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 (2715 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1674 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (641 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1275 downloads )
- DVT Pathway Information (2299 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2609 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5149 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 (11654 downloads )
- COPD Treatment - CD&TV APC Guide (31553 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1276 downloads )
- Paediatric Asthma Inhaler Guide (4980 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (569 downloads )
- Pain Pathway - County Durham Care Partnership (317 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1854 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 (463 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (511 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (598 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1276 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6606 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1524 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (781 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 (2849 downloads )
- CD&TV Vitamins & Minerals Guidance (2577 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (378 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1834 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (771 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1326 downloads )
- Primary Care Management of Vitamin D Deficiency (4515 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3662 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (2056 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2806 downloads )
- Wound Management Dressing Formulary (3896 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 (1654 downloads )
- Aripiprazole LAI – Shared Care Guideline (539 downloads )
- Atomoxetine – Shared Care Guidelines (404 downloads )
- Azathioprine Shared Care Guideline (4532 downloads )
- Ciclosporin Shared Care Guideline (2126 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1538 downloads )
- Dapsone [Dermatology] Shared Care Guideline (756 downloads )
- Dexamfetamine – Shared Care Guidelines (487 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (484 downloads )
- Guanfacine – Shared Care Guidelines (481 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1940 downloads )
- Hydroxychloroquine Shared Care Guideline (2589 downloads )
- Leflunomide Shared Care Guideline (2726 downloads )
- Lithium – Shared Care Guidelines (503 downloads )
- Melatonin – Shared Care Guideline (645 downloads )
- Mercaptopurine Shared Care Guideline (2261 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (301 downloads )
- Methotrexate Shared Care Guideline (10321 downloads )
- Methylphenidate – Shared Care Guidelines (538 downloads )
- Mycophenolate Shared Care Guideline (2726 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3500 downloads )
- Paliperidone LAI – Shared Care Guidelines (425 downloads )
- Safe Transfer of Prescribing - TEWV (467 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (463 downloads )
- Sulfasalazine Shared Care Guideline (4109 downloads )
- Valproate – Shared Care Guidelines (478 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2806 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (856 downloads )
- CD&TV Stoma Accessories Guide (1044 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3794 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (862 downloads )
- NTAG Guidance (2370 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4359 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (727 downloads )
- Monitored Dosage Systems - County Durham Review Form (534 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (499 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1044 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1136 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1418 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1369 downloads )
- Self-Care OTC Guidance (756 downloads )