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 (329 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3659 downloads )
- North East & North Cumbria ICS Formulary (220 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1628 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (759 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (1794 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (534 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (291 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (374 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (243 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 (11170 downloads )
- COPD Treatment - CD&TV APC Guide (31075 downloads )
- Paediatric Asthma Inhaler Guide (4516 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2265 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (400 downloads )
- Nefopam - CD&TV APC Position Statement (2937 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (280 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1717 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 (330 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (379 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (495 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (316 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (309 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6446 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (319 downloads )
Diabetes
- Guidelines for Self Monitoring of Blood Glucose (5404 downloads )
- Paediatric Diabetes Referral Guidelines in Primary Care (1258 downloads )
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1382 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (630 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (2902 downloads )
- Management of Menopause – referral to secondary care (252 downloads )
- Menopause and HRT Education Session (203 downloads )
- Tinzaparin Information Sheet (785 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2719 downloads )
- CD&TV Vitamins & Minerals Guidance (1985 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1233 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (666 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (582 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1235 downloads )
- Primary Care Management of Vitamin D Deficiency (4366 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (387 downloads )
- ST Undernutrition Pathway adults July 2021 (544 downloads )
- ST Undernutrition Pathway NH July 2021 (408 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3426 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1955 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1585 downloads )
- Primary Care Dermatology Society Website (2510 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2239 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1532 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2677 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 (793 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2879 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (860 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1410 downloads )
- Dapsone [Dermatology] Shared Care Guideline (654 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2054 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4200 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2029 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (203 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (374 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (243 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3321 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1527 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (658 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (3969 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2677 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (933 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (329 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3659 downloads )
- NTAG Guidance (2216 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (319 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (329 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (2902 downloads )
- Model Repeat Prescribing System (4221 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (943 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1626 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (759 downloads )
- What to do When Prescribers Join or Leaves (356 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (613 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1628 downloads )