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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (747 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (693 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (620 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (582 downloads )
- Prescription Pad Newsletter No.5 July 2021 (280 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (302 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (550 downloads )
- Proton Pump Inhibitors Key Messages (1320 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2380 downloads )
- Cardiovascular workplan 2022 (1585 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (752 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (433 downloads )
- North Cumbria anticoagulation guideline 2022 (559 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (930 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4393 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1365 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1099 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1629 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (997 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (424 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (374 downloads )
- Atypical Antipsychotics Key Messages (1374 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (850 downloads )
- Buprenorphine Patch prescribing update June 2019 (809 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1199 downloads )
- Dosulepin Prescribing Guidance (1719 downloads )
- Fentanyl prescribing update June 2019 (724 downloads )
- Gabapentin & Pregabalin MO Key Messages (1622 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3485 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1485 downloads )
- Hypnotics MO Key Messages (1190 downloads )
- Just In Case Medication - patient information leaflet (753 downloads )
- Just In Case Medication Sheet - North Cumbria (952 downloads )
- Just In Case meds- SOP - North Cumbria (762 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (825 downloads )
- Just In Case Syringe Driver patient leaflet (708 downloads )
- Lidocaine Patches MO Key Messages (1456 downloads )
- NSAIDs Key Messages (1607 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. (642 downloads )
- STOMP STAMP key messages (752 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (229 downloads )
- Prescribing for UTI's MO Key Messages (1785 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1376 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6502 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (852 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1436 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1718 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (766 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1713 downloads )
- PDE5 Inhibitors Prescribing Guidance (1400 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1672 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. (1105 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (878 downloads )
- Sip Feeds MO Key Messages (820 downloads )
- Thickeners - Key Safety Messages (175 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1676 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2546 downloads )
- Ciclosporin SCG Oct 2015 (1391 downloads )
- Dapsone SCG April 2016 (1260 downloads )
- Disulfram SCG (1003 downloads )
- Enoxaparin SCG May 2016 (10920 downloads )
- Hydroxycarbamide Dermatology SCG (985 downloads )
- Hydroxycarbamide Haematology SCG (1191 downloads )
- Leflunomide SCG November 2015 (1482 downloads )
- LHRH analogues for prostate cancer SCG (940 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2247 downloads )
- Mycophenolate SCG June 2016 (1768 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (433 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3390 downloads )
- Sulfasalazine_SCG (470 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (236 downloads )
- NTAG Guidance (2276 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1873 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (531 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (939 downloads )
- Model Repeat Prescribing System (4260 downloads )
- Non Medical Prescribing Annual Declaration (603 downloads )
- Non Medical Prescribing Reflection (564 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (716 downloads )
- Practice Annual Non Medical Prescribing Declaration (579 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (549 downloads )
- Security of prescription forms (1147 downloads )
- What to do when Prescribers join or leave (358 downloads )