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 (2232 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1620 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (550 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1224 downloads )
- DVT Pathway Information (1914 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2523 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5103 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 (11353 downloads )
- COPD Treatment - CD&TV APC Guide (31262 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1213 downloads )
- Paediatric Asthma Inhaler Guide (4695 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (443 downloads )
- Pain Pathway - County Durham Care Partnership (264 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1755 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 (347 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (396 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (512 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1213 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6470 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1412 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (657 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 (2752 downloads )
- CD&TV Vitamins & Minerals Guidance (2203 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (326 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1459 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (681 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1247 downloads )
- Primary Care Management of Vitamin D Deficiency (4408 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3499 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1970 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2701 downloads )
- Wound Management Dressing Formulary (3847 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 (1572 downloads )
- Aripiprazole LAI – Shared Care Guideline (483 downloads )
- Atomoxetine – Shared Care Guidelines (353 downloads )
- Azathioprine Shared Care Guideline (4450 downloads )
- Ciclosporin Shared Care Guideline (1981 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1439 downloads )
- Dapsone [Dermatology] Shared Care Guideline (669 downloads )
- Dexamfetamine – Shared Care Guidelines (437 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (432 downloads )
- Guanfacine – Shared Care Guidelines (426 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1885 downloads )
- Hydroxychloroquine Shared Care Guideline (2470 downloads )
- Leflunomide Shared Care Guideline (2644 downloads )
- Lithium – Shared Care Guidelines (445 downloads )
- Melatonin – Shared Care Guideline (587 downloads )
- Mercaptopurine Shared Care Guideline (2178 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (232 downloads )
- Methotrexate Shared Care Guideline (10164 downloads )
- Methylphenidate – Shared Care Guidelines (478 downloads )
- Mycophenolate Shared Care Guideline (2645 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3355 downloads )
- Paliperidone LAI – Shared Care Guidelines (373 downloads )
- Safe Transfer of Prescribing - TEWV (413 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (412 downloads )
- Sulfasalazine Shared Care Guideline (4011 downloads )
- Valproate – Shared Care Guidelines (428 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2701 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (808 downloads )
- CD&TV Stoma Accessories Guide (955 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3679 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (803 downloads )
- NTAG Guidance (2244 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4234 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (670 downloads )
- Monitored Dosage Systems - County Durham Review Form (484 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (449 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (959 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1090 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1372 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1314 downloads )
- Self-Care OTC Guidance (634 downloads )