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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1663 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (761 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (706 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (635 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (603 downloads )
- Prescription Pad Newsletter No.5 July 2021 (295 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (315 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (586 downloads )
- Proton Pump Inhibitors Key Messages (1356 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2414 downloads )
- Cardiovascular workplan 2022 (1695 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (767 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (473 downloads )
- North Cumbria anticoagulation guideline 2022 (597 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (968 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4474 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1404 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1139 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1718 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1079 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (458 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (409 downloads )
- Atypical Antipsychotics Key Messages (1391 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (862 downloads )
- Buprenorphine Patch prescribing update June 2019 (823 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1213 downloads )
- Dosulepin Prescribing Guidance (1734 downloads )
- Fentanyl prescribing update June 2019 (740 downloads )
- Gabapentin & Pregabalin MO Key Messages (1634 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3504 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1504 downloads )
- Hypnotics MO Key Messages (1203 downloads )
- Just In Case Medication - patient information leaflet (768 downloads )
- Just In Case Medication Sheet - North Cumbria (966 downloads )
- Just In Case meds- SOP - North Cumbria (780 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (839 downloads )
- Just In Case Syringe Driver patient leaflet (727 downloads )
- Lidocaine Patches MO Key Messages (1470 downloads )
- NSAIDs Key Messages (1626 downloads )
- Oxycodone Key Messages (1350 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (656 downloads )
- STOMP STAMP key messages (770 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (244 downloads )
- Prescribing for UTI's MO Key Messages (1798 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1392 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6543 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (863 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1451 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1731 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (778 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1734 downloads )
- PDE5 Inhibitors Prescribing Guidance (1413 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1686 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (806 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. (1118 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (893 downloads )
- Sip Feeds MO Key Messages (837 downloads )
- Thickeners - Key Safety Messages (190 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1688 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2558 downloads )
- Ciclosporin SCG Oct 2015 (1412 downloads )
- Dapsone SCG April 2016 (1277 downloads )
- Disulfram SCG (1018 downloads )
- Enoxaparin SCG May 2016 (10936 downloads )
- Hydroxycarbamide Dermatology SCG (1001 downloads )
- Hydroxycarbamide Haematology SCG (1206 downloads )
- Leflunomide SCG November 2015 (1500 downloads )
- LHRH analogues for prostate cancer SCG (956 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2262 downloads )
- Mycophenolate SCG June 2016 (1786 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (473 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3436 downloads )
- Sulfasalazine_SCG (488 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (249 downloads )
- NTAG Guidance (2315 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1886 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (550 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (958 downloads )
- Model Repeat Prescribing System (4301 downloads )
- Non Medical Prescribing Annual Declaration (620 downloads )
- Non Medical Prescribing Reflection (579 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (730 downloads )
- Practice Annual Non Medical Prescribing Declaration (593 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (568 downloads )
- Security of prescription forms (1162 downloads )
- What to do when Prescribers join or leave (372 downloads )