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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1667 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (764 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (709 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (639 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (605 downloads )
- Prescription Pad Newsletter No.5 July 2021 (300 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (319 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (593 downloads )
- Proton Pump Inhibitors Key Messages (1365 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2419 downloads )
- Cardiovascular workplan 2022 (1707 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (773 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (482 downloads )
- North Cumbria anticoagulation guideline 2022 (602 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (977 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4489 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1412 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1145 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1733 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1091 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (467 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (415 downloads )
- Atypical Antipsychotics Key Messages (1396 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (865 downloads )
- Buprenorphine Patch prescribing update June 2019 (828 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1216 downloads )
- Dosulepin Prescribing Guidance (1739 downloads )
- Fentanyl prescribing update June 2019 (743 downloads )
- Gabapentin & Pregabalin MO Key Messages (1638 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3506 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1507 downloads )
- Hypnotics MO Key Messages (1205 downloads )
- Just In Case Medication - patient information leaflet (770 downloads )
- Just In Case Medication Sheet - North Cumbria (969 downloads )
- Just In Case meds- SOP - North Cumbria (783 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (843 downloads )
- Just In Case Syringe Driver patient leaflet (732 downloads )
- Lidocaine Patches MO Key Messages (1474 downloads )
- NSAIDs Key Messages (1630 downloads )
- Oxycodone Key Messages (1352 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (659 downloads )
- STOMP STAMP key messages (774 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (247 downloads )
- Prescribing for UTI's MO Key Messages (1802 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1396 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6550 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (867 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1456 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1734 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (783 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1738 downloads )
- PDE5 Inhibitors Prescribing Guidance (1417 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1690 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (810 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. (1121 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (899 downloads )
- Sip Feeds MO Key Messages (841 downloads )
- Thickeners - Key Safety Messages (194 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1692 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2562 downloads )
- Ciclosporin SCG Oct 2015 (1415 downloads )
- Dapsone SCG April 2016 (1281 downloads )
- Disulfram SCG (1023 downloads )
- Enoxaparin SCG May 2016 (10939 downloads )
- Hydroxycarbamide Dermatology SCG (1004 downloads )
- Hydroxycarbamide Haematology SCG (1208 downloads )
- Leflunomide SCG November 2015 (1503 downloads )
- LHRH analogues for prostate cancer SCG (961 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2265 downloads )
- Mycophenolate SCG June 2016 (1789 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (482 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3446 downloads )
- Sulfasalazine_SCG (494 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (254 downloads )
- NTAG Guidance (2325 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1891 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (554 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (962 downloads )
- Model Repeat Prescribing System (4308 downloads )
- Non Medical Prescribing Annual Declaration (623 downloads )
- Non Medical Prescribing Reflection (584 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (734 downloads )
- Practice Annual Non Medical Prescribing Declaration (599 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (573 downloads )
- Security of prescription forms (1167 downloads )
- What to do when Prescribers join or leave (376 downloads )