- Just In Case Medication - patient information leaflet (993 downloads )
- Just In Case Medication Sheet - North Cumbria (1185 downloads )
- Just In Case meds- SOP - North Cumbria (1013 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (1057 downloads )
- Just In Case Syringe Driver patient leaflet (948 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (844 downloads )
- STOMP STAMP key messages (1055 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (478 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7003 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (1059 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 (1875 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (3153 downloads )
- Ciclosporin SCG Oct 2015 (1657 downloads )
- Dapsone SCG April 2016 (1502 downloads )
- Disulfram SCG (1250 downloads )
- Hydroxycarbamide Dermatology SCG (1288 downloads )
- Hydroxycarbamide Haematology SCG (1492 downloads )
- Leflunomide SCG November 2015 (1754 downloads )
- LHRH analogues for prostate cancer SCG (1170 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2472 downloads )
- Mycophenolate SCG June 2016 (2007 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (854 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4230 downloads )
- Sulfasalazine_SCG (728 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (464 downloads )
- NTAG Guidance (2675 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2081 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (812 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1174 downloads )
- Model Repeat Prescribing System (4653 downloads )
- Non Medical Prescribing Annual Declaration (840 downloads )
- Non Medical Prescribing Reflection (810 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (934 downloads )
- Practice Annual Non Medical Prescribing Declaration (805 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (782 downloads )
- Security of prescription forms (1359 downloads )
- What to do when Prescribers join or leave (572 downloads )