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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1638 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (730 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (674 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (595 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (546 downloads )
- Prescription Pad Newsletter No.5 July 2021 (247 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (279 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (464 downloads )
- Proton Pump Inhibitors Key Messages (1235 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2259 downloads )
- Cardiovascular workplan 2022 (1112 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (718 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (374 downloads )
- North Cumbria anticoagulation guideline 2022 (436 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (877 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4150 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1313 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1054 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1365 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (749 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (380 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (332 downloads )
- Atypical Antipsychotics Key Messages (1354 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (832 downloads )
- Buprenorphine Patch prescribing update June 2019 (789 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1179 downloads )
- Dosulepin Prescribing Guidance (1691 downloads )
- Fentanyl prescribing update June 2019 (701 downloads )
- Gabapentin & Pregabalin MO Key Messages (1590 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3462 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1457 downloads )
- Hypnotics MO Key Messages (1155 downloads )
- Just In Case Medication - patient information leaflet (731 downloads )
- Just In Case Medication Sheet - North Cumbria (926 downloads )
- Just In Case meds- SOP - North Cumbria (741 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (801 downloads )
- Just In Case Syringe Driver patient leaflet (681 downloads )
- Lidocaine Patches MO Key Messages (1432 downloads )
- NSAIDs Key Messages (1574 downloads )
- Oxycodone Key Messages (1298 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (618 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 (1757 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1356 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6450 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) (1696 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (748 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1678 downloads )
- PDE5 Inhibitors Prescribing Guidance (1370 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1650 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (776 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. (1086 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (856 downloads )
- Sip Feeds MO Key Messages (785 downloads )
- Thickeners - Key Safety Messages (152 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1655 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2519 downloads )
- Ciclosporin SCG Oct 2015 (1360 downloads )
- Dapsone SCG April 2016 (1231 downloads )
- Disulfram SCG (958 downloads )
- Enoxaparin SCG May 2016 (10852 downloads )
- Hydroxycarbamide Dermatology SCG (952 downloads )
- Hydroxycarbamide Haematology SCG (1165 downloads )
- Leflunomide SCG November 2015 (1446 downloads )
- LHRH analogues for prostate cancer SCG (915 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2227 downloads )
- Mycophenolate SCG June 2016 (1745 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (374 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3325 downloads )
- Sulfasalazine_SCG (427 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (210 downloads )
- NTAG Guidance (2217 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1858 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (503 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (922 downloads )
- Model Repeat Prescribing System (4221 downloads )
- Non Medical Prescribing Annual Declaration (582 downloads )
- Non Medical Prescribing Reflection (535 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (698 downloads )
- Practice Annual Non Medical Prescribing Declaration (562 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (530 downloads )
- Security of prescription forms (1120 downloads )
- What to do when Prescribers join or leave (334 downloads )