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 former County Durham & Tees Valley APC (subsequently replaced by NENC ICB Governance Bodies – see NTAG)].
Formulary
North East and North Cumbria ICS Formulary
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- DVT Investigation Proforma & Patient Information Sheet (1524 downloads )
- DVT Pathway Information (3765 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 (13050 downloads )
- COPD Treatment - CD&TV APC Guide (32897 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1517 downloads )
- Paediatric Asthma Inhaler Guide (6297 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 (744 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (780 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (856 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1517 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7034 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2195 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1446 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 (3520 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (602 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (3230 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (1034 downloads )
- Primary Care Management of Vitamin D Deficiency (5259 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3061 downloads )
- Wound Management Dressing Formulary (4334 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 (2368 downloads )
- Aripiprazole LAI – Shared Care Guideline (773 downloads )
- Atomoxetine – Shared Care Guidelines (689 downloads )
- Azathioprine Shared Care Guideline (5226 downloads )
- Ciclosporin Shared Care Guideline (3096 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2210 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1062 downloads )
- Dexamfetamine – Shared Care Guidelines (719 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (714 downloads )
- Guanfacine – Shared Care Guidelines (714 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2254 downloads )
- Leflunomide Shared Care Guideline (3427 downloads )
- Lithium – Shared Care Guidelines (764 downloads )
- Melatonin – Shared Care Guideline (876 downloads )
- Mercaptopurine Shared Care Guideline (3011 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (603 downloads )
- Methotrexate Shared Care Guideline (11319 downloads )
- Methylphenidate – Shared Care Guidelines (791 downloads )
- Mycophenolate Shared Care Guideline (3406 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4252 downloads )
- Paliperidone LAI – Shared Care Guidelines (669 downloads )
- Safe Transfer of Prescribing - TEWV (692 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (707 downloads )
- Sulfasalazine Shared Care Guideline (4882 downloads )
- Valproate – Shared Care Guidelines (724 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3061 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (1077 downloads )
- CD&TV Stoma Accessories Guide (1342 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1117 downloads )
- NTAG Guidance (2679 downloads )
Prescribing systems and processes
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (980 downloads )
- Monitored Dosage Systems - County Durham Review Form (776 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (743 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1318 downloads )