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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1657 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (756 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (699 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (626 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (595 downloads )
- Prescription Pad Newsletter No.5 July 2021 (289 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (309 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (574 downloads )
- Proton Pump Inhibitors Key Messages (1342 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2402 downloads )
- Cardiovascular workplan 2022 (1666 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (760 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (458 downloads )
- North Cumbria anticoagulation guideline 2022 (578 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (953 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4453 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1390 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1124 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1691 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1054 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (446 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (397 downloads )
- Atypical Antipsychotics Key Messages (1383 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (857 downloads )
- Buprenorphine Patch prescribing update June 2019 (816 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1205 downloads )
- Dosulepin Prescribing Guidance (1727 downloads )
- Fentanyl prescribing update June 2019 (732 downloads )
- Gabapentin & Pregabalin MO Key Messages (1628 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3497 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1495 downloads )
- Hypnotics MO Key Messages (1196 downloads )
- Just In Case Medication - patient information leaflet (761 downloads )
- Just In Case Medication Sheet - North Cumbria (960 downloads )
- Just In Case meds- SOP - North Cumbria (771 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (833 downloads )
- Just In Case Syringe Driver patient leaflet (718 downloads )
- Lidocaine Patches MO Key Messages (1463 downloads )
- NSAIDs Key Messages (1617 downloads )
- Oxycodone Key Messages (1341 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (649 downloads )
- STOMP STAMP key messages (761 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (236 downloads )
- Prescribing for UTI's MO Key Messages (1793 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1383 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6526 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (857 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1446 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1724 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (773 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1725 downloads )
- PDE5 Inhibitors Prescribing Guidance (1407 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1679 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (797 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. (1111 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (884 downloads )
- Sip Feeds MO Key Messages (828 downloads )
- Thickeners - Key Safety Messages (184 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1683 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2552 downloads )
- Ciclosporin SCG Oct 2015 (1403 downloads )
- Dapsone SCG April 2016 (1269 downloads )
- Disulfram SCG (1013 downloads )
- Enoxaparin SCG May 2016 (10927 downloads )
- Hydroxycarbamide Dermatology SCG (995 downloads )
- Hydroxycarbamide Haematology SCG (1198 downloads )
- Leflunomide SCG November 2015 (1489 downloads )
- LHRH analogues for prostate cancer SCG (949 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2256 downloads )
- Mycophenolate SCG June 2016 (1777 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (458 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3422 downloads )
- Sulfasalazine_SCG (481 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (244 downloads )
- NTAG Guidance (2301 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1880 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (541 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (950 downloads )
- Model Repeat Prescribing System (4282 downloads )
- Non Medical Prescribing Annual Declaration (611 downloads )
- Non Medical Prescribing Reflection (571 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (723 downloads )
- Practice Annual Non Medical Prescribing Declaration (586 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (559 downloads )
- Security of prescription forms (1156 downloads )
- What to do when Prescribers join or leave (364 downloads )