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. ICB approved prescribing guidance and agreements will be hosted on the NTAG website moving forward.
Formulary
- North East and North Cumbria ICS Formulary (external link)
Clinical Guidelines
Gastro-intestinal system
- Jorveza Information Leaflet (1448 downloads)
- Laxatives to treat constipation (2089 downloads)
- Paraldehyde enemas – Green plus leaflet (1130 downloads)
- Proton Pump Inhibitor (PPI) review (1425 downloads)
- Rectal Irrigation prescribing information sheet (1527 downloads)
Cardiovascular system
- Anticoagulants in AF (ST&Snd APC Guideline CV1)_v4 (4983 downloads)
- Dapagliflozin for heart failure - Green Plus information leaflet (4136 downloads)
- Entresto information leaflet for Primary Care (2744 downloads)
- Lipid Management – Northern England Evaluation and Lipid intensification guideline (3269 downloads)
Respiratory system
- COPD Guidelines (5498 downloads)
- Management of Asthma in adults Guidance STSAPC (2136 downloads)
- Supporting Greener Respiratory Care - North East & North Cumbria Clinical Network Guide (82429 downloads)
Central nervous system
- Agomelatine – Information for Primary Care (1687 downloads)
- Antidepressant Deprescribing Guidance (1847 downloads)
- Antipsychotic leaflet for primary care (1778 downloads)
- Clobazam information leaflet (1618 downloads)
- Donepezil, Galantamine, Rivastigmine and Memantine for the treatment of Dementia [Green+] – Information for Primary Care (1003 downloads)
- Palliative and End of Life Care - Symptom Control Guideline - North East & North Cumbria Clinical Network (275187 downloads)
Infections and antibiotics
- Antibiotic Prescribing in Adults and Children Quick reference guide (3057 downloads)
- Management of Symptomatic Recurrent Uncomplicated Urinary Tract Infections in Adult Women - NENC Guideline (223 downloads)
- NICE antimicrobial prescribing guidelines (link to NICE website) (95335 downloads)
- Risk Assessment for Clostridium Difficile Infection (3242 downloads)
Diabetes
Other endocrine
Obstetrics, gynaecology and urinary tract
- Gender Dysphoria Hormone Guidance (2020 downloads)
- Lenzetto Information Leaflet for Primary Care (1851 downloads)
- Management of Symptomatic Recurrent Uncomplicated Urinary Tract Infections in Adult Women - NENC Guideline (223 downloads)
Nutrition and blood
- Forceval Soluble - Green plus information leaflet (1946 downloads)
- Gluten-Free-Guideline (957 downloads)
- NUT1-Guideline-for-the-Initiation-of-Oral-Nutritional-Supplements-1 (2250 downloads)
- NUT2-Guideline-for-the-Prescribing-of-Oral-Nutritional-Supplements-in-Adults (3801 downloads)
- NUT3-Quick-Guide-Prescribing-Oral-Nutritional-Supplements (1824 downloads)
- vitamin B12 guidelines (1167 downloads)
- Vitamin D Adult prescribing guideline (1948 downloads)
- Vitamin D Guidelines for Children (1312 downloads)
Musculoskeletal and joint diseases
Eye
Skin
- MASD Pathway 2022 (610 downloads)
- SKIN1 Guideline for the Prescribing of Emollients (3534 downloads)
- SKIN2 - Wound Product Formulary (1408 downloads)
Shared care
- ADHD in Children Shared Care (1025 downloads)
- Adult ADHD shared care February 2021 update (1880 downloads)
- Azathioprine Mercaptopurine gastroenterology (1282 downloads)
- Degarelix 80mg SC shared care protocol (3175 downloads)
- Dronedarone shared care guideline (2203 downloads)
- Gaunfacine Shared Care Protocol (1997 downloads)
- Goserelin 10.8mg implant shared care protocol (2297 downloads)
- Leuprolin Acetate 11.25mg Injection – Prostate cancer shared care protocol (2286 downloads)
- Lithium Therapy shared care guideline (4224 downloads)
- Melatonin Shared Care Guideline (1950 downloads)
- Melatonin-Deprescribing-Guideline (3228 downloads)
- Mycophenolate in ophthalmology Shared Care protocol (2978 downloads)
- Naltrexone for the management of agitation and / or self injurious behaviour in patients with autism or learning disabilities shared care guidelines (7421 downloads)
- Neurology - Azathioprine 1.1 shared care guideline (1906 downloads)
- Neurology - Methotrexate 1.1 shared care guideline (1760 downloads)
- Neurology - Mycophenolate 1.1 shared care guideline (1919 downloads)
- Sativex SCA (1759 downloads)
- Triptorelin 11.25mg and 22.5mg injection – Prostate cancer shared care guideline (2007 downloads)
- Newcastle hospitals shared care guidelines for DMARDs available at: North of Tyne, Gateshead and North Cumbria Area Prescribing Committee
- Durham hospitals shared care guidelines for DMARDs available at: https://medicines.necsu.nhs.uk/guidelines/durham-darlington/transfer-of-prescribing-policies-shared-care-guidelines/
Shared care – For patients attending Gateshead Rheumatology Department
- Azathioprine Shared Care (Out of Area)
- Ciclosporin Shared care (Out of Area)
- Leflunomide Shared Care (Out of Area)
- Methotrexate Shared Care (Out of Area)
- Mycophenolate Shared Care (Out of Area)
- Penicillamine Shared Care (Out of Area)
- Sulfasalzine Shared Care (Out of Area)
Shared care – Patients attending Sunderland Rheumatology Department
- Azathioprine Rheumatology Shared Care Guideline
- Hydroxychloroquine Rheumatology Shared Care Guideline
- Leflunomide Rheumatology Shared Care Guideline
- Methotrexate Rheumatology Shared Care Guideline
- Mycophenolate Rheumatology Shared Care Guideline
- Sulfasalazine Rheumatology Shared Care Guideline
Other guidance
- NICE NG 56 Multimorbidity: clinical assessment and management - briefing document (8737 downloads)
- NTAG Guidance (30138 downloads)
- STCCG Position Statement on Opioid Prescribing (1636 downloads)
- Stoma product prescribing guidelines (1410 downloads)
Other Guidelines
Prescribing systems and processes
Self-care and over-the-counter medicines