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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1652 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (748 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (694 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (621 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (584 downloads )
- Prescription Pad Newsletter No.5 July 2021 (282 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (303 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (561 downloads )
- Proton Pump Inhibitors Key Messages (1330 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2384 downloads )
- Cardiovascular workplan 2022 (1600 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (753 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (441 downloads )
- North Cumbria anticoagulation guideline 2022 (563 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (934 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4407 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1369 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1107 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1643 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1007 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (433 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (382 downloads )
- Atypical Antipsychotics Key Messages (1377 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (851 downloads )
- Buprenorphine Patch prescribing update June 2019 (810 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1200 downloads )
- Dosulepin Prescribing Guidance (1721 downloads )
- Fentanyl prescribing update June 2019 (726 downloads )
- Gabapentin & Pregabalin MO Key Messages (1624 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3486 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1487 downloads )
- Hypnotics MO Key Messages (1192 downloads )
- Just In Case Medication - patient information leaflet (755 downloads )
- Just In Case Medication Sheet - North Cumbria (953 downloads )
- Just In Case meds- SOP - North Cumbria (764 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (826 downloads )
- Just In Case Syringe Driver patient leaflet (710 downloads )
- Lidocaine Patches MO Key Messages (1458 downloads )
- NSAIDs Key Messages (1608 downloads )
- Oxycodone Key Messages (1335 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (643 downloads )
- STOMP STAMP key messages (754 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (230 downloads )
- Prescribing for UTI's MO Key Messages (1787 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1378 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6511 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (853 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1439 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1719 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (767 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1715 downloads )
- PDE5 Inhibitors Prescribing Guidance (1401 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1673 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (792 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. (1106 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (879 downloads )
- Sip Feeds MO Key Messages (823 downloads )
- Thickeners - Key Safety Messages (178 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1678 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2548 downloads )
- Ciclosporin SCG Oct 2015 (1393 downloads )
- Dapsone SCG April 2016 (1264 downloads )
- Disulfram SCG (1007 downloads )
- Enoxaparin SCG May 2016 (10922 downloads )
- Hydroxycarbamide Dermatology SCG (987 downloads )
- Hydroxycarbamide Haematology SCG (1193 downloads )
- Leflunomide SCG November 2015 (1484 downloads )
- LHRH analogues for prostate cancer SCG (942 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2249 downloads )
- Mycophenolate SCG June 2016 (1771 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (441 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3401 downloads )
- Sulfasalazine_SCG (472 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (238 downloads )
- NTAG Guidance (2283 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1875 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (534 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (940 downloads )
- Model Repeat Prescribing System (4266 downloads )
- Non Medical Prescribing Annual Declaration (605 downloads )
- Non Medical Prescribing Reflection (565 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (717 downloads )
- Practice Annual Non Medical Prescribing Declaration (580 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (551 downloads )
- Security of prescription forms (1149 downloads )
- What to do when Prescribers join or leave (359 downloads )