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 (2564 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1639 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (585 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1244 downloads )
- DVT Pathway Information (2146 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2556 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5121 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 (11517 downloads )
- COPD Treatment - CD&TV APC Guide (31419 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1237 downloads )
- Paediatric Asthma Inhaler Guide (4844 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (493 downloads )
- Pain Pathway - County Durham Care Partnership (287 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1794 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 (393 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (444 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (546 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1237 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6526 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1457 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (707 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 (2800 downloads )
- CD&TV Vitamins & Minerals Guidance (2425 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (348 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1672 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (715 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1278 downloads )
- Primary Care Management of Vitamin D Deficiency (4456 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3570 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (2000 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2742 downloads )
- Wound Management Dressing Formulary (3866 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 (1609 downloads )
- Aripiprazole LAI – Shared Care Guideline (507 downloads )
- Atomoxetine – Shared Care Guidelines (373 downloads )
- Azathioprine Shared Care Guideline (4487 downloads )
- Ciclosporin Shared Care Guideline (2047 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1481 downloads )
- Dapsone [Dermatology] Shared Care Guideline (705 downloads )
- Dexamfetamine – Shared Care Guidelines (459 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (453 downloads )
- Guanfacine – Shared Care Guidelines (446 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1909 downloads )
- Hydroxychloroquine Shared Care Guideline (2523 downloads )
- Leflunomide Shared Care Guideline (2681 downloads )
- Lithium – Shared Care Guidelines (476 downloads )
- Melatonin – Shared Care Guideline (609 downloads )
- Mercaptopurine Shared Care Guideline (2212 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (266 downloads )
- Methotrexate Shared Care Guideline (10235 downloads )
- Methylphenidate – Shared Care Guidelines (503 downloads )
- Mycophenolate Shared Care Guideline (2680 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3417 downloads )
- Paliperidone LAI – Shared Care Guidelines (397 downloads )
- Safe Transfer of Prescribing - TEWV (435 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (432 downloads )
- Sulfasalazine Shared Care Guideline (4059 downloads )
- Valproate – Shared Care Guidelines (448 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2742 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (825 downloads )
- CD&TV Stoma Accessories Guide (990 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3725 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (828 downloads )
- NTAG Guidance (2299 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4280 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (691 downloads )
- Monitored Dosage Systems - County Durham Review Form (505 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (468 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (993 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1106 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1390 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1337 downloads )
- Self-Care OTC Guidance (681 downloads )