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
- CD&TV Guidance for Prescribing & Monitoring Post Bariatric Surgery (3201 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1752 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (731 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1338 downloads )
- DVT Pathway Information (2747 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2695 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5210 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 (12117 downloads )
- COPD Treatment - CD&TV APC Guide (31997 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1353 downloads )
- Paediatric Asthma Inhaler Guide (5431 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (869 downloads )
- Pain Pathway - County Durham Care Partnership (424 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (2121 downloads )
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 (553 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (603 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (681 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1353 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6743 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1787 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1034 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 (3062 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (455 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (2260 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (841 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1411 downloads )
- Primary Care Management of Vitamin D Deficiency (4804 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2894 downloads )
- Wound Management Dressing Formulary (4057 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 (1959 downloads )
- Aripiprazole LAI – Shared Care Guideline (622 downloads )
- Atomoxetine – Shared Care Guidelines (504 downloads )
- Azathioprine Shared Care Guideline (4827 downloads )
- Ciclosporin Shared Care Guideline (2496 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1799 downloads )
- Dapsone [Dermatology] Shared Care Guideline (855 downloads )
- Dexamfetamine – Shared Care Guidelines (565 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (572 downloads )
- Guanfacine – Shared Care Guidelines (554 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2066 downloads )
- Hydroxychloroquine Shared Care Guideline (2925 downloads )
- Leflunomide Shared Care Guideline (3019 downloads )
- Lithium – Shared Care Guidelines (601 downloads )
- Melatonin – Shared Care Guideline (720 downloads )
- Mercaptopurine Shared Care Guideline (2554 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (432 downloads )
- Methotrexate Shared Care Guideline (10690 downloads )
- Methylphenidate – Shared Care Guidelines (625 downloads )
- Mycophenolate Shared Care Guideline (3016 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3777 downloads )
- Paliperidone LAI – Shared Care Guidelines (518 downloads )
- Safe Transfer of Prescribing - TEWV (542 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (561 downloads )
- Sulfasalazine Shared Care Guideline (4435 downloads )
- Valproate – Shared Care Guidelines (571 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2894 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (931 downloads )
- CD&TV Stoma Accessories Guide (1132 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3927 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (938 downloads )
- NTAG Guidance (2492 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4458 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (806 downloads )
- Monitored Dosage Systems - County Durham Review Form (602 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (578 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1124 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1200 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1481 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1457 downloads )
- Self-Care OTC Guidance (860 downloads )