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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1640 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (733 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (676 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (598 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (556 downloads )
- Prescription Pad Newsletter No.5 July 2021 (258 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (281 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (495 downloads )
- Proton Pump Inhibitors Key Messages (1269 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2319 downloads )
- Cardiovascular workplan 2022 (1375 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (733 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (386 downloads )
- North Cumbria anticoagulation guideline 2022 (498 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (892 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4271 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1329 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1064 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1498 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (868 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (386 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (338 downloads )
- Atypical Antipsychotics Key Messages (1359 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (835 downloads )
- Buprenorphine Patch prescribing update June 2019 (796 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1184 downloads )
- Dosulepin Prescribing Guidance (1703 downloads )
- Fentanyl prescribing update June 2019 (707 downloads )
- Gabapentin & Pregabalin MO Key Messages (1601 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3467 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1464 downloads )
- Hypnotics MO Key Messages (1165 downloads )
- Just In Case Medication - patient information leaflet (738 downloads )
- Just In Case Medication Sheet - North Cumbria (933 downloads )
- Just In Case meds- SOP - North Cumbria (748 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (807 downloads )
- Just In Case Syringe Driver patient leaflet (689 downloads )
- Lidocaine Patches MO Key Messages (1440 downloads )
- NSAIDs Key Messages (1583 downloads )
- Oxycodone Key Messages (1308 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (620 downloads )
- STOMP STAMP key messages (735 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (209 downloads )
- Prescribing for UTI's MO Key Messages (1766 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1362 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6460 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (842 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1421 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1700 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (753 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1688 downloads )
- PDE5 Inhibitors Prescribing Guidance (1381 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1654 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (779 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. (1087 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (861 downloads )
- Sip Feeds MO Key Messages (798 downloads )
- Thickeners - Key Safety Messages (161 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1660 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2529 downloads )
- Ciclosporin SCG Oct 2015 (1372 downloads )
- Dapsone SCG April 2016 (1238 downloads )
- Disulfram SCG (978 downloads )
- Enoxaparin SCG May 2016 (10885 downloads )
- Hydroxycarbamide Dermatology SCG (964 downloads )
- Hydroxycarbamide Haematology SCG (1173 downloads )
- Leflunomide SCG November 2015 (1457 downloads )
- LHRH analogues for prostate cancer SCG (919 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2232 downloads )
- Mycophenolate SCG June 2016 (1752 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (386 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3342 downloads )
- Sulfasalazine_SCG (437 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (215 downloads )
- NTAG Guidance (2229 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1860 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (510 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (927 downloads )
- Model Repeat Prescribing System (4225 downloads )
- Non Medical Prescribing Annual Declaration (587 downloads )
- Non Medical Prescribing Reflection (544 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (701 downloads )
- Practice Annual Non Medical Prescribing Declaration (565 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (535 downloads )
- Security of prescription forms (1128 downloads )
- What to do when Prescribers join or leave (338 downloads )