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/ .
Guidelines
Information on this page is hosted on behalf of the localities that formerly comprised Darlington CCG, Durham Dales, Easington & Sedgefield CCG, North Durham CCG and the former Durham & Darlington Area Prescribing Committee [Dissolved July 2019 – Responsibilities transferred to the County Durham & Tees Valley APC].
Link to resources for practices and pharmacies to support implementation
Formulary
North East and North Cumbria ICS Formulary
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- DVT Investigation Proforma & Patient Information Sheet (1510 downloads )
- DVT Pathway Information (3695 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2877 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5384 downloads )
Respiratory system
Please Note: Guidelines in this category have passed the recommended review dates and have EXPIRED. These guidelines will NOT be reviewed or renewed – so have been retained on this page to support practice pending publication of NENC ICS guidance.
- Adult Asthma Inhaler Guide (12968 downloads )
- COPD Treatment - CD&TV APC Guide (32828 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1509 downloads )
- Paediatric Asthma Inhaler Guide (6216 downloads )
Central nervous system
Pain
Mental Health
CD&TV APC-approved mental health prescribing resources are available via the PUBLICATIONS section of the Tees, Esk and Wear Valleys NHS Foundation Trust website and can be accessed from the TEWV Medicines Optimisation Interactive Guide:
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (740 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (776 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (850 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1509 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7001 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2169 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1423 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3501 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (594 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (3187 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (1025 downloads )
- Primary Care Management of Vitamin D Deficiency (5231 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3056 downloads )
- Wound Management Dressing Formulary (4316 downloads )
Immunological products and vaccines
Drug monitoring
Shared care
Any shared care guidelines (SCGs) listed below which have passed their review date will remain in use until an updated NENC ICB approved version is available, with only technical updates to address any emerging safety issues.
SCGs for medicines used in Mental Health – plus supporting policies and procedures – are also available from the PUBLICATIONS section of the Tees, Esk and Wear Valleys NHS Foundation Trust website and can be accessed from the TEWV Medicines Optimisation Interactive Guide:
- Apomorphine Shared Care Guideline (2344 downloads )
- Aripiprazole LAI – Shared Care Guideline (766 downloads )
- Atomoxetine – Shared Care Guidelines (683 downloads )
- Azathioprine Shared Care Guideline (5196 downloads )
- Ciclosporin Shared Care Guideline (3038 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2188 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1052 downloads )
- Dexamfetamine – Shared Care Guidelines (715 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (709 downloads )
- Guanfacine – Shared Care Guidelines (708 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2239 downloads )
- Leflunomide Shared Care Guideline (3398 downloads )
- Lithium – Shared Care Guidelines (754 downloads )
- Melatonin – Shared Care Guideline (868 downloads )
- Mercaptopurine Shared Care Guideline (2987 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (596 downloads )
- Methotrexate Shared Care Guideline (11258 downloads )
- Methylphenidate – Shared Care Guidelines (787 downloads )
- Mycophenolate Shared Care Guideline (3377 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4226 downloads )
- Paliperidone LAI – Shared Care Guidelines (662 downloads )
- Safe Transfer of Prescribing - TEWV (686 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (700 downloads )
- Sulfasalazine Shared Care Guideline (4848 downloads )
- Valproate – Shared Care Guidelines (719 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3056 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (1069 downloads )
- CD&TV Stoma Accessories Guide (1333 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1109 downloads )
- NTAG Guidance (2673 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4653 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (973 downloads )
- Monitored Dosage Systems - County Durham Review Form (767 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (737 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1313 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1339 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1617 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1602 downloads )
- Self-Care OTC Guidance (1050 downloads )