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/ .
Tees Formulary/ Preferred Drugs List
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (704 downloads )
- North East & North Cumbria ICS Formulary (571 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (3920 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (877 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 (13128 downloads )
- COPD Treatment - CD&TV APC Guide (32981 downloads )
- Paediatric Asthma Inhaler Guide (6359 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1360 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (541 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 (757 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (795 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (868 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (613 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (597 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7065 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (691 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2232 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1476 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (4611 downloads )
- Management of Menopause – referral to secondary care (536 downloads )
- Menopause and HRT Education Session (516 downloads )
- Tinzaparin Information Sheet (1085 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3553 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (3275 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (1049 downloads )
- NTHFT_Adult Dietetic Referral Form (295 downloads )
- NTHFT_Paediatric Dietetic Referral Form (279 downloads )
- Primary Care Management of Vitamin D Deficiency (5296 downloads )
- South Tees Hospitals _ Adult Community Nutrition & Dietetic Services Referral Form (921 downloads )
- South Tees Hospitals _ Paediatric Community Nutrition & Dietetic Services Referral Form (164 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- HAST & NTHFT Community Wound Dressing Order Form (1982 downloads )
- Primary Care Dermatology Society Website (2873 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2615 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1936 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3079 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.
Shared care guidelines approved for use across the North East and North Cumbria ICS can be found on the appropriate page of the NTAG website.
- Azathioprine (Rheumatology) Shared Care Guideline (3704 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (1922 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2243 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1081 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2892 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (5288 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2842 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (786 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (877 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4282 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1852 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (1604 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4315 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3079 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (1357 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (704 downloads )
- NTAG Guidance (2697 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (691 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (704 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (4611 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1334 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1942 downloads )
- What to do When Prescribers Join or Leaves (635 downloads )