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 (2720 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1675 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (643 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1278 downloads )
- DVT Pathway Information (2307 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2610 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5150 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 (11658 downloads )
- COPD Treatment - CD&TV APC Guide (31555 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1279 downloads )
- Paediatric Asthma Inhaler Guide (4985 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (571 downloads )
- Pain Pathway - County Durham Care Partnership (320 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1857 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 (468 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (516 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (599 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1279 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6610 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1527 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (783 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 (2853 downloads )
- CD&TV Vitamins & Minerals Guidance (2580 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (380 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1839 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (772 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1331 downloads )
- Primary Care Management of Vitamin D Deficiency (4517 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3667 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (2059 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2807 downloads )
- Wound Management Dressing Formulary (3898 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 (1657 downloads )
- Aripiprazole LAI – Shared Care Guideline (540 downloads )
- Atomoxetine – Shared Care Guidelines (406 downloads )
- Azathioprine Shared Care Guideline (4535 downloads )
- Ciclosporin Shared Care Guideline (2129 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1541 downloads )
- Dapsone [Dermatology] Shared Care Guideline (758 downloads )
- Dexamfetamine – Shared Care Guidelines (489 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (485 downloads )
- Guanfacine – Shared Care Guidelines (482 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1942 downloads )
- Hydroxychloroquine Shared Care Guideline (2594 downloads )
- Leflunomide Shared Care Guideline (2728 downloads )
- Lithium – Shared Care Guidelines (504 downloads )
- Melatonin – Shared Care Guideline (647 downloads )
- Mercaptopurine Shared Care Guideline (2262 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (305 downloads )
- Methotrexate Shared Care Guideline (10323 downloads )
- Methylphenidate – Shared Care Guidelines (540 downloads )
- Mycophenolate Shared Care Guideline (2728 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3501 downloads )
- Paliperidone LAI – Shared Care Guidelines (427 downloads )
- Safe Transfer of Prescribing - TEWV (468 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (463 downloads )
- Sulfasalazine Shared Care Guideline (4112 downloads )
- Valproate – Shared Care Guidelines (478 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2807 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (857 downloads )
- CD&TV Stoma Accessories Guide (1046 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3796 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (865 downloads )
- NTAG Guidance (2374 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4364 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (729 downloads )
- Monitored Dosage Systems - County Durham Review Form (537 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (500 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1048 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1138 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1421 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1372 downloads )
- Self-Care OTC Guidance (760 downloads )