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 (2266 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1622 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (556 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1226 downloads )
- DVT Pathway Information (1952 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2527 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5106 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 (11383 downloads )
- COPD Treatment - CD&TV APC Guide (31287 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1217 downloads )
- Paediatric Asthma Inhaler Guide (4715 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (451 downloads )
- Pain Pathway - County Durham Care Partnership (265 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1763 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 (356 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (405 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (515 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1217 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6480 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1423 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (664 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 (2760 downloads )
- CD&TV Vitamins & Minerals Guidance (2225 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (329 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1481 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (688 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1254 downloads )
- Primary Care Management of Vitamin D Deficiency (4416 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3509 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1975 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2708 downloads )
- Wound Management Dressing Formulary (3849 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 (1576 downloads )
- Aripiprazole LAI – Shared Care Guideline (486 downloads )
- Atomoxetine – Shared Care Guidelines (354 downloads )
- Azathioprine Shared Care Guideline (4455 downloads )
- Ciclosporin Shared Care Guideline (1989 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1449 downloads )
- Dapsone [Dermatology] Shared Care Guideline (676 downloads )
- Dexamfetamine – Shared Care Guidelines (439 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (434 downloads )
- Guanfacine – Shared Care Guidelines (428 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1888 downloads )
- Hydroxychloroquine Shared Care Guideline (2476 downloads )
- Leflunomide Shared Care Guideline (2649 downloads )
- Lithium – Shared Care Guidelines (449 downloads )
- Melatonin – Shared Care Guideline (590 downloads )
- Mercaptopurine Shared Care Guideline (2185 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (239 downloads )
- Methotrexate Shared Care Guideline (10173 downloads )
- Methylphenidate – Shared Care Guidelines (482 downloads )
- Mycophenolate Shared Care Guideline (2649 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3365 downloads )
- Paliperidone LAI – Shared Care Guidelines (378 downloads )
- Safe Transfer of Prescribing - TEWV (416 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (415 downloads )
- Sulfasalazine Shared Care Guideline (4019 downloads )
- Valproate – Shared Care Guidelines (431 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2708 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (809 downloads )
- CD&TV Stoma Accessories Guide (959 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3690 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (806 downloads )
- NTAG Guidance (2254 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4244 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (671 downloads )
- Monitored Dosage Systems - County Durham Review Form (485 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (450 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (964 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1092 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1373 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1316 downloads )
- Self-Care OTC Guidance (641 downloads )