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.
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 (252566 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (115908 downloads)
- North East & North Cumbria ICS Formulary (277 downloads)
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (330761 downloads)
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (256665 downloads)
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (201697 downloads)
- Amiodarone Prescribing Guidance (79566 downloads)
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (106768 downloads)
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (68736 downloads)
- Omega 3 Prescribing - CD&TV APC Position Statement (107020 downloads)
- Prescribing Anticoagulants in NVAF - CD&TV APC Guideline (234830 downloads)
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (129943 downloads)
- Warfarin Guidelines for Primary Care (125075 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (76586 downloads)
- COPD Treatment - CD&TV APC Guide (138529 downloads)
- Paediatric Asthma Inhaler Guide (84988 downloads)
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (151575 downloads)
- Supporting Greener Respiratory Care - North East & North Cumbria Clinical Network Guide (82429 downloads)
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (26999 downloads)
- Nefopam - CD&TV APC Position Statement (78716 downloads)
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (182886 downloads)
- Palliative and End of Life Care - Symptom Control Guideline - North East & North Cumbria Clinical Network (275178 downloads)
- Prescribing for Persistent Pain - CD&TV APC Position Statement (57027 downloads)
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (62508 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:
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (339 downloads)
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (193 downloads)
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (196 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)
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (110118 downloads)
Diabetes
- Guidelines for Self Monitoring of Blood Glucose (117262 downloads)
- Paediatric Diabetes Referral Guidelines in Primary Care (83202 downloads)
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (78329 downloads)
- Hormone Treatment In Gender Dysphoria - Northern Region Gender Dysphoria Service General Guidelines (154899 downloads)
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (149069 downloads)
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (159882 downloads)
- Management of Menopause – referral to secondary care (67547 downloads)
- Management of Symptomatic Recurrent Uncomplicated Urinary Tract Infections in Adult Women - NENC Guideline (223 downloads)
- Menopause and HRT Education Session (56203 downloads)
- Tinzaparin Information Sheet (49063 downloads)
- Topical Testosterone for Low Libido in Menopause and Post-Menopause (74474 downloads)
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (68356 downloads)
- CD&TV Vitamins & Minerals Guidance (31850 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (239072 downloads)
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (92924 downloads)
- GP Guidance on the monitoring of Oral Nutritional Supplements (64352 downloads)
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (150373 downloads)
- Primary Care Management of Vitamin D Deficiency (86099 downloads)
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (91619 downloads)
- ST Undernutrition Pathway adults July 2021 (37633 downloads)
- ST Undernutrition Pathway NH July 2021 (28066 downloads)
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (161399 downloads)
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (96179 downloads)
- HAST & NTHFT Community Wound Dressing Order Form (55730 downloads)
- Primary Care Dermatology Society Website (62014 downloads)
- South Tees Hospitals Wound Dressing Guidelines (58544 downloads)
- South Tees Hospitals Wound Dressing Selection Chart (47568 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (130581 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.
- Apomorphine (Neurology) Shared Care Guidelines (62331 downloads)
- Azathioprine (Rheumatology) Shared Care Guideline (62836 downloads)
- Ciclosporin (Rheumatology) Share Care Guidelines (55637 downloads)
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (156544 downloads)
- Dapsone [Dermatology] Shared Care Guideline (53766 downloads)
- Ergot-Derived Dopamine Receptor Agonists (Pergolide, Cabergoline, Bromocriptine) for treatment of Parkinson's disease (Neurology) - CD&TV SCG (112698 downloads)
- First Generation Antipsychotic LAI shared care (66000 downloads)
- Leflunomide (Rheumatology) Shared Care Guideline (53608 downloads)
- Methotrexate (Rheumatology) Shared Care Guideline (73113 downloads)
- Modafinil (Provigil) (Neurology) Shared Care Guideline (51502 downloads)
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (76146 downloads)
- Octreotide (Palliative Medicine) Shared Care Guideline (68646 downloads)
- Penicillamine (Rheumatology) Shared Care Guideline (61043 downloads)
- Riluzole shared care agreement & guidelines (66094 downloads)
- Sulfasalazine (Rheumatology) Shared Care Guideline (59611 downloads)
- TEWV Pharmacy Publications (47050 downloads)
Specials
Other guidance
- CD&TV Stoma Accessories Guide (38828 downloads)
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (252566 downloads)
- County Durham & Tees Valley Do Not Prescribe/Grey List (115908 downloads)
- NTAG Guidance (30138 downloads)
- Patient Decision Aids Resource (41755 downloads)
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (110118 downloads)
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (252566 downloads)
- Guidance on Prescribing Continence Appliances in General Practice (159882 downloads)
- Model Repeat Prescribing System (129554 downloads)
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (141885 downloads)
- Optimise Rx information (1729 downloads)
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (89479 downloads)
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (256665 downloads)
- What to do When Prescribers Join or Leaves (90746 downloads)
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (32667 downloads)
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (330761 downloads)