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 This has been superseded by the North East and North Cumbria ICS Formulary: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 (1678 downloads )North Cumbria MOC Prescription Pad Newsletter
- Prescription Pad Newsletter No.1 August 2019 (775 downloads )
- Prescription Pad Newsletter No.2 Oct 2019 (721 downloads )
- Prescription Pad Newsletter No.3 Dec 2019 (651 downloads )
- Prescription Pad Newsletter No.4 Feb 2020 (618 downloads )
- Prescription Pad Newsletter No.5 July 2021 (315 downloads )
- Prescription Pad Newsletter No.6 Jan 2022 (332 downloads )
Gastro-intestinal system
- A practice guide to reviewing requests for Liquid PPIs including unlicensed Specials Sept 20 v4 (610 downloads )
- Proton Pump Inhibitors Key Messages (1382 downloads )
Cardiovascular system
- Anticoagulation Decision Support Tool June 16 (2450 downloads )
- Cardiovascular workplan 2022 (1764 downloads )
- NCIC Metolazone prescribing and monitoring guideline Dec 2019 (788 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (516 downloads )
- North Cumbria anticoagulation guideline 2022 (626 downloads )
Respiratory system
- Adults doses of inhaled corticosteroids - June 19 (997 downloads )
- COPD Inhaler Decision Tool - North Cumbria (4539 downloads )
- ICS inhalers for Asthma and COPD prescribing update May 2019 (1428 downloads )
- Management of acute exacerbation of COPD - North Cumbria (1160 downloads )
- North Cumbria Asthma Inhaler Decision Tool (1778 downloads )
- Paediatric Doses of inhaled corticosteroids - June 19 (1142 downloads )
Central nervous system
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (492 downloads )
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (444 downloads )
- Atypical Antipsychotics Key Messages (1406 downloads )
- Buccal Midazolam & Rectal Diazepam guidelines Aug 2018 (876 downloads )
- Buprenorphine Patch prescribing update June 2019 (840 downloads )
- Co-Proxamol Prescribing Guideline 2013 (1226 downloads )
- Dosulepin Prescribing Guidance (1749 downloads )
- Fentanyl prescribing update June 2019 (754 downloads )
- Gabapentin & Pregabalin MO Key Messages (1649 downloads )
- Hypnotic Prescribing - Reducing and Stopping Detail Aid (3518 downloads )
- Hypnotics - Reducing and Stopping: A Practice Guide (1518 downloads )
- Hypnotics MO Key Messages (1216 downloads )
- Just In Case Medication - patient information leaflet (782 downloads )
- Just In Case Medication Sheet - North Cumbria (982 downloads )
- Just In Case meds- SOP - North Cumbria (796 downloads )
- Just In Case Syringe Driver Authorisation Sheet - North Cumbria (853 downloads )
- Just In Case Syringe Driver patient leaflet (743 downloads )
- Lidocaine Patches MO Key Messages (1488 downloads )
- NSAIDs Key Messages (1649 downloads )
- Oxycodone Key Messages (1364 downloads )
- Primary Care guide on the prescribing and administration of Buccal Midazolam and Rectal Diazepam in young people and adults. (671 downloads )
- STOMP STAMP key messages (787 downloads )
Infections and antibiotics
- Antibiotic items per STAR PU message (260 downloads )
- Prescribing for UTI's MO Key Messages (1813 downloads )
- Prescribing of Co-amoxiclav, Cephalosporins & Quinolones Key Messages (1411 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6579 downloads )
- UTI Assessment tool for care homes and the elderly (to dip or not to dip) (879 downloads )
Diabetes
- Blood Glucose Testing Strips MO Key Messages (1466 downloads )
- Guidelines on Self Monitoring of Blood Glucose (SMBG) (1745 downloads )
- North Cumbria Blood Glucose Testing Strips Implementation Guide - Sept 2019 (795 downloads )
Other endocrine
Obstetrics, gynaecology and urinary tract
- Oral Contraceptives and Acne (1750 downloads )
- PDE5 Inhibitors Prescribing Guidance (1431 downloads )
- Treatment of Overactive Bladder (OAB) in Women (1703 downloads )
- UTI care home assessment tool "to dip or not to dip" Dec 2018 (821 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. (1135 downloads )
- Managing unintentional weight loss in adults quick reference guide - North Cumbria (909 downloads )
- Sip Feeds MO Key Messages (854 downloads )
- Thickeners - Key Safety Messages (206 downloads )
Musculoskeletal and joint diseases
Ear, nose and throat
Eye
Skin
Immunological products and vaccines
Drug Monitoring
Shared care
- Antipsychotics SCG (1703 downloads )
- Azathioprine Mercaptopurine SCG Oct 2015 (2571 downloads )
- Ciclosporin SCG Oct 2015 (1427 downloads )
- Dapsone SCG April 2016 (1293 downloads )
- Disulfram SCG (1033 downloads )
- Enoxaparin SCG May 2016 (10957 downloads )
- Hydroxycarbamide Dermatology SCG (1015 downloads )
- Hydroxycarbamide Haematology SCG (1220 downloads )
- Leflunomide SCG November 2015 (1512 downloads )
- LHRH analogues for prostate cancer SCG (973 downloads )
- Methotrexate Shared Care Guideline Jan 2020 (2279 downloads )
- Mycophenolate SCG June 2016 (1801 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (516 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3477 downloads )
- Sulfasalazine_SCG (504 downloads )
Specials
Other guidance
- Cost Comparison Charts - User Guide (265 downloads )
- NTAG Guidance (2353 downloads )
- Useful prescribing information - a guide for prescribers - Cumbria (1902 downloads )
Prescribing systems and processes
- Cumbria CQC - Managing Medicines in General Practice a resource to support CQC inspection (565 downloads )
- Electronic Repeat Dispensing (eRD) Key Messages (973 downloads )
- Model Repeat Prescribing System (4339 downloads )
- Non Medical Prescribing Annual Declaration (635 downloads )
- Non Medical Prescribing Reflection (598 downloads )
- North Cumbria CCG Primary Care Non-Medical Prescribing Policy Dec 19 (744 downloads )
- Practice Annual Non Medical Prescribing Declaration (608 downloads )
- Recording Non-Primary-Care Medicines in the EMIS clinical system (585 downloads )
- Security of prescription forms (1177 downloads )
- What to do when Prescribers join or leave (386 downloads )