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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1644 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (741 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (687 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (611 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (573 downloads )
- Prescription Pad Newsletter No.5 July 2021 (273 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (293 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (530 downloads )
- Proton Pump Inhibitors Key Messages (1305 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2355 downloads )
- Cardiovascular workplan 2022 (1486 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (746 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (414 downloads )
- North Cumbria anticoagulation guideline 2022 (531 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (910 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4339 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1343 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1081 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1569 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (938 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (407 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (360 downloads )
- Atypical Antipsychotics Key Messages (1368 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (845 downloads )
- Buprenorphine Patch prescribing update June 2019 (803 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1192 downloads )
- Dosulepin Prescribing Guidance (1711 downloads )
- Fentanyl prescribing update June 2019 (717 downloads )
- Gabapentin & Pregabalin MO Key Messages (1615 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3476 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1479 downloads )
- Hypnotics MO Key Messages (1179 downloads )
- Just In Case Medication - patient information leaflet (747 downloads )
- Just In Case Medication Sheet - North Cumbria (946 downloads )
- Just In Case meds- SOP - North Cumbria (756 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (816 downloads )
- Just In Case Syringe Driver patient leaflet (702 downloads )
- Lidocaine Patches MO Key Messages (1450 downloads )
- NSAIDs Key Messages (1599 downloads )
- Oxycodone Key Messages (1325 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (636 downloads )
- STOMP STAMP key messages (747 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (222 downloads )
- Prescribing for UTI's MO Key Messages (1778 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1369 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6486 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (847 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1431 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1712 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (761 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1703 downloads )
- PDE5 Inhibitors Prescribing Guidance (1394 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1664 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (786 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. (1099 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (871 downloads )
- Sip Feeds MO Key Messages (812 downloads )
- Thickeners - Key Safety Messages (170 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1670 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2540 downloads )
- Ciclosporin SCG Oct 2015 (1384 downloads )
- Dapsone SCG April 2016 (1253 downloads )
- Disulfram SCG (996 downloads )
- Enoxaparin SCG May 2016 (10906 downloads )
- Hydroxycarbamide Dermatology SCG (978 downloads )
- Hydroxycarbamide Haematology SCG (1184 downloads )
- Leflunomide SCG November 2015 (1475 downloads )
- LHRH analogues for prostate cancer SCG (932 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2240 downloads )
- Mycophenolate SCG June 2016 (1762 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (414 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3368 downloads )
- Sulfasalazine_SCG (461 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (230 downloads )
- NTAG Guidance (2255 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1864 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (525 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (933 downloads )
- Model Repeat Prescribing System (4244 downloads )
- Non Medical Prescribing Annual Declaration (597 downloads )
- Non Medical Prescribing Reflection (557 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (709 downloads )
- Practice Annual Non Medical Prescribing Declaration (572 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (542 downloads )
- Security of prescription forms (1141 downloads )
- What to do when Prescribers join or leave (352 downloads )