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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1672 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (770 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (715 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (647 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (610 downloads )
- Prescription Pad Newsletter No.5 July 2021 (306 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (326 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (600 downloads )
- Proton Pump Inhibitors Key Messages (1374 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2436 downloads )
- Cardiovascular workplan 2022 (1730 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (782 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (499 downloads )
- North Cumbria anticoagulation guideline 2022 (614 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (983 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4507 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1420 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1151 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1750 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1114 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (477 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (432 downloads )
- Atypical Antipsychotics Key Messages (1401 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (871 downloads )
- Buprenorphine Patch prescribing update June 2019 (834 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1221 downloads )
- Dosulepin Prescribing Guidance (1743 downloads )
- Fentanyl prescribing update June 2019 (750 downloads )
- Gabapentin & Pregabalin MO Key Messages (1644 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3513 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1513 downloads )
- Hypnotics MO Key Messages (1211 downloads )
- Just In Case Medication - patient information leaflet (775 downloads )
- Just In Case Medication Sheet - North Cumbria (976 downloads )
- Just In Case meds- SOP - North Cumbria (790 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (846 downloads )
- Just In Case Syringe Driver patient leaflet (737 downloads )
- Lidocaine Patches MO Key Messages (1482 downloads )
- NSAIDs Key Messages (1642 downloads )
- Oxycodone Key Messages (1358 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (666 downloads )
- STOMP STAMP key messages (781 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (254 downloads )
- Prescribing for UTI's MO Key Messages (1808 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1403 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6567 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (873 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1462 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1740 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (788 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1744 downloads )
- PDE5 Inhibitors Prescribing Guidance (1425 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1696 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (818 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. (1129 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (902 downloads )
- Sip Feeds MO Key Messages (848 downloads )
- Thickeners - Key Safety Messages (201 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1699 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2566 downloads )
- Ciclosporin SCG Oct 2015 (1423 downloads )
- Dapsone SCG April 2016 (1289 downloads )
- Disulfram SCG (1029 downloads )
- Enoxaparin SCG May 2016 (10949 downloads )
- Hydroxycarbamide Dermatology SCG (1010 downloads )
- Hydroxycarbamide Haematology SCG (1213 downloads )
- Leflunomide SCG November 2015 (1507 downloads )
- LHRH analogues for prostate cancer SCG (967 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2271 downloads )
- Mycophenolate SCG June 2016 (1795 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (499 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3459 downloads )
- Sulfasalazine_SCG (499 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (257 downloads )
- NTAG Guidance (2340 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1895 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (559 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (967 downloads )
- Model Repeat Prescribing System (4323 downloads )
- Non Medical Prescribing Annual Declaration (629 downloads )
- Non Medical Prescribing Reflection (590 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (739 downloads )
- Practice Annual Non Medical Prescribing Declaration (604 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (581 downloads )
- Security of prescription forms (1174 downloads )
- What to do when Prescribers join or leave (381 downloads )