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 (271 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3590 downloads )
- North East & North Cumbria ICS Formulary (173 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1578 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (713 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (1739 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (469 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (241 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (262 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (165 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2454 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 (11092 downloads )
- COPD Treatment - CD&TV APC Guide (30999 downloads )
- Paediatric Asthma Inhaler Guide (4452 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2223 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (338 downloads )
- Nefopam - CD&TV APC Position Statement (2888 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (250 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1666 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 (288 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (318 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (425 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (275 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (252 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6323 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (278 downloads )
Diabetes
- Guidelines for Self Monitoring of Blood Glucose (5349 downloads )
- Paediatric Diabetes Referral Guidelines in Primary Care (1201 downloads )
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1331 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (583 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (2850 downloads )
- Management of Menopause – referral to secondary care (199 downloads )
- Menopause and HRT Education Session (170 downloads )
- Tinzaparin Information Sheet (751 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2653 downloads )
- CD&TV Vitamins & Minerals Guidance (1921 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1161 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (612 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (530 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1174 downloads )
- Primary Care Management of Vitamin D Deficiency (4287 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (338 downloads )
- ST Undernutrition Pathway adults July 2021 (501 downloads )
- ST Undernutrition Pathway NH July 2021 (365 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3357 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1900 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1529 downloads )
- Primary Care Dermatology Society Website (2451 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2193 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1484 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2609 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 (741 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2830 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (819 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1360 downloads )
- Dapsone [Dermatology] Shared Care Guideline (600 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2011 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4145 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (1978 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (146 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (262 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (165 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3184 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1469 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (603 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (3926 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2609 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (862 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (271 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3590 downloads )
- NTAG Guidance (2138 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (278 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (271 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (2850 downloads )
- Model Repeat Prescribing System (4166 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (884 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1570 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (713 downloads )
- What to do When Prescribers Join or Leaves (317 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (535 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1578 downloads )