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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1684 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (781 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (725 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (658 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (624 downloads )
- Prescription Pad Newsletter No.5 July 2021 (319 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (337 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (624 downloads )
- Proton Pump Inhibitors Key Messages (1393 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2466 downloads )
- Cardiovascular workplan 2022 (1808 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (796 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (535 downloads )
- North Cumbria anticoagulation guideline 2022 (645 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (1016 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4576 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1450 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1183 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1819 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1187 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (506 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (461 downloads )
- Atypical Antipsychotics Key Messages (1413 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (882 downloads )
- Buprenorphine Patch prescribing update June 2019 (846 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1233 downloads )
- Dosulepin Prescribing Guidance (1757 downloads )
- Fentanyl prescribing update June 2019 (762 downloads )
- Gabapentin & Pregabalin MO Key Messages (1655 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3524 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1525 downloads )
- Hypnotics MO Key Messages (1221 downloads )
- Just In Case Medication - patient information leaflet (789 downloads )
- Just In Case Medication Sheet - North Cumbria (987 downloads )
- Just In Case meds- SOP - North Cumbria (802 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (858 downloads )
- Just In Case Syringe Driver patient leaflet (749 downloads )
- Lidocaine Patches MO Key Messages (1493 downloads )
- NSAIDs Key Messages (1655 downloads )
- Oxycodone Key Messages (1370 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (676 downloads )
- STOMP STAMP key messages (790 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (265 downloads )
- Prescribing for UTI's MO Key Messages (1819 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1416 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6601 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (885 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1474 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1752 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (802 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1756 downloads )
- PDE5 Inhibitors Prescribing Guidance (1439 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1709 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (829 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. (1140 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (916 downloads )
- Sip Feeds MO Key Messages (860 downloads )
- Thickeners - Key Safety Messages (212 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1709 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2577 downloads )
- Ciclosporin SCG Oct 2015 (1433 downloads )
- Dapsone SCG April 2016 (1302 downloads )
- Disulfram SCG (1040 downloads )
- Enoxaparin SCG May 2016 (10968 downloads )
- Hydroxycarbamide Dermatology SCG (1021 downloads )
- Hydroxycarbamide Haematology SCG (1226 downloads )
- Leflunomide SCG November 2015 (1518 downloads )
- LHRH analogues for prostate cancer SCG (980 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2285 downloads )
- Mycophenolate SCG June 2016 (1806 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (535 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3497 downloads )
- Sulfasalazine_SCG (508 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (270 downloads )
- NTAG Guidance (2370 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 (571 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (979 downloads )
- Model Repeat Prescribing System (4358 downloads )
- Non Medical Prescribing Annual Declaration (641 downloads )
- Non Medical Prescribing Reflection (604 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (749 downloads )
- Practice Annual Non Medical Prescribing Declaration (617 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (593 downloads )
- Security of prescription forms (1184 downloads )
- What to do when Prescribers join or leave (392 downloads )