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/ .
Repeat Prescription Ordering Systems (RPOS)
Link to resources for practices and pharmacies to support implementation
Tees Formulary/ Preferred Drugs List
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (648 downloads )
- North East & North Cumbria ICS Formulary (508 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1961 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1086 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (3632 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (521 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (807 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2831 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 (12812 downloads )
- COPD Treatment - CD&TV APC Guide (32692 downloads )
- Paediatric Asthma Inhaler Guide (6090 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2481 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1268 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (494 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 (698 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 (808 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (545 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (536 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6947 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (623 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2135 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1398 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (4356 downloads )
- Management of Menopause – referral to secondary care (468 downloads )
- Menopause and HRT Education Session (452 downloads )
- Tinzaparin Information Sheet (1030 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3462 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (2999 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (987 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (812 downloads )
- NTHFT_Adult Dietetic Referral Form (5 downloads )
- NTHFT_Paediatric Dietetic Referral Form (1 download )
- Primary Care Management of Vitamin D Deficiency (5193 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (604 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- HAST & NTHFT Community Wound Dressing Order Form (1901 downloads )
- Primary Care Dermatology Society Website (2795 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2548 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1863 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3012 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.
- Apomorphine (Neurology) Shared Care Guidelines (1554 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (3618 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (1763 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2164 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1013 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2793 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (5119 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2760 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (462 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (807 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4199 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1793 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (1500 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4243 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3012 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (1297 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (648 downloads )
- NTAG Guidance (2634 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (623 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (648 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (4356 downloads )
- Model Repeat Prescribing System (4620 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1274 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1881 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1086 downloads )
- What to do When Prescribers Join or Leaves (586 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (1015 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1961 downloads )