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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1636 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (728 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (674 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (594 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (545 downloads )
- Prescription Pad Newsletter No.5 July 2021 (246 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (277 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (456 downloads )
- Proton Pump Inhibitors Key Messages (1228 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2249 downloads )
- Cardiovascular workplan 2022 (1089 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (716 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (374 downloads )
- North Cumbria anticoagulation guideline 2022 (428 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (875 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4133 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1311 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1050 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1350 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (731 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (379 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (330 downloads )
- Atypical Antipsychotics Key Messages (1353 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (829 downloads )
- Buprenorphine Patch prescribing update June 2019 (787 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1177 downloads )
- Dosulepin Prescribing Guidance (1690 downloads )
- Fentanyl prescribing update June 2019 (698 downloads )
- Gabapentin & Pregabalin MO Key Messages (1589 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3460 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1456 downloads )
- Hypnotics MO Key Messages (1155 downloads )
- Just In Case Medication - patient information leaflet (730 downloads )
- Just In Case Medication Sheet - North Cumbria (924 downloads )
- Just In Case meds- SOP - North Cumbria (739 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (798 downloads )
- Just In Case Syringe Driver patient leaflet (678 downloads )
- Lidocaine Patches MO Key Messages (1432 downloads )
- NSAIDs Key Messages (1571 downloads )
- Oxycodone Key Messages (1295 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (617 downloads )
- STOMP STAMP key messages (728 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (208 downloads )
- Prescribing for UTI's MO Key Messages (1755 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1355 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6446 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (838 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1412 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1695 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (746 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1677 downloads )
- PDE5 Inhibitors Prescribing Guidance (1369 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1646 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (774 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. (1085 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (855 downloads )
- Sip Feeds MO Key Messages (783 downloads )
- Thickeners - Key Safety Messages (150 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1653 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2519 downloads )
- Ciclosporin SCG Oct 2015 (1359 downloads )
- Dapsone SCG April 2016 (1231 downloads )
- Disulfram SCG (957 downloads )
- Enoxaparin SCG May 2016 (10850 downloads )
- Hydroxycarbamide Dermatology SCG (950 downloads )
- Hydroxycarbamide Haematology SCG (1165 downloads )
- Leflunomide SCG November 2015 (1445 downloads )
- LHRH analogues for prostate cancer SCG (914 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2227 downloads )
- Mycophenolate SCG June 2016 (1744 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (374 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3321 downloads )
- Sulfasalazine_SCG (427 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (207 downloads )
- NTAG Guidance (2216 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1857 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (501 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (920 downloads )
- Model Repeat Prescribing System (4221 downloads )
- Non Medical Prescribing Annual Declaration (581 downloads )
- Non Medical Prescribing Reflection (534 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (697 downloads )
- Practice Annual Non Medical Prescribing Declaration (561 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (529 downloads )
- Security of prescription forms (1119 downloads )
- What to do when Prescribers join or leave (333 downloads )