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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1683 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (781 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (724 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (657 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (623 downloads )
- Prescription Pad Newsletter No.5 July 2021 (318 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (336 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (622 downloads )
- Proton Pump Inhibitors Key Messages (1392 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2459 downloads )
- Cardiovascular workplan 2022 (1798 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (795 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (526 downloads )
- North Cumbria anticoagulation guideline 2022 (637 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1009 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4566 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1443 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1177 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1808 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1176 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (504 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (455 downloads )
- Atypical Antipsychotics Key Messages (1412 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (881 downloads )
- Buprenorphine Patch prescribing update June 2019 (845 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1231 downloads )
- Dosulepin Prescribing Guidance (1756 downloads )
- Fentanyl prescribing update June 2019 (758 downloads )
- Gabapentin & Pregabalin MO Key Messages (1653 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3523 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1523 downloads )
- Hypnotics MO Key Messages (1220 downloads )
- Just In Case Medication - patient information leaflet (788 downloads )
- Just In Case Medication Sheet - North Cumbria (986 downloads )
- Just In Case meds- SOP - North Cumbria (801 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (857 downloads )
- Just In Case Syringe Driver patient leaflet (748 downloads )
- Lidocaine Patches MO Key Messages (1492 downloads )
- NSAIDs Key Messages (1654 downloads )
- Oxycodone Key Messages (1368 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (675 downloads )
- STOMP STAMP key messages (790 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (264 downloads )
- Prescribing for UTI's MO Key Messages (1818 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1415 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6595 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (884 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1473 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1750 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (801 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1755 downloads )
- PDE5 Inhibitors Prescribing Guidance (1437 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1708 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (828 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. (1139 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (915 downloads )
- Sip Feeds MO Key Messages (858 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 (1708 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2576 downloads )
- Ciclosporin SCG Oct 2015 (1432 downloads )
- Dapsone SCG April 2016 (1299 downloads )
- Disulfram SCG (1038 downloads )
- Enoxaparin SCG May 2016 (10964 downloads )
- Hydroxycarbamide Dermatology SCG (1020 downloads )
- Hydroxycarbamide Haematology SCG (1224 downloads )
- Leflunomide SCG November 2015 (1517 downloads )
- LHRH analogues for prostate cancer SCG (979 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2284 downloads )
- Mycophenolate SCG June 2016 (1804 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (526 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3491 downloads )
- Sulfasalazine_SCG (508 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (269 downloads )
- NTAG Guidance (2363 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1907 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (570 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (979 downloads )
- Model Repeat Prescribing System (4350 downloads )
- Non Medical Prescribing Annual Declaration (640 downloads )
- Non Medical Prescribing Reflection (602 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (748 downloads )
- Practice Annual Non Medical Prescribing Declaration (615 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (591 downloads )
- Security of prescription forms (1182 downloads )
- What to do when Prescribers join or leave (391 downloads )