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 (426 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3782 downloads )
- North East & North Cumbria ICS Formulary (289 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1720 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (854 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (2470 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (634 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (350 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (523 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (343 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2602 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 (11638 downloads )
- COPD Treatment - CD&TV APC Guide (31532 downloads )
- Paediatric Asthma Inhaler Guide (4962 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2320 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (560 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (331 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1847 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 (454 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (502 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (589 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (382 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (365 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6593 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (404 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1512 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (769 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (3380 downloads )
- Management of Menopause – referral to secondary care (311 downloads )
- Menopause and HRT Education Session (266 downloads )
- Tinzaparin Information Sheet (849 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2844 downloads )
- CD&TV Vitamins & Minerals Guidance (2558 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1812 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (761 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (637 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1320 downloads )
- Primary Care Management of Vitamin D Deficiency (4505 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (430 downloads )
- ST Undernutrition Pathway adults July 2021 (1108 downloads )
- ST Undernutrition Pathway NH July 2021 (967 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3649 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (2047 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1650 downloads )
- Primary Care Dermatology Society Website (2580 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2294 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1591 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2797 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 (911 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2991 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (1024 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1528 downloads )
- Dapsone [Dermatology] Shared Care Guideline (746 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2163 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4380 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2141 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (280 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (523 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (343 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3491 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1594 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (829 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4029 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2797 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (1034 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (426 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3782 downloads )
- NTAG Guidance (2361 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (404 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (426 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (3380 downloads )
- Model Repeat Prescribing System (4349 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1037 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1690 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (854 downloads )
- What to do When Prescribers Join or Leaves (407 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (745 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1720 downloads )