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 (340 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3673 downloads )
- North East & North Cumbria ICS Formulary (234 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1638 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (767 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (2094 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (545 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (302 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (391 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (254 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2518 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 (11340 downloads )
- COPD Treatment - CD&TV APC Guide (31251 downloads )
- Paediatric Asthma Inhaler Guide (4681 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2271 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (435 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (282 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1746 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 (340 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (388 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (505 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (326 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (318 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6462 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (330 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1407 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (650 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (3085 downloads )
- Management of Menopause – referral to secondary care (258 downloads )
- Menopause and HRT Education Session (215 downloads )
- Tinzaparin Information Sheet (799 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2745 downloads )
- CD&TV Vitamins & Minerals Guidance (2191 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1446 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (675 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (590 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1242 downloads )
- Primary Care Management of Vitamin D Deficiency (4402 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (390 downloads )
- ST Undernutrition Pathway adults July 2021 (758 downloads )
- ST Undernutrition Pathway NH July 2021 (610 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3492 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1963 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1598 downloads )
- Primary Care Dermatology Society Website (2524 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2250 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1545 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2694 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 (834 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2909 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (910 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1432 downloads )
- Dapsone [Dermatology] Shared Care Guideline (663 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2082 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4253 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2061 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (217 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (391 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (254 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3347 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1540 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (735 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (3981 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2694 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (949 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (340 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3673 downloads )
- NTAG Guidance (2234 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (330 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (340 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (3085 downloads )
- Model Repeat Prescribing System (4228 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (953 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1635 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (767 downloads )
- What to do When Prescribers Join or Leaves (363 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (629 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1638 downloads )