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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1659 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (756 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (701 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (631 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (598 downloads )
- Prescription Pad Newsletter No.5 July 2021 (292 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (313 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (578 downloads )
- Proton Pump Inhibitors Key Messages (1346 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2407 downloads )
- Cardiovascular workplan 2022 (1684 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (762 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (464 downloads )
- North Cumbria anticoagulation guideline 2022 (588 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (961 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4465 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1398 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1134 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1708 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1070 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (451 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (401 downloads )
- Atypical Antipsychotics Key Messages (1388 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (859 downloads )
- Buprenorphine Patch prescribing update June 2019 (818 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1208 downloads )
- Dosulepin Prescribing Guidance (1731 downloads )
- Fentanyl prescribing update June 2019 (733 downloads )
- Gabapentin & Pregabalin MO Key Messages (1632 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3500 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1497 downloads )
- Hypnotics MO Key Messages (1198 downloads )
- Just In Case Medication - patient information leaflet (762 downloads )
- Just In Case Medication Sheet - North Cumbria (961 downloads )
- Just In Case meds- SOP - North Cumbria (775 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (835 downloads )
- Just In Case Syringe Driver patient leaflet (722 downloads )
- Lidocaine Patches MO Key Messages (1465 downloads )
- NSAIDs Key Messages (1622 downloads )
- Oxycodone Key Messages (1344 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (651 downloads )
- STOMP STAMP key messages (765 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (241 downloads )
- Prescribing for UTI's MO Key Messages (1794 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1387 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6533 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (859 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1449 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1727 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (775 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1728 downloads )
- PDE5 Inhibitors Prescribing Guidance (1409 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1682 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (802 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. (1116 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (888 downloads )
- Sip Feeds MO Key Messages (833 downloads )
- Thickeners - Key Safety Messages (186 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1684 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2556 downloads )
- Ciclosporin SCG Oct 2015 (1405 downloads )
- Dapsone SCG April 2016 (1272 downloads )
- Disulfram SCG (1015 downloads )
- Enoxaparin SCG May 2016 (10931 downloads )
- Hydroxycarbamide Dermatology SCG (997 downloads )
- Hydroxycarbamide Haematology SCG (1200 downloads )
- Leflunomide SCG November 2015 (1495 downloads )
- LHRH analogues for prostate cancer SCG (951 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2258 downloads )
- Mycophenolate SCG June 2016 (1782 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (464 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3429 downloads )
- Sulfasalazine_SCG (484 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (246 downloads )
- NTAG Guidance (2307 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1881 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (546 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (953 downloads )
- Model Repeat Prescribing System (4291 downloads )
- Non Medical Prescribing Annual Declaration (615 downloads )
- Non Medical Prescribing Reflection (574 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (725 downloads )
- Practice Annual Non Medical Prescribing Declaration (588 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (561 downloads )
- Security of prescription forms (1158 downloads )
- What to do when Prescribers join or leave (367 downloads )