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 (331 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3660 downloads )
- North East & North Cumbria ICS Formulary (221 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1630 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) (1808 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (535 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (292 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (374 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (244 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2508 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 (11185 downloads )
- COPD Treatment - CD&TV APC Guide (31088 downloads )
- Paediatric Asthma Inhaler Guide (4525 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 (402 downloads )
- Nefopam - CD&TV APC Position Statement (2939 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (281 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1718 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 (331 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (380 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (496 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (317 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] (6449 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (320 downloads )
Diabetes
- Guidelines for Self Monitoring of Blood Glucose (5405 downloads )
- Paediatric Diabetes Referral Guidelines in Primary Care (1259 downloads )
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1385 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (631 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (2908 downloads )
- Management of Menopause – referral to secondary care (253 downloads )
- Menopause and HRT Education Session (204 downloads )
- Tinzaparin Information Sheet (786 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2722 downloads )
- CD&TV Vitamins & Minerals Guidance (2003 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1244 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (668 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (583 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1237 downloads )
- Primary Care Management of Vitamin D Deficiency (4369 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (387 downloads )
- ST Undernutrition Pathway adults July 2021 (558 downloads )
- ST Undernutrition Pathway NH July 2021 (419 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3430 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1956 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 (2680 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 (798 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2880 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (863 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1413 downloads )
- Dapsone [Dermatology] Shared Care Guideline (655 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2054 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4203 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2031 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 (244 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3324 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1528 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (661 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (3970 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2680 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (936 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (331 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3660 downloads )
- NTAG Guidance (2217 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (320 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (331 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (2908 downloads )
- Model Repeat Prescribing System (4221 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (944 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1627 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 (614 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1630 downloads )