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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1641 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (735 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (682 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (605 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (568 downloads )
- Prescription Pad Newsletter No.5 July 2021 (267 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (285 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (515 downloads )
- Proton Pump Inhibitors Key Messages (1290 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2341 downloads )
- Cardiovascular workplan 2022 (1443 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (740 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (396 downloads )
- North Cumbria anticoagulation guideline 2022 (519 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (901 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4313 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1335 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1068 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1541 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (917 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (397 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (347 downloads )
- Atypical Antipsychotics Key Messages (1363 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (839 downloads )
- Buprenorphine Patch prescribing update June 2019 (798 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1188 downloads )
- Dosulepin Prescribing Guidance (1706 downloads )
- Fentanyl prescribing update June 2019 (710 downloads )
- Gabapentin & Pregabalin MO Key Messages (1611 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3471 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1471 downloads )
- Hypnotics MO Key Messages (1172 downloads )
- Just In Case Medication - patient information leaflet (742 downloads )
- Just In Case Medication Sheet - North Cumbria (937 downloads )
- Just In Case meds- SOP - North Cumbria (752 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (812 downloads )
- Just In Case Syringe Driver patient leaflet (692 downloads )
- Lidocaine Patches MO Key Messages (1446 downloads )
- NSAIDs Key Messages (1591 downloads )
- Oxycodone Key Messages (1316 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (632 downloads )
- STOMP STAMP key messages (740 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (215 downloads )
- Prescribing for UTI's MO Key Messages (1773 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1365 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6471 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (843 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1426 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1703 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (754 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1696 downloads )
- PDE5 Inhibitors Prescribing Guidance (1389 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1658 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (781 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. (1095 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (866 downloads )
- Sip Feeds MO Key Messages (807 downloads )
- Thickeners - Key Safety Messages (166 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1665 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2534 downloads )
- Ciclosporin SCG Oct 2015 (1378 downloads )
- Dapsone SCG April 2016 (1248 downloads )
- Disulfram SCG (991 downloads )
- Enoxaparin SCG May 2016 (10900 downloads )
- Hydroxycarbamide Dermatology SCG (972 downloads )
- Hydroxycarbamide Haematology SCG (1180 downloads )
- Leflunomide SCG November 2015 (1468 downloads )
- LHRH analogues for prostate cancer SCG (928 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2236 downloads )
- Mycophenolate SCG June 2016 (1758 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (396 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3356 downloads )
- Sulfasalazine_SCG (452 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (223 downloads )
- NTAG Guidance (2244 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1861 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (518 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (929 downloads )
- Model Repeat Prescribing System (4234 downloads )
- Non Medical Prescribing Annual Declaration (592 downloads )
- Non Medical Prescribing Reflection (551 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (704 downloads )
- Practice Annual Non Medical Prescribing Declaration (568 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (538 downloads )
- Security of prescription forms (1136 downloads )
- What to do when Prescribers join or leave (347 downloads )