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
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (817 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1398 downloads )
- DVT Pathway Information (2959 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2760 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5281 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 (12343 downloads )
- COPD Treatment - CD&TV APC Guide (32232 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1411 downloads )
- Paediatric Asthma Inhaler Guide (5640 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1093 downloads )
- Pain Pathway - County Durham Care Partnership (508 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (2349 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 (630 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (673 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (745 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1411 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6840 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2008 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1248 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 (3317 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (506 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (2481 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (908 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1474 downloads )
- Primary Care Management of Vitamin D Deficiency (5028 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2952 downloads )
- Wound Management Dressing Formulary (4158 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 (2139 downloads )
- Aripiprazole LAI – Shared Care Guideline (665 downloads )
- Atomoxetine – Shared Care Guidelines (572 downloads )
- Azathioprine Shared Care Guideline (5000 downloads )
- Ciclosporin Shared Care Guideline (2704 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2030 downloads )
- Dapsone [Dermatology] Shared Care Guideline (930 downloads )
- Dexamfetamine – Shared Care Guidelines (608 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (615 downloads )
- Guanfacine – Shared Care Guidelines (610 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2132 downloads )
- Leflunomide Shared Care Guideline (3200 downloads )
- Lithium – Shared Care Guidelines (644 downloads )
- Melatonin – Shared Care Guideline (771 downloads )
- Mercaptopurine Shared Care Guideline (2779 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (489 downloads )
- Methotrexate Shared Care Guideline (10896 downloads )
- Methylphenidate – Shared Care Guidelines (678 downloads )
- Mycophenolate Shared Care Guideline (3193 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4017 downloads )
- Paliperidone LAI – Shared Care Guidelines (569 downloads )
- Safe Transfer of Prescribing - TEWV (590 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (604 downloads )
- Sulfasalazine Shared Care Guideline (4611 downloads )
- Valproate – Shared Care Guidelines (620 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2952 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (979 downloads )
- CD&TV Stoma Accessories Guide (1213 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (4014 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1005 downloads )
- NTAG Guidance (2553 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4544 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (866 downloads )
- Monitored Dosage Systems - County Durham Review Form (665 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (634 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1195 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1248 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1529 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1509 downloads )
- Self-Care OTC Guidance (939 downloads )