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 (2136 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1607 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (542 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1215 downloads )
- DVT Pathway Information (1837 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2512 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5093 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 (11300 downloads )
- COPD Treatment - CD&TV APC Guide (31206 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1208 downloads )
- Paediatric Asthma Inhaler Guide (4637 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (429 downloads )
- Pain Pathway - County Durham Care Partnership (248 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1737 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 (337 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (385 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (502 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1208 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6460 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1398 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (644 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 (2743 downloads )
- CD&TV Vitamins & Minerals Guidance (2146 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (319 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1391 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (673 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1240 downloads )
- Primary Care Management of Vitamin D Deficiency (4388 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3471 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1960 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2690 downloads )
- Wound Management Dressing Formulary (3837 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 (1556 downloads )
- Aripiprazole LAI – Shared Care Guideline (476 downloads )
- Atomoxetine – Shared Care Guidelines (338 downloads )
- Azathioprine Shared Care Guideline (4443 downloads )
- Ciclosporin Shared Care Guideline (1956 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1426 downloads )
- Dapsone [Dermatology] Shared Care Guideline (661 downloads )
- Dexamfetamine – Shared Care Guidelines (430 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (428 downloads )
- Guanfacine – Shared Care Guidelines (418 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1875 downloads )
- Hydroxychloroquine Shared Care Guideline (2455 downloads )
- Leflunomide Shared Care Guideline (2634 downloads )
- Lithium – Shared Care Guidelines (433 downloads )
- Melatonin – Shared Care Guideline (581 downloads )
- Mercaptopurine Shared Care Guideline (2153 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (213 downloads )
- Methotrexate Shared Care Guideline (10133 downloads )
- Methylphenidate – Shared Care Guidelines (468 downloads )
- Mycophenolate Shared Care Guideline (2639 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3340 downloads )
- Paliperidone LAI – Shared Care Guidelines (367 downloads )
- Safe Transfer of Prescribing - TEWV (405 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (404 downloads )
- Sulfasalazine Shared Care Guideline (3987 downloads )
- Valproate – Shared Care Guidelines (416 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2690 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (803 downloads )
- CD&TV Stoma Accessories Guide (944 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3666 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (792 downloads )
- NTAG Guidance (2227 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4225 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (663 downloads )
- Monitored Dosage Systems - County Durham Review Form (474 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (442 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (949 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 (1365 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1307 downloads )
- Self-Care OTC Guidance (622 downloads )