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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1653 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (750 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (697 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (621 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (588 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 (564 downloads )
- Proton Pump Inhibitors Key Messages (1332 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2387 downloads )
- Cardiovascular workplan 2022 (1621 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (754 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (447 downloads )
- North Cumbria anticoagulation guideline 2022 (567 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (939 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4418 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1374 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1110 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1653 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1024 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (437 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (386 downloads )
- Atypical Antipsychotics Key Messages (1379 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (853 downloads )
- Buprenorphine Patch prescribing update June 2019 (810 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1200 downloads )
- Dosulepin Prescribing Guidance (1723 downloads )
- Fentanyl prescribing update June 2019 (727 downloads )
- Gabapentin & Pregabalin MO Key Messages (1624 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3487 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1488 downloads )
- Hypnotics MO Key Messages (1192 downloads )
- Just In Case Medication - patient information leaflet (756 downloads )
- Just In Case Medication Sheet - North Cumbria (955 downloads )
- Just In Case meds- SOP - North Cumbria (765 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (826 downloads )
- Just In Case Syringe Driver patient leaflet (712 downloads )
- Lidocaine Patches MO Key Messages (1460 downloads )
- NSAIDs Key Messages (1611 downloads )
- Oxycodone Key Messages (1336 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (645 downloads )
- STOMP STAMP key messages (754 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (231 downloads )
- Prescribing for UTI's MO Key Messages (1788 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1379 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6517 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 (1440 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1721 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (767 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1717 downloads )
- PDE5 Inhibitors Prescribing Guidance (1402 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1673 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (794 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. (1107 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (881 downloads )
- Sip Feeds MO Key Messages (824 downloads )
- Thickeners - Key Safety Messages (179 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 (2549 downloads )
- Ciclosporin SCG Oct 2015 (1394 downloads )
- Dapsone SCG April 2016 (1265 downloads )
- Disulfram SCG (1009 downloads )
- Enoxaparin SCG May 2016 (10922 downloads )
- Hydroxycarbamide Dermatology SCG (988 downloads )
- Hydroxycarbamide Haematology SCG (1193 downloads )
- Leflunomide SCG November 2015 (1486 downloads )
- LHRH analogues for prostate cancer SCG (943 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2250 downloads )
- Mycophenolate SCG June 2016 (1772 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (447 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3407 downloads )
- Sulfasalazine_SCG (474 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (239 downloads )
- NTAG Guidance (2291 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 (537 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (942 downloads )
- Model Repeat Prescribing System (4271 downloads )
- Non Medical Prescribing Annual Declaration (608 downloads )
- Non Medical Prescribing Reflection (567 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (718 downloads )
- Practice Annual Non Medical Prescribing Declaration (581 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (553 downloads )
- Security of prescription forms (1151 downloads )
- What to do when Prescribers join or leave (360 downloads )