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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1890 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1281 downloads )
- Proton Pump Inhibitors Key Messages (2116 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (3196 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (904 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1584 downloads )
Respiratory system
- COPD Inhaler Decision Tool - North Cumbria (5572 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2821 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (824 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (778 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (1097 downloads )
- Buprenorphine Patch prescribing update June 2019 (1060 downloads )
- Dosulepin Prescribing Guidance (1985 downloads )
- Fentanyl prescribing update June 2019 (972 downloads )
- Just In Case Medication - patient information leaflet (1017 downloads )
- Just In Case Medication Sheet - North Cumbria (1208 downloads )
- Just In Case meds- SOP - North Cumbria (1039 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (1081 downloads )
- Just In Case Syringe Driver patient leaflet (976 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (871 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (498 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7101 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (1088 downloads )
Diabetes
Other endocrine
Obstetrics, gynaecology and urinary tract
Nutrition and blood
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1901 downloads )
- Ciclosporin SCG Oct 2015 (1691 downloads )
- Dapsone SCG April 2016 (1533 downloads )
- Disulfram SCG (1279 downloads )
- Hydroxycarbamide Dermatology SCG (1320 downloads )
- Hydroxycarbamide Haematology SCG (1528 downloads )
- LHRH analogues for prostate cancer SCG (1197 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2506 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (904 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4352 downloads )
Other guidance
- Cost Comparison Charts - User Guide (488 downloads )
- NTAG Guidance (2725 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2107 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (865 downloads )
- Non Medical Prescribing Annual Declaration (887 downloads )
- Non Medical Prescribing Reflection (851 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (981 downloads )
- Practice Annual Non Medical Prescribing Declaration (849 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (815 downloads )
- Security of prescription forms (1397 downloads )
- What to do when Prescribers join or leave (608 downloads )