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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1777 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1153 downloads )
- Proton Pump Inhibitors Key Messages (1994 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2515 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (1235 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (744 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1227 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1545 downloads )
- COPD Inhaler Decision Tool - North Cumbria (5311 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1976 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1701 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2547 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (684 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (640 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (988 downloads )
- Buprenorphine Patch prescribing update June 2019 (948 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1332 downloads )
- Dosulepin Prescribing Guidance (1865 downloads )
- Fentanyl prescribing update June 2019 (856 downloads )
- Just In Case Medication - patient information leaflet (898 downloads )
- Just In Case Medication Sheet - North Cumbria (1103 downloads )
- Just In Case meds- SOP - North Cumbria (925 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (968 downloads )
- Just In Case Syringe Driver patient leaflet (859 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (759 downloads )
- STOMP STAMP key messages (962 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (384 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6857 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (975 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. (282 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (289 downloads )
- Thickeners - Key Safety Messages (250 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1789 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2955 downloads )
- Ciclosporin SCG Oct 2015 (1565 downloads )
- Dapsone SCG April 2016 (1415 downloads )
- Disulfram SCG (1164 downloads )
- Hydroxycarbamide Dermatology SCG (1199 downloads )
- Hydroxycarbamide Haematology SCG (1395 downloads )
- Leflunomide SCG November 2015 (1662 downloads )
- LHRH analogues for prostate cancer SCG (1080 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2387 downloads )
- Mycophenolate SCG June 2016 (1929 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (744 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4095 downloads )
- Sulfasalazine_SCG (633 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (378 downloads )
- NTAG Guidance (2569 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1998 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (725 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1087 downloads )
- Model Repeat Prescribing System (4557 downloads )
- Non Medical Prescribing Annual Declaration (756 downloads )
- Non Medical Prescribing Reflection (720 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (848 downloads )
- Practice Annual Non Medical Prescribing Declaration (714 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (694 downloads )
- Security of prescription forms (1275 downloads )
- What to do when Prescribers join or leave (487 downloads )