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 (579 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (4014 downloads )
- North East & North Cumbria ICS Formulary (435 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1882 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1011 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (3116 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (819 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (465 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (732 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2760 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 (12371 downloads )
- COPD Treatment - CD&TV APC Guide (32253 downloads )
- Paediatric Asthma Inhaler Guide (5669 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2418 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1094 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (432 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (2350 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 (630 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (673 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (745 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (504 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (482 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6840 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (571 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2010 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1249 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (3963 downloads )
- Management of Menopause – referral to secondary care (423 downloads )
- Menopause and HRT Education Session (396 downloads )
- Tinzaparin Information Sheet (957 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3321 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (2515 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (909 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (759 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1475 downloads )
- Primary Care Management of Vitamin D Deficiency (5032 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (536 downloads )
- ST Undernutrition Pathway adults July 2021 (1785 downloads )
- ST Undernutrition Pathway NH July 2021 (1678 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- HAST & NTHFT Community Wound Dressing Order Form (1845 downloads )
- Primary Care Dermatology Society Website (2738 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2471 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1797 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2952 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 (1407 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (3463 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (1560 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2034 downloads )
- Dapsone [Dermatology] Shared Care Guideline (931 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2660 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4906 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2608 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (414 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (732 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4019 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1736 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (1307 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4179 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2952 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (1214 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (579 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (4014 downloads )
- NTAG Guidance (2553 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (571 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (579 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (3963 downloads )
- Model Repeat Prescribing System (4544 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1195 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1824 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1011 downloads )
- What to do When Prescribers Join or Leaves (514 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (939 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1882 downloads )