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 (611 downloads )
- North East & North Cumbria ICS Formulary (466 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1912 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1042 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (3477 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (851 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (490 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (759 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2787 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 (12668 downloads )
- COPD Treatment - CD&TV APC Guide (32551 downloads )
- Paediatric Asthma Inhaler Guide (5955 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2440 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1197 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (449 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 (657 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (699 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (772 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (519 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (500 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6890 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (589 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2079 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1340 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (4229 downloads )
- Management of Menopause – referral to secondary care (442 downloads )
- Menopause and HRT Education Session (421 downloads )
- Tinzaparin Information Sheet (985 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3406 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (2859 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (940 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (775 downloads )
- Primary Care Management of Vitamin D Deficiency (5126 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (559 downloads )
- ST Undernutrition Pathway adults July 2021 (2101 downloads )
- ST Undernutrition Pathway NH July 2021 (2005 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- HAST & NTHFT Community Wound Dressing Order Form (1862 downloads )
- Primary Care Dermatology Society Website (2761 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2516 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1830 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2971 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 (1507 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (3560 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (1687 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2113 downloads )
- Dapsone [Dermatology] Shared Care Guideline (973 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2750 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (5034 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2697 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (430 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (759 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4139 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1754 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (1428 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4207 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2971 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (1240 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (611 downloads )
- NTAG Guidance (2588 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (589 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (611 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (4229 downloads )
- Model Repeat Prescribing System (4588 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1220 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1849 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1042 downloads )
- What to do When Prescribers Join or Leaves (554 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (976 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1912 downloads )