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 (1608 downloads )
- DVT Pathway Information (4549 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 (872 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (919 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (963 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1589 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7230 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2382 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1629 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 (3736 downloads )
- Primary Care Management of Vitamin D Deficiency (5431 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3171 downloads )
- Wound Management Dressing Formulary (4462 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 (847 downloads )
- Atomoxetine – Shared Care Guidelines (776 downloads )
- Ciclosporin Shared Care Guideline (4014 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2419 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1182 downloads )
- Dexamfetamine – Shared Care Guidelines (807 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (801 downloads )
- Guanfacine – Shared Care Guidelines (802 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2355 downloads )
- Melatonin – Shared Care Guideline (970 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (687 downloads )
- Methotrexate Shared Care Guideline (12229 downloads )
- Methylphenidate – Shared Care Guidelines (893 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4496 downloads )
- Paliperidone LAI – Shared Care Guidelines (751 downloads )
- Safe Transfer of Prescribing - TEWV (768 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (790 downloads )
- Valproate – Shared Care Guidelines (806 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3171 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (1140 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1171 downloads )
- NTAG Guidance (2989 downloads )
Prescribing systems and processes
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (1051 downloads )
- Monitored Dosage Systems - County Durham Review Form (844 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (819 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1441 downloads )