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 (2596 downloads )
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation or Faecal Incontinence - Durham Bowel Dysfunction Service Guide (1644 downloads )
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (592 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1249 downloads )
- DVT Pathway Information (2176 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2565 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5127 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 (11547 downloads )
- COPD Treatment - CD&TV APC Guide (31440 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1243 downloads )
- Paediatric Asthma Inhaler Guide (4869 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (506 downloads )
- Pain Pathway - County Durham Care Partnership (291 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1803 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 (402 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (452 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (551 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1243 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6534 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1468 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (719 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 (2807 downloads )
- CD&TV Vitamins & Minerals Guidance (2453 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (349 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1705 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (723 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1285 downloads )
- Primary Care Management of Vitamin D Deficiency (4461 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3584 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (2007 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2750 downloads )
- Wound Management Dressing Formulary (3870 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 (1613 downloads )
- Aripiprazole LAI – Shared Care Guideline (512 downloads )
- Atomoxetine – Shared Care Guidelines (378 downloads )
- Azathioprine Shared Care Guideline (4493 downloads )
- Ciclosporin Shared Care Guideline (2059 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1487 downloads )
- Dapsone [Dermatology] Shared Care Guideline (711 downloads )
- Dexamfetamine – Shared Care Guidelines (462 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (457 downloads )
- Guanfacine – Shared Care Guidelines (453 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (1915 downloads )
- Hydroxychloroquine Shared Care Guideline (2534 downloads )
- Leflunomide Shared Care Guideline (2688 downloads )
- Lithium – Shared Care Guidelines (481 downloads )
- Melatonin – Shared Care Guideline (611 downloads )
- Mercaptopurine Shared Care Guideline (2215 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (270 downloads )
- Methotrexate Shared Care Guideline (10248 downloads )
- Methylphenidate – Shared Care Guidelines (511 downloads )
- Mycophenolate Shared Care Guideline (2690 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3431 downloads )
- Paliperidone LAI – Shared Care Guidelines (399 downloads )
- Safe Transfer of Prescribing - TEWV (441 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (436 downloads )
- Sulfasalazine Shared Care Guideline (4066 downloads )
- Valproate – Shared Care Guidelines (451 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2750 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (831 downloads )
- CD&TV Stoma Accessories Guide (997 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3738 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (833 downloads )
- NTAG Guidance (2309 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4293 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (695 downloads )
- Monitored Dosage Systems - County Durham Review Form (508 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (473 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (998 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1109 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1393 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1343 downloads )
- Self-Care OTC Guidance (693 downloads )