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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1668 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (765 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (709 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (641 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (607 downloads )
- Prescription Pad Newsletter No.5 July 2021 (302 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (321 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (595 downloads )
- Proton Pump Inhibitors Key Messages (1367 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2428 downloads )
- Cardiovascular workplan 2022 (1716 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (776 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (486 downloads )
- North Cumbria anticoagulation guideline 2022 (605 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (979 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4493 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1415 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1148 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1740 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1098 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (470 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (420 downloads )
- Atypical Antipsychotics Key Messages (1396 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (868 downloads )
- Buprenorphine Patch prescribing update June 2019 (830 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1219 downloads )
- Dosulepin Prescribing Guidance (1740 downloads )
- Fentanyl prescribing update June 2019 (744 downloads )
- Gabapentin & Pregabalin MO Key Messages (1640 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3508 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1509 downloads )
- Hypnotics MO Key Messages (1206 downloads )
- Just In Case Medication - patient information leaflet (771 downloads )
- Just In Case Medication Sheet - North Cumbria (971 downloads )
- Just In Case meds- SOP - North Cumbria (785 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (844 downloads )
- Just In Case Syringe Driver patient leaflet (733 downloads )
- Lidocaine Patches MO Key Messages (1476 downloads )
- NSAIDs Key Messages (1634 downloads )
- Oxycodone Key Messages (1354 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (661 downloads )
- STOMP STAMP key messages (776 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (249 downloads )
- Prescribing for UTI's MO Key Messages (1804 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1399 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6558 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (870 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1458 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1735 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (785 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1739 downloads )
- PDE5 Inhibitors Prescribing Guidance (1419 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1692 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (812 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. (1123 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (900 downloads )
- Sip Feeds MO Key Messages (841 downloads )
- Thickeners - Key Safety Messages (195 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1693 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2563 downloads )
- Ciclosporin SCG Oct 2015 (1417 downloads )
- Dapsone SCG April 2016 (1284 downloads )
- Disulfram SCG (1025 downloads )
- Enoxaparin SCG May 2016 (10943 downloads )
- Hydroxycarbamide Dermatology SCG (1005 downloads )
- Hydroxycarbamide Haematology SCG (1210 downloads )
- Leflunomide SCG November 2015 (1503 downloads )
- LHRH analogues for prostate cancer SCG (963 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2266 downloads )
- Mycophenolate SCG June 2016 (1791 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (486 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3451 downloads )
- Sulfasalazine_SCG (495 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (255 downloads )
- NTAG Guidance (2330 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1892 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (556 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (962 downloads )
- Model Repeat Prescribing System (4313 downloads )
- Non Medical Prescribing Annual Declaration (625 downloads )
- Non Medical Prescribing Reflection (585 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (736 downloads )
- Practice Annual Non Medical Prescribing Declaration (600 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (575 downloads )
- Security of prescription forms (1169 downloads )
- What to do when Prescribers join or leave (377 downloads )