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 (1463 downloads )
- DVT Pathway Information (3548 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2833 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5341 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 (12832 downloads )
- COPD Treatment - CD&TV APC Guide (32713 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1471 downloads )
- Paediatric Asthma Inhaler Guide (6110 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 (699 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (741 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (809 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1471 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6947 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2137 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1402 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 (3465 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 (3032 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (987 downloads )
- Primary Care Management of Vitamin D Deficiency (5195 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3015 downloads )
- Wound Management Dressing Formulary (4261 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 (2314 downloads )
- Aripiprazole LAI – Shared Care Guideline (717 downloads )
- Atomoxetine – Shared Care Guidelines (640 downloads )
- Azathioprine Shared Care Guideline (5161 downloads )
- Ciclosporin Shared Care Guideline (2965 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2165 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1013 downloads )
- Dexamfetamine – Shared Care Guidelines (669 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (669 downloads )
- Guanfacine – Shared Care Guidelines (663 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2194 downloads )
- Leflunomide Shared Care Guideline (3363 downloads )
- Lithium – Shared Care Guidelines (710 downloads )
- Melatonin – Shared Care Guideline (826 downloads )
- Mercaptopurine Shared Care Guideline (2951 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (552 downloads )
- Methotrexate Shared Care Guideline (11173 downloads )
- Methylphenidate – Shared Care Guidelines (741 downloads )
- Mycophenolate Shared Care Guideline (3350 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4200 downloads )
- Paliperidone LAI – Shared Care Guidelines (620 downloads )
- Safe Transfer of Prescribing - TEWV (638 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (662 downloads )
- Sulfasalazine Shared Care Guideline (4799 downloads )
- Valproate – Shared Care Guidelines (678 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3015 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (1031 downloads )
- CD&TV Stoma Accessories Guide (1297 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1065 downloads )
- NTAG Guidance (2634 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4621 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (928 downloads )
- Monitored Dosage Systems - County Durham Review Form (725 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (694 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 (1307 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 (1560 downloads )
- Self-Care OTC Guidance (1015 downloads )