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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1649 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 (579 downloads )
- Prescription Pad Newsletter No.5 July 2021 (279 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 (544 downloads )
- Proton Pump Inhibitors Key Messages (1317 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2376 downloads )
- Cardiovascular workplan 2022 (1562 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (751 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (429 downloads )
- North Cumbria anticoagulation guideline 2022 (556 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (923 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4377 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1356 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1093 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1611 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (986 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (422 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (370 downloads )
- Atypical Antipsychotics Key Messages (1371 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (849 downloads )
- Buprenorphine Patch prescribing update June 2019 (807 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1196 downloads )
- Dosulepin Prescribing Guidance (1717 downloads )
- Fentanyl prescribing update June 2019 (722 downloads )
- Gabapentin & Pregabalin MO Key Messages (1619 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3479 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1483 downloads )
- Hypnotics MO Key Messages (1188 downloads )
- Just In Case Medication - patient information leaflet (751 downloads )
- Just In Case Medication Sheet - North Cumbria (949 downloads )
- Just In Case meds- SOP - North Cumbria (761 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (822 downloads )
- Just In Case Syringe Driver patient leaflet (707 downloads )
- Lidocaine Patches MO Key Messages (1454 downloads )
- NSAIDs Key Messages (1601 downloads )
- Oxycodone Key Messages (1332 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 (749 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (226 downloads )
- Prescribing for UTI's MO Key Messages (1782 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1375 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 (1707 downloads )
- PDE5 Inhibitors Prescribing Guidance (1398 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1669 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (790 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 (876 downloads )
- Sip Feeds MO Key Messages (817 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 (1673 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2545 downloads )
- Ciclosporin SCG Oct 2015 (1389 downloads )
- Dapsone SCG April 2016 (1258 downloads )
- Disulfram SCG (999 downloads )
- Enoxaparin SCG May 2016 (10916 downloads )
- Hydroxycarbamide Dermatology SCG (982 downloads )
- Hydroxycarbamide Haematology SCG (1189 downloads )
- Leflunomide SCG November 2015 (1480 downloads )
- LHRH analogues for prostate cancer SCG (937 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2245 downloads )
- Mycophenolate SCG June 2016 (1765 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (429 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3383 downloads )
- Sulfasalazine_SCG (466 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (235 downloads )
- NTAG Guidance (2269 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 (530 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (938 downloads )
- Model Repeat Prescribing System (4258 downloads )
- Non Medical Prescribing Annual Declaration (601 downloads )
- Non Medical Prescribing Reflection (562 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (713 downloads )
- Practice Annual Non Medical Prescribing Declaration (576 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (546 downloads )
- Security of prescription forms (1147 downloads )
- What to do when Prescribers join or leave (355 downloads )