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 (702 downloads )
- North East & North Cumbria ICS Formulary (566 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (3917 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (873 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 (13120 downloads )
- COPD Treatment - CD&TV APC Guide (32972 downloads )
- Paediatric Asthma Inhaler Guide (6351 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1357 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (539 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 (755 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (789 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (864 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (609 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (595 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7053 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (689 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2226 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1473 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (4607 downloads )
- Management of Menopause – referral to secondary care (534 downloads )
- Menopause and HRT Education Session (515 downloads )
- Tinzaparin Information Sheet (1084 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3547 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (3268 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (1046 downloads )
- NTHFT_Adult Dietetic Referral Form (289 downloads )
- NTHFT_Paediatric Dietetic Referral Form (271 downloads )
- Primary Care Management of Vitamin D Deficiency (5288 downloads )
- South Tees Hospitals _ Adult Community Nutrition & Dietetic Services Referral Form (915 downloads )
- South Tees Hospitals _ Paediatric Community Nutrition & Dietetic Services Referral Form (124 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- HAST & NTHFT Community Wound Dressing Order Form (1977 downloads )
- Primary Care Dermatology Society Website (2871 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2612 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1935 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3075 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 (3701 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (1917 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2236 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1079 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2888 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (5283 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2839 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (779 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (873 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4277 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1850 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (1602 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4314 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3075 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (1355 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (702 downloads )
- NTAG Guidance (2691 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (689 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (702 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (4607 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1329 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1940 downloads )
- What to do When Prescribers Join or Leaves (633 downloads )