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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1675 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (771 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (717 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (649 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (615 downloads )
- Prescription Pad Newsletter No.5 July 2021 (308 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (329 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (606 downloads )
- Proton Pump Inhibitors Key Messages (1379 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2442 downloads )
- Cardiovascular workplan 2022 (1743 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (785 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (508 downloads )
- North Cumbria anticoagulation guideline 2022 (620 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (987 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4520 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1423 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1155 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1759 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1125 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (484 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (437 downloads )
- Atypical Antipsychotics Key Messages (1404 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (874 downloads )
- Buprenorphine Patch prescribing update June 2019 (837 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1224 downloads )
- Dosulepin Prescribing Guidance (1747 downloads )
- Fentanyl prescribing update June 2019 (752 downloads )
- Gabapentin & Pregabalin MO Key Messages (1646 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3515 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1514 downloads )
- Hypnotics MO Key Messages (1213 downloads )
- Just In Case Medication - patient information leaflet (779 downloads )
- Just In Case Medication Sheet - North Cumbria (978 downloads )
- Just In Case meds- SOP - North Cumbria (793 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (849 downloads )
- Just In Case Syringe Driver patient leaflet (740 downloads )
- Lidocaine Patches MO Key Messages (1483 downloads )
- NSAIDs Key Messages (1645 downloads )
- Oxycodone Key Messages (1361 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (667 downloads )
- STOMP STAMP key messages (783 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (257 downloads )
- Prescribing for UTI's MO Key Messages (1810 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1405 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6573 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (876 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1464 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1741 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (792 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1746 downloads )
- PDE5 Inhibitors Prescribing Guidance (1428 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1700 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (820 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. (1131 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (905 downloads )
- Sip Feeds MO Key Messages (850 downloads )
- Thickeners - Key Safety Messages (202 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1701 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2569 downloads )
- Ciclosporin SCG Oct 2015 (1425 downloads )
- Dapsone SCG April 2016 (1291 downloads )
- Disulfram SCG (1031 downloads )
- Enoxaparin SCG May 2016 (10952 downloads )
- Hydroxycarbamide Dermatology SCG (1013 downloads )
- Hydroxycarbamide Haematology SCG (1216 downloads )
- Leflunomide SCG November 2015 (1509 downloads )
- LHRH analogues for prostate cancer SCG (970 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2275 downloads )
- Mycophenolate SCG June 2016 (1798 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (508 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3465 downloads )
- Sulfasalazine_SCG (502 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (261 downloads )
- NTAG Guidance (2345 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1898 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (561 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (970 downloads )
- Model Repeat Prescribing System (4330 downloads )
- Non Medical Prescribing Annual Declaration (633 downloads )
- Non Medical Prescribing Reflection (594 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (741 downloads )
- Practice Annual Non Medical Prescribing Declaration (607 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (582 downloads )
- Security of prescription forms (1175 downloads )
- What to do when Prescribers join or leave (383 downloads )