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 (324 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3657 downloads )
- North East & North Cumbria ICS Formulary (220 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1626 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (757 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (1783 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (530 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (287 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (371 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (242 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2507 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 (11165 downloads )
- COPD Treatment - CD&TV APC Guide (31067 downloads )
- Paediatric Asthma Inhaler Guide (4510 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2262 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (398 downloads )
- Nefopam - CD&TV APC Position Statement (2935 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (279 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1714 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 (329 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (378 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (494 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (315 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (307 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6441 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (314 downloads )
Diabetes
- Guidelines for Self Monitoring of Blood Glucose (5401 downloads )
- Paediatric Diabetes Referral Guidelines in Primary Care (1256 downloads )
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1379 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (626 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (2897 downloads )
- Management of Menopause – referral to secondary care (252 downloads )
- Menopause and HRT Education Session (203 downloads )
- Tinzaparin Information Sheet (783 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2717 downloads )
- CD&TV Vitamins & Minerals Guidance (1976 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1223 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (664 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (578 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1234 downloads )
- Primary Care Management of Vitamin D Deficiency (4365 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (385 downloads )
- ST Undernutrition Pathway adults July 2021 (536 downloads )
- ST Undernutrition Pathway NH July 2021 (400 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3422 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1952 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1582 downloads )
- Primary Care Dermatology Society Website (2509 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2237 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1529 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2672 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 (790 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2877 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (858 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1410 downloads )
- Dapsone [Dermatology] Shared Care Guideline (651 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2052 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4197 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2025 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (201 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (371 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (242 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3318 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1525 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (655 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (3967 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2672 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (927 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (324 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3657 downloads )
- NTAG Guidance (2214 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (314 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (324 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (2897 downloads )
- Model Repeat Prescribing System (4217 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (941 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1624 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (757 downloads )
- What to do When Prescribers Join or Leaves (355 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (611 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1626 downloads )