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 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 (1812 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1542 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (469 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1154 downloads )
- DVT Pathway Information (1517 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2454 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5027 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 (11092 downloads )
- COPD Treatment - CD&TV APC Guide (30999 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1152 downloads )
- Paediatric Asthma Inhaler Guide (4452 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (338 downloads )
- Nefopam - CD&TV APC Position Statement (2888 downloads )
- Pain Pathway - County Durham Care Partnership (190 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1666 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 (288 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (318 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (425 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1152 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6323 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1331 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (583 downloads )
- Osteoporosis - Primary Care Management Guideline (1452 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 (2653 downloads )
- CD&TV Vitamins & Minerals Guidance (1921 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (251 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1161 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (612 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1174 downloads )
- Primary Care Management of Vitamin D Deficiency (4287 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3357 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1900 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2609 downloads )
- Wound Management Dressing Formulary (3773 downloads )
Immunological products and vaccines
Drug monitoring
- Drug Monitoring Recommendations (34166 downloads )
- Psychotropic Medication Monitoring Guide - TEWV (442 downloads )
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 (1460 downloads )
- Aripiprazole LAI – Shared Care Guideline (404 downloads )
- Atomoxetine – Shared Care Guidelines (258 downloads )
- Azathioprine Shared Care Guideline (4355 downloads )
- Ciclosporin Shared Care Guideline (1833 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1360 downloads )
- Dapsone [Dermatology] Shared Care Guideline (600 downloads )
- Dexamfetamine – Shared Care Guidelines (354 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (357 downloads )
- Guanfacine – Shared Care Guidelines (340 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1792 downloads )
- Hydroxychloroquine Shared Care Guideline (2350 downloads )
- Leflunomide Shared Care Guideline (2554 downloads )
- Lithium – Shared Care Guidelines (351 downloads )
- Melatonin – Shared Care Guideline (506 downloads )
- Mercaptopurine Shared Care Guideline (2039 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (78 downloads )
- Methotrexate Shared Care Guideline (10001 downloads )
- Methylphenidate – Shared Care Guidelines (396 downloads )
- Mycophenolate Shared Care Guideline (2575 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3185 downloads )
- Paliperidone LAI – Shared Care Guidelines (289 downloads )
- Safe Transfer of Prescribing - TEWV (326 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (325 downloads )
- Sulfasalazine Shared Care Guideline (3843 downloads )
- Valproate – Shared Care Guidelines (339 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2609 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (752 downloads )
- CD&TV Stoma Accessories Guide (862 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3591 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (726 downloads )
- NTAG Guidance (2138 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4166 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (591 downloads )
- Monitored Dosage Systems - County Durham Review Form (386 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (374 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (884 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1047 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1326 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1234 downloads )
- Self-Care OTC Guidance (535 downloads )