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
Cardiovascular system
- DVT Investigation Proforma & Patient Information Sheet (1467 downloads )
- DVT Pathway Information (3582 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2835 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5344 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 (12840 downloads )
- COPD Treatment - CD&TV APC Guide (32724 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1472 downloads )
- Paediatric Asthma Inhaler Guide (6118 downloads )
Central nervous system
Pain
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 (704 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (743 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (816 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1472 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6950 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2141 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1403 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 (3468 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (555 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (3053 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (988 downloads )
- Primary Care Management of Vitamin D Deficiency (5200 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3016 downloads )
- Wound Management Dressing Formulary (4264 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 (2316 downloads )
- Aripiprazole LAI – Shared Care Guideline (721 downloads )
- Atomoxetine – Shared Care Guidelines (641 downloads )
- Azathioprine Shared Care Guideline (5162 downloads )
- Ciclosporin Shared Care Guideline (2968 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2165 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1013 downloads )
- Dexamfetamine – Shared Care Guidelines (670 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (672 downloads )
- Guanfacine – Shared Care Guidelines (665 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2200 downloads )
- Leflunomide Shared Care Guideline (3365 downloads )
- Lithium – Shared Care Guidelines (711 downloads )
- Melatonin – Shared Care Guideline (829 downloads )
- Mercaptopurine Shared Care Guideline (2953 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (556 downloads )
- Methotrexate Shared Care Guideline (11175 downloads )
- Methylphenidate – Shared Care Guidelines (742 downloads )
- Mycophenolate Shared Care Guideline (3351 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4200 downloads )
- Paliperidone LAI – Shared Care Guidelines (622 downloads )
- Safe Transfer of Prescribing - TEWV (643 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (663 downloads )
- Sulfasalazine Shared Care Guideline (4800 downloads )
- Valproate – Shared Care Guidelines (680 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3016 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (1032 downloads )
- CD&TV Stoma Accessories Guide (1298 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1069 downloads )
- NTAG Guidance (2635 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4621 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (931 downloads )
- Monitored Dosage Systems - County Durham Review Form (731 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (697 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1275 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1308 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1583 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1561 downloads )
- Self-Care OTC Guidance (1015 downloads )