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. ICB approved prescribing guidance and agreements will be hosted on the NTAG website moving forward.
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 (86333 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (7998 downloads)
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (106769 downloads)
- DVT Investigation Proforma & Patient Information Sheet (5989 downloads)
- DVT Pathway Information (6108 downloads)
- Omega 3 Prescribing - CD&TV APC Position Statement (107020 downloads)
- Prescribing Anticoagulants in NVAF - CD&TV APC Guideline (234848 downloads)
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (129943 downloads)
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (12220 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (76586 downloads)
- COPD Treatment - CD&TV APC Guide (138529 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (5060 downloads)
- Paediatric Asthma Inhaler Guide (84988 downloads)
- Supporting Greener Respiratory Care - North East & North Cumbria Clinical Network Guide (82429 downloads)
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (26999 downloads)
- Nefopam - CD&TV APC Position Statement (78716 downloads)
- Pain Pathway - County Durham Care Partnership (1277 downloads)
- Palliative and End of Life Care - Symptom Control Guideline - North East & North Cumbria Clinical Network (275188 downloads)
- Prescribing for Persistent Pain - CD&TV APC Position Statement (57027 downloads)
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (62512 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:
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (339 downloads)
- Management of Symptomatic Recurrent Uncomplicated Urinary Tract Infections in Adult Women - NENC Guideline (223 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (5060 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (95335 downloads)
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (78329 downloads)
- Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service General Guidelines (154903 downloads)
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (149070 downloads)
- Osteoporosis - Primary Care Management Guideline (5362 downloads)
Kidney disease
Obstetrics, gynaecology and urinary tract
- Catheter and Continence Care Formulary (6716 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (7127 downloads)
- Management of Symptomatic Recurrent Uncomplicated Urinary Tract Infections in Adult Women - NENC Guideline (223 downloads)
- Topical Testosterone for Low Libido in Menopause and Post-Menopause (74474 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (68356 downloads)
- CD&TV Vitamins & Minerals Guidance (31851 downloads)
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (144 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (239077 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (92926 downloads)
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (150373 downloads)
- Primary Care Management of Vitamin D Deficiency (86099 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (161399 downloads)
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (96179 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (130581 downloads)
- Wound Management Dressing Formulary (8963 downloads)
Immunological products and vaccines
Drug monitoring
- Drug Monitoring Recommendations (93509 downloads)
- Psychotropic Medication Monitoring Guide - TEWV (11951 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 (7069 downloads)
- Aripiprazole LAI – Shared Care Guideline (4986 downloads)
- Atomoxetine – Shared Care Guidelines (3703 downloads)
- Azathioprine Shared Care Guideline (11890 downloads)
- Ciclosporin Shared Care Guideline (7949 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (156548 downloads)
- Dapsone [Dermatology] Shared Care Guideline (53766 downloads)
- Dexamfetamine – Shared Care Guidelines (4745 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (112698 downloads)
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (4700 downloads)
- Guanfacine – Shared Care Guidelines (4181 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (7558 downloads)
- Hydroxychloroquine Shared Care Guideline (7736 downloads)
- Leflunomide Shared Care Guideline (9187 downloads)
- Lisdexamfetamine – Shared Care Guidelines (4585 downloads)
- Lithium – Shared Care Guidelines (4122 downloads)
- Melatonin – Shared Care Guideline (5041 downloads)
- Mercaptopurine Shared Care Guideline (7996 downloads)
- Methotrexate Shared Care Guideline (21296 downloads)
- Methylphenidate – Shared Care Guidelines (4460 downloads)
- Mycophenolate Shared Care Guideline (9421 downloads)
- Paliperidone LAI – Shared Care Guidelines (4420 downloads)
- Penicillamine Shared Care Guideline (7164 downloads)
- Riluzole shared care agreement & guidelines (66094 downloads)
- Safe Transfer of Prescribing - TEWV (4160 downloads)
- Safe Transfer of Psychotropic Medication - TEWV (4443 downloads)
- Sulfasalazine Shared Care Guideline (11124 downloads)
- Valproate – Shared Care Guidelines (11464 downloads)
- Valproate Shared care guidelines in Girls (of any age) and women of child bearing potential (7335 downloads)
Specials
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (3960 downloads)
- CD&TV Stoma Accessories Guide (38828 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (115915 downloads)
- Medical cannabis (and cannabis oils) patient information leaflet (3435 downloads)
- NTAG Guidance (30138 downloads)
- Patient Decision Aids Resource (41755 downloads)
Prescribing systems and processes
- Model Repeat Prescribing System (129555 downloads)
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (4145 downloads)
- Monitored Dosage Systems - County Durham Review Form (3363 downloads)
- Monitored Dosage Systems - County Durham Supplementary Guidance (3217 downloads)
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (141885 downloads)
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (4339 downloads)
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (5264 downloads)
- Prescribing of medicines available to purchase over the counter for self-care (4470 downloads)
- Self-Care OTC Guidance (32667 downloads)