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 (682 downloads )
- North East & North Cumbria ICS Formulary (544 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1999 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1123 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (3819 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (852 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2877 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 (12970 downloads )
- COPD Treatment - CD&TV APC Guide (32829 downloads )
- Paediatric Asthma Inhaler Guide (6217 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1305 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (524 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 (740 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (776 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (850 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (590 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (579 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (7001 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (666 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2170 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1424 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (4491 downloads )
- Management of Menopause – referral to secondary care (515 downloads )
- Menopause and HRT Education Session (496 downloads )
- Tinzaparin Information Sheet (1063 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3501 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (3187 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (1025 downloads )
- NTHFT_Adult Dietetic Referral Form (187 downloads )
- NTHFT_Paediatric Dietetic Referral Form (178 downloads )
- Primary Care Management of Vitamin D Deficiency (5231 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (630 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- HAST & NTHFT Community Wound Dressing Order Form (1949 downloads )
- Primary Care Dermatology Society Website (2848 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2585 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1911 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3056 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 (1594 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (3646 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (1832 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2188 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1052 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2833 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (5181 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2787 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (664 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (852 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4226 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1832 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (1538 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4294 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3056 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (1333 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (682 downloads )
- NTAG Guidance (2673 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (666 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (682 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (4491 downloads )
- Model Repeat Prescribing System (4653 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1313 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1924 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1123 downloads )
- What to do When Prescribers Join or Leaves (619 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (1050 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1999 downloads )