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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1646 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (744 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (689 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (615 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (576 downloads )
- Prescription Pad Newsletter No.5 July 2021 (277 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (299 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (540 downloads )
- Proton Pump Inhibitors Key Messages (1311 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2371 downloads )
- Cardiovascular workplan 2022 (1538 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (747 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (422 downloads )
- North Cumbria anticoagulation guideline 2022 (547 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (916 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4357 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1350 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1084 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1591 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (963 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (416 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (366 downloads )
- Atypical Antipsychotics Key Messages (1371 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (846 downloads )
- Buprenorphine Patch prescribing update June 2019 (806 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1194 downloads )
- Dosulepin Prescribing Guidance (1715 downloads )
- Fentanyl prescribing update June 2019 (720 downloads )
- Gabapentin & Pregabalin MO Key Messages (1618 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3478 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1481 downloads )
- Hypnotics MO Key Messages (1185 downloads )
- Just In Case Medication - patient information leaflet (749 downloads )
- Just In Case Medication Sheet - North Cumbria (948 downloads )
- Just In Case meds- SOP - North Cumbria (759 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (819 downloads )
- Just In Case Syringe Driver patient leaflet (705 downloads )
- Lidocaine Patches MO Key Messages (1452 downloads )
- NSAIDs Key Messages (1599 downloads )
- Oxycodone Key Messages (1327 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (639 downloads )
- STOMP STAMP key messages (748 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (223 downloads )
- Prescribing for UTI's MO Key Messages (1780 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1371 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6492 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (849 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1434 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1714 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (762 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1706 downloads )
- PDE5 Inhibitors Prescribing Guidance (1397 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1668 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (788 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. (1102 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (875 downloads )
- Sip Feeds MO Key Messages (814 downloads )
- Thickeners - Key Safety Messages (172 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1672 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2542 downloads )
- Ciclosporin SCG Oct 2015 (1386 downloads )
- Dapsone SCG April 2016 (1256 downloads )
- Disulfram SCG (998 downloads )
- Enoxaparin SCG May 2016 (10912 downloads )
- Hydroxycarbamide Dermatology SCG (981 downloads )
- Hydroxycarbamide Haematology SCG (1187 downloads )
- Leflunomide SCG November 2015 (1478 downloads )
- LHRH analogues for prostate cancer SCG (935 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2243 downloads )
- Mycophenolate SCG June 2016 (1765 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (422 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3381 downloads )
- Sulfasalazine_SCG (465 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (233 downloads )
- NTAG Guidance (2266 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1867 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (528 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (935 downloads )
- Model Repeat Prescribing System (4252 downloads )
- Non Medical Prescribing Annual Declaration (599 downloads )
- Non Medical Prescribing Reflection (561 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (712 downloads )
- Practice Annual Non Medical Prescribing Declaration (575 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (544 downloads )
- Security of prescription forms (1144 downloads )
- What to do when Prescribers join or leave (355 downloads )