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 (1902 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1600 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (534 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1206 downloads )
- DVT Pathway Information (1582 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2507 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5087 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 (11180 downloads )
- COPD Treatment - CD&TV APC Guide (31081 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1200 downloads )
- Paediatric Asthma Inhaler Guide (4521 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (400 downloads )
- Nefopam - CD&TV APC Position Statement (2937 downloads )
- Pain Pathway - County Durham Care Partnership (235 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1717 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 (330 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (379 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (495 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1200 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6446 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1383 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (630 downloads )
- Osteoporosis - Primary Care Management Guideline (1498 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 (2720 downloads )
- CD&TV Vitamins & Minerals Guidance (1994 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (308 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1240 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (666 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1235 downloads )
- Primary Care Management of Vitamin D Deficiency (4367 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3427 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1955 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2677 downloads )
- Wound Management Dressing Formulary (3825 downloads )
Immunological products and vaccines
Drug monitoring
- Drug Monitoring Recommendations (34220 downloads )
- Psychotropic Medication Monitoring Guide - TEWV (488 downloads )
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 (1524 downloads )
- Aripiprazole LAI – Shared Care Guideline (462 downloads )
- Atomoxetine – Shared Care Guidelines (326 downloads )
- Azathioprine Shared Care Guideline (4412 downloads )
- Ciclosporin Shared Care Guideline (1885 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1411 downloads )
- Dapsone [Dermatology] Shared Care Guideline (654 downloads )
- Dexamfetamine – Shared Care Guidelines (419 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (417 downloads )
- Guanfacine – Shared Care Guidelines (406 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1861 downloads )
- Hydroxychloroquine Shared Care Guideline (2413 downloads )
- Leflunomide Shared Care Guideline (2606 downloads )
- Lithium – Shared Care Guidelines (421 downloads )
- Melatonin – Shared Care Guideline (568 downloads )
- Mercaptopurine Shared Care Guideline (2110 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (191 downloads )
- Methotrexate Shared Care Guideline (10056 downloads )
- Methylphenidate – Shared Care Guidelines (458 downloads )
- Mycophenolate Shared Care Guideline (2615 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3322 downloads )
- Paliperidone LAI – Shared Care Guidelines (358 downloads )
- Safe Transfer of Prescribing - TEWV (392 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (393 downloads )
- Sulfasalazine Shared Care Guideline (3927 downloads )
- Valproate – Shared Care Guidelines (404 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2677 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (793 downloads )
- CD&TV Stoma Accessories Guide (933 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3659 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (781 downloads )
- NTAG Guidance (2216 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4221 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (652 downloads )
- Monitored Dosage Systems - County Durham Review Form (465 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (436 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (943 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1083 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1361 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1298 downloads )
- Self-Care OTC Guidance (613 downloads )