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 (2002 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1605 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (538 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1211 downloads )
- DVT Pathway Information (1683 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2510 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5090 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 (11234 downloads )
- COPD Treatment - CD&TV APC Guide (31142 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1204 downloads )
- Paediatric Asthma Inhaler Guide (4577 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (415 downloads )
- Pain Pathway - County Durham Care Partnership (245 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1728 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 (336 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (383 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (500 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1204 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6457 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1392 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (641 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 (2732 downloads )
- CD&TV Vitamins & Minerals Guidance (2054 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (315 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1305 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (670 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1239 downloads )
- Primary Care Management of Vitamin D Deficiency (4380 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3448 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1959 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2686 downloads )
- Wound Management Dressing Formulary (3832 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 (1545 downloads )
- Aripiprazole LAI – Shared Care Guideline (469 downloads )
- Atomoxetine – Shared Care Guidelines (334 downloads )
- Azathioprine Shared Care Guideline (4427 downloads )
- Ciclosporin Shared Care Guideline (1920 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1421 downloads )
- Dapsone [Dermatology] Shared Care Guideline (658 downloads )
- Dexamfetamine – Shared Care Guidelines (425 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (424 downloads )
- Guanfacine – Shared Care Guidelines (414 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1870 downloads )
- Hydroxychloroquine Shared Care Guideline (2432 downloads )
- Leflunomide Shared Care Guideline (2619 downloads )
- Lithium – Shared Care Guidelines (428 downloads )
- Melatonin – Shared Care Guideline (576 downloads )
- Mercaptopurine Shared Care Guideline (2133 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (203 downloads )
- Methotrexate Shared Care Guideline (10097 downloads )
- Methylphenidate – Shared Care Guidelines (466 downloads )
- Mycophenolate Shared Care Guideline (2626 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3333 downloads )
- Paliperidone LAI – Shared Care Guidelines (366 downloads )
- Safe Transfer of Prescribing - TEWV (400 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (400 downloads )
- Sulfasalazine Shared Care Guideline (3958 downloads )
- Valproate – Shared Care Guidelines (412 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2686 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (800 downloads )
- CD&TV Stoma Accessories Guide (939 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3663 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (787 downloads )
- NTAG Guidance (2224 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4224 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (658 downloads )
- Monitored Dosage Systems - County Durham Review Form (471 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (439 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (948 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1085 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1363 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1302 downloads )
- Self-Care OTC Guidance (620 downloads )