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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1655 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (754 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (698 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (626 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (593 downloads )
- Prescription Pad Newsletter No.5 July 2021 (288 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (308 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (572 downloads )
- Proton Pump Inhibitors Key Messages (1340 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2395 downloads )
- Cardiovascular workplan 2022 (1657 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (756 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (456 downloads )
- North Cumbria anticoagulation guideline 2022 (575 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (950 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4448 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1387 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1121 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1683 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1046 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (444 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (393 downloads )
- Atypical Antipsychotics Key Messages (1381 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (856 downloads )
- Buprenorphine Patch prescribing update June 2019 (814 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1203 downloads )
- Dosulepin Prescribing Guidance (1724 downloads )
- Fentanyl prescribing update June 2019 (731 downloads )
- Gabapentin & Pregabalin MO Key Messages (1628 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3495 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1494 downloads )
- Hypnotics MO Key Messages (1195 downloads )
- Just In Case Medication - patient information leaflet (759 downloads )
- Just In Case Medication Sheet - North Cumbria (958 downloads )
- Just In Case meds- SOP - North Cumbria (770 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (832 downloads )
- Just In Case Syringe Driver patient leaflet (716 downloads )
- Lidocaine Patches MO Key Messages (1461 downloads )
- NSAIDs Key Messages (1615 downloads )
- Oxycodone Key Messages (1339 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (647 downloads )
- STOMP STAMP key messages (759 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (236 downloads )
- Prescribing for UTI's MO Key Messages (1791 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1381 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) (856 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1445 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1723 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (771 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1723 downloads )
- PDE5 Inhibitors Prescribing Guidance (1405 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1677 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (796 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. (1110 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (883 downloads )
- Sip Feeds MO Key Messages (827 downloads )
- Thickeners - Key Safety Messages (182 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1681 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2552 downloads )
- Ciclosporin SCG Oct 2015 (1402 downloads )
- Dapsone SCG April 2016 (1269 downloads )
- Disulfram SCG (1012 downloads )
- Enoxaparin SCG May 2016 (10925 downloads )
- Hydroxycarbamide Dermatology SCG (992 downloads )
- Hydroxycarbamide Haematology SCG (1197 downloads )
- Leflunomide SCG November 2015 (1489 downloads )
- LHRH analogues for prostate cancer SCG (946 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2254 downloads )
- Mycophenolate SCG June 2016 (1775 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (456 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3417 downloads )
- Sulfasalazine_SCG (479 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (242 downloads )
- NTAG Guidance (2299 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1878 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (540 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (948 downloads )
- Model Repeat Prescribing System (4280 downloads )
- Non Medical Prescribing Annual Declaration (610 downloads )
- Non Medical Prescribing Reflection (570 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (721 downloads )
- Practice Annual Non Medical Prescribing Declaration (585 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (557 downloads )
- Security of prescription forms (1155 downloads )
- What to do when Prescribers join or leave (364 downloads )