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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1642 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (737 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (683 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (607 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (571 downloads )
- Prescription Pad Newsletter No.5 July 2021 (272 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (290 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (528 downloads )
- Proton Pump Inhibitors Key Messages (1303 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2348 downloads )
- Cardiovascular workplan 2022 (1461 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (742 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (405 downloads )
- North Cumbria anticoagulation guideline 2022 (522 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (909 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4322 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1338 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1072 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1553 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (928 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (403 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (351 downloads )
- Atypical Antipsychotics Key Messages (1366 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (842 downloads )
- Buprenorphine Patch prescribing update June 2019 (800 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1190 downloads )
- Dosulepin Prescribing Guidance (1708 downloads )
- Fentanyl prescribing update June 2019 (714 downloads )
- Gabapentin & Pregabalin MO Key Messages (1613 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3472 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1476 downloads )
- Hypnotics MO Key Messages (1176 downloads )
- Just In Case Medication - patient information leaflet (745 downloads )
- Just In Case Medication Sheet - North Cumbria (942 downloads )
- Just In Case meds- SOP - North Cumbria (753 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (814 downloads )
- Just In Case Syringe Driver patient leaflet (698 downloads )
- Lidocaine Patches MO Key Messages (1448 downloads )
- NSAIDs Key Messages (1595 downloads )
- Oxycodone Key Messages (1322 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (633 downloads )
- STOMP STAMP key messages (744 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (218 downloads )
- Prescribing for UTI's MO Key Messages (1774 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1366 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6477 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (844 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1430 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1707 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (758 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1699 downloads )
- PDE5 Inhibitors Prescribing Guidance (1391 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1662 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (784 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. (1096 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (868 downloads )
- Sip Feeds MO Key Messages (810 downloads )
- Thickeners - Key Safety Messages (169 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1668 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2537 downloads )
- Ciclosporin SCG Oct 2015 (1379 downloads )
- Dapsone SCG April 2016 (1252 downloads )
- Disulfram SCG (994 downloads )
- Enoxaparin SCG May 2016 (10904 downloads )
- Hydroxycarbamide Dermatology SCG (977 downloads )
- Hydroxycarbamide Haematology SCG (1182 downloads )
- Leflunomide SCG November 2015 (1471 downloads )
- LHRH analogues for prostate cancer SCG (929 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2239 downloads )
- Mycophenolate SCG June 2016 (1759 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (405 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3362 downloads )
- Sulfasalazine_SCG (455 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (229 downloads )
- NTAG Guidance (2249 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1863 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (522 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (931 downloads )
- Model Repeat Prescribing System (4241 downloads )
- Non Medical Prescribing Annual Declaration (594 downloads )
- Non Medical Prescribing Reflection (554 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (707 downloads )
- Practice Annual Non Medical Prescribing Declaration (569 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (539 downloads )
- Security of prescription forms (1139 downloads )
- What to do when Prescribers join or leave (349 downloads )