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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1838 downloads )Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (1243 downloads )
- Proton Pump Inhibitors Key Messages (2078 downloads )
Cardiovascular system
- Cardiovascular workplan 2022 (2729 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (824 downloads )
- North Cumbria Warfarin Management Guidelines 2022 (1406 downloads )
Respiratory system
- COPD Inhaler Decision Tool - North Cumbria (5521 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (2061 downloads )
- North Cumbria Asthma Inhaler Decision Tool (2763 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (760 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (719 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (1046 downloads )
- Buprenorphine Patch prescribing update June 2019 (1009 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1392 downloads )
- Dosulepin Prescribing Guidance (1923 downloads )
- Fentanyl prescribing update June 2019 (913 downloads )
- Just In Case Medication - patient information leaflet (955 downloads )
- Just In Case Medication Sheet - North Cumbria (1164 downloads )
- Just In Case meds- SOP - North Cumbria (988 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (1028 downloads )
- Just In Case Syringe Driver patient leaflet (920 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (819 downloads )
- STOMP STAMP key messages (1027 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (450 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6973 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (1034 downloads )
Diabetes
Other endocrine
Obstetrics, gynaecology and urinary tract
Nutrition and blood
- Managing unintentional weight loss in adults guidelines and the appropriate prescribing of oral nutritional supplements (ONS) for adults in primary care. (351 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (346 downloads )
- Thickeners - Key Safety Messages (332 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1848 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (3099 downloads )
- Ciclosporin SCG Oct 2015 (1632 downloads )
- Dapsone SCG April 2016 (1475 downloads )
- Disulfram SCG (1224 downloads )
- Hydroxycarbamide Dermatology SCG (1268 downloads )
- Hydroxycarbamide Haematology SCG (1463 downloads )
- Leflunomide SCG November 2015 (1729 downloads )
- LHRH analogues for prostate cancer SCG (1144 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2450 downloads )
- Mycophenolate SCG June 2016 (1988 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (824 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4206 downloads )
- Sulfasalazine_SCG (701 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (440 downloads )
- NTAG Guidance (2650 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (2056 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (792 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (1147 downloads )
- Model Repeat Prescribing System (4639 downloads )
- Non Medical Prescribing Annual Declaration (814 downloads )
- Non Medical Prescribing Reflection (779 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (914 downloads )
- Practice Annual Non Medical Prescribing Declaration (775 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (751 downloads )
- Security of prescription forms (1340 downloads )
- What to do when Prescribers join or leave (548 downloads )