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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1773 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1060 downloads )
- Proton Pump Inhibitors Key Messages (1905 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2413 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (1192 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (732 downloads )
- North Cumbria anticoagulation guideline 2022 (1134 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1476 downloads )
- COPD Inhaler Decision Tool - North Cumbria (5181 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1907 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1636 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2418 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1766 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (673 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (630 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (983 downloads )
- Buprenorphine Patch prescribing update June 2019 (942 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1329 downloads )
- Dosulepin Prescribing Guidance (1859 downloads )
- Fentanyl prescribing update June 2019 (852 downloads )
- Just In Case Medication - patient information leaflet (889 downloads )
- Just In Case Medication Sheet - North Cumbria (1095 downloads )
- Just In Case meds- SOP - North Cumbria (918 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (964 downloads )
- Just In Case Syringe Driver patient leaflet (855 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (754 downloads )
- STOMP STAMP key messages (954 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (375 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6840 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (972 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. (266 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (274 downloads )
- Thickeners - Key Safety Messages (210 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1785 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2868 downloads )
- Ciclosporin SCG Oct 2015 (1553 downloads )
- Dapsone SCG April 2016 (1407 downloads )
- Disulfram SCG (1155 downloads )
- Enoxaparin SCG May 2016 (11435 downloads )
- Hydroxycarbamide Dermatology SCG (1187 downloads )
- Hydroxycarbamide Haematology SCG (1387 downloads )
- Leflunomide SCG November 2015 (1649 downloads )
- LHRH analogues for prostate cancer SCG (1073 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2381 downloads )
- Mycophenolate SCG June 2016 (1922 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (732 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4017 downloads )
- Sulfasalazine_SCG (618 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (374 downloads )
- NTAG Guidance (2553 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1992 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (715 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1076 downloads )
- Model Repeat Prescribing System (4544 downloads )
- Non Medical Prescribing Annual Declaration (748 downloads )
- Non Medical Prescribing Reflection (710 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (841 downloads )
- Practice Annual Non Medical Prescribing Declaration (707 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (688 downloads )
- Security of prescription forms (1268 downloads )
- What to do when Prescribers join or leave (481 downloads )