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
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (839 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1415 downloads )
- DVT Pathway Information (3321 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2775 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5300 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 (12630 downloads )
- COPD Treatment - CD&TV APC Guide (32508 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1422 downloads )
- Paediatric Asthma Inhaler Guide (5913 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1181 downloads )
- Pain Pathway - County Durham Care Partnership (533 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (2428 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 (642 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (687 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (757 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1422 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6869 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2069 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1318 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 (3388 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (517 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (2824 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (919 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1484 downloads )
- Primary Care Management of Vitamin D Deficiency (5112 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2961 downloads )
- Wound Management Dressing Formulary (4189 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 (2231 downloads )
- Aripiprazole LAI – Shared Care Guideline (676 downloads )
- Atomoxetine – Shared Care Guidelines (597 downloads )
- Azathioprine Shared Care Guideline (5087 downloads )
- Ciclosporin Shared Care Guideline (2853 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2082 downloads )
- Dapsone [Dermatology] Shared Care Guideline (946 downloads )
- Dexamfetamine – Shared Care Guidelines (622 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (625 downloads )
- Guanfacine – Shared Care Guidelines (620 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2144 downloads )
- Leflunomide Shared Care Guideline (3287 downloads )
- Lithium – Shared Care Guidelines (658 downloads )
- Melatonin – Shared Care Guideline (777 downloads )
- Mercaptopurine Shared Care Guideline (2871 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (505 downloads )
- Methotrexate Shared Care Guideline (11047 downloads )
- Methylphenidate – Shared Care Guidelines (690 downloads )
- Mycophenolate Shared Care Guideline (3271 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4116 downloads )
- Paliperidone LAI – Shared Care Guidelines (576 downloads )
- Safe Transfer of Prescribing - TEWV (594 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (615 downloads )
- Sulfasalazine Shared Care Guideline (4711 downloads )
- Valproate – Shared Care Guidelines (633 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2961 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (994 downloads )
- CD&TV Stoma Accessories Guide (1227 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (4041 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1023 downloads )
- NTAG Guidance (2573 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4562 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (885 downloads )
- Monitored Dosage Systems - County Durham Review Form (678 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (645 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1209 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1262 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1540 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1520 downloads )
- Self-Care OTC Guidance (955 downloads )