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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1650 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (745 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (691 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (618 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (581 downloads )
- Prescription Pad Newsletter No.5 July 2021 (280 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (300 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (546 downloads )
- Proton Pump Inhibitors Key Messages (1319 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2377 downloads )
- Cardiovascular workplan 2022 (1567 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (752 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (431 downloads )
- North Cumbria anticoagulation guideline 2022 (558 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (925 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4386 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1359 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1094 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1617 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (989 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (423 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (372 downloads )
- Atypical Antipsychotics Key Messages (1373 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (849 downloads )
- Buprenorphine Patch prescribing update June 2019 (808 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1198 downloads )
- Dosulepin Prescribing Guidance (1717 downloads )
- Fentanyl prescribing update June 2019 (723 downloads )
- Gabapentin & Pregabalin MO Key Messages (1621 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3483 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1484 downloads )
- Hypnotics MO Key Messages (1189 downloads )
- Just In Case Medication - patient information leaflet (752 downloads )
- Just In Case Medication Sheet - North Cumbria (950 downloads )
- Just In Case meds- SOP - North Cumbria (762 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (823 downloads )
- Just In Case Syringe Driver patient leaflet (707 downloads )
- Lidocaine Patches MO Key Messages (1455 downloads )
- NSAIDs Key Messages (1602 downloads )
- Oxycodone Key Messages (1333 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (641 downloads )
- STOMP STAMP key messages (751 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (227 downloads )
- Prescribing for UTI's MO Key Messages (1784 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1376 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6499 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (851 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1436 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1716 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (764 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1708 downloads )
- PDE5 Inhibitors Prescribing Guidance (1400 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1671 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (791 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. (1103 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (877 downloads )
- Sip Feeds MO Key Messages (819 downloads )
- Thickeners - Key Safety Messages (174 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1675 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2545 downloads )
- Ciclosporin SCG Oct 2015 (1389 downloads )
- Dapsone SCG April 2016 (1258 downloads )
- Disulfram SCG (1002 downloads )
- Enoxaparin SCG May 2016 (10917 downloads )
- Hydroxycarbamide Dermatology SCG (982 downloads )
- Hydroxycarbamide Haematology SCG (1189 downloads )
- Leflunomide SCG November 2015 (1481 downloads )
- LHRH analogues for prostate cancer SCG (938 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2247 downloads )
- Mycophenolate SCG June 2016 (1766 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (431 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3384 downloads )
- Sulfasalazine_SCG (467 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (235 downloads )
- NTAG Guidance (2270 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1870 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (530 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (938 downloads )
- Model Repeat Prescribing System (4260 downloads )
- Non Medical Prescribing Annual Declaration (601 downloads )
- Non Medical Prescribing Reflection (563 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (714 downloads )
- Practice Annual Non Medical Prescribing Declaration (576 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (547 downloads )
- Security of prescription forms (1147 downloads )
- What to do when Prescribers join or leave (355 downloads )