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 former County Durham & Tees Valley APC (subsequently replaced by NENC ICB Governance Bodies – see NTAG)].
Formulary
North East and North Cumbria ICS Formulary
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- DVT Investigation Proforma & Patient Information Sheet (1594 downloads )
- DVT Pathway Information (4415 downloads )
Respiratory system
Central nervous system
Pain
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 (839 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (884 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (944 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1572 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7192 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2346 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1596 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 (3702 downloads )
- Primary Care Management of Vitamin D Deficiency (5406 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3151 downloads )
- Wound Management Dressing Formulary (4440 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:
- Aripiprazole LAI – Shared Care Guideline (831 downloads )
- Atomoxetine – Shared Care Guidelines (756 downloads )
- Ciclosporin Shared Care Guideline (3957 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2380 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1157 downloads )
- Dexamfetamine – Shared Care Guidelines (786 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (783 downloads )
- Guanfacine – Shared Care Guidelines (787 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2335 downloads )
- Melatonin – Shared Care Guideline (952 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (671 downloads )
- Methotrexate Shared Care Guideline (12172 downloads )
- Methylphenidate – Shared Care Guidelines (875 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4434 downloads )
- Paliperidone LAI – Shared Care Guidelines (730 downloads )
- Safe Transfer of Prescribing - TEWV (753 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (774 downloads )
- Valproate – Shared Care Guidelines (788 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3151 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (1129 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1163 downloads )
- NTAG Guidance (2941 downloads )
Prescribing systems and processes
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (1036 downloads )
- Monitored Dosage Systems - County Durham Review Form (834 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (802 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1414 downloads )