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 (2032 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 (1212 downloads )
- DVT Pathway Information (1713 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 (11255 downloads )
- COPD Treatment - CD&TV APC Guide (31153 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1206 downloads )
- Paediatric Asthma Inhaler Guide (4591 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (419 downloads )
- Pain Pathway - County Durham Care Partnership (245 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1731 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] (384 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (500 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1206 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 (643 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 (2736 downloads )
- CD&TV Vitamins & Minerals Guidance (2071 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (316 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1321 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (671 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1239 downloads )
- Primary Care Management of Vitamin D Deficiency (4381 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3453 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1960 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2686 downloads )
- Wound Management Dressing Formulary (3833 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 (1548 downloads )
- Aripiprazole LAI – Shared Care Guideline (470 downloads )
- Atomoxetine – Shared Care Guidelines (335 downloads )
- Azathioprine Shared Care Guideline (4428 downloads )
- Ciclosporin Shared Care Guideline (1925 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1421 downloads )
- Dapsone [Dermatology] Shared Care Guideline (658 downloads )
- Dexamfetamine – Shared Care Guidelines (426 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (425 downloads )
- Guanfacine – Shared Care Guidelines (414 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1871 downloads )
- Hydroxychloroquine Shared Care Guideline (2435 downloads )
- Leflunomide Shared Care Guideline (2620 downloads )
- Lithium – Shared Care Guidelines (429 downloads )
- Melatonin – Shared Care Guideline (578 downloads )
- Mercaptopurine Shared Care Guideline (2134 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (204 downloads )
- Methotrexate Shared Care Guideline (10099 downloads )
- Methylphenidate – Shared Care Guidelines (466 downloads )
- Mycophenolate Shared Care Guideline (2626 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3338 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 (3961 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 (940 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3663 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (788 downloads )
- NTAG Guidance (2224 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4224 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (659 downloads )
- Monitored Dosage Systems - County Durham Review Form (472 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 (1365 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1303 downloads )
- Self-Care OTC Guidance (620 downloads )