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 (360 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3704 downloads )
- North East & North Cumbria ICS Formulary (250 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1660 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (786 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (2246 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (566 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (315 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (426 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (276 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2537 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 (11427 downloads )
- COPD Treatment - CD&TV APC Guide (31328 downloads )
- Paediatric Asthma Inhaler Guide (4759 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2283 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (466 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (294 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1775 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 (368 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (420 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (526 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (342 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (330 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6496 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (352 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1434 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (674 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (3169 downloads )
- Management of Menopause – referral to secondary care (273 downloads )
- Menopause and HRT Education Session (228 downloads )
- Tinzaparin Information Sheet (814 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2777 downloads )
- CD&TV Vitamins & Minerals Guidance (2313 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1570 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (697 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (602 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1261 downloads )
- Primary Care Management of Vitamin D Deficiency (4427 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (400 downloads )
- ST Undernutrition Pathway adults July 2021 (873 downloads )
- ST Undernutrition Pathway NH July 2021 (732 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3527 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1982 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1610 downloads )
- Primary Care Dermatology Society Website (2540 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2260 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1554 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2718 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 (854 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2930 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (931 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1458 downloads )
- Dapsone [Dermatology] Shared Care Guideline (685 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2103 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4281 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2081 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (238 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (426 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (276 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3383 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1556 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (761 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (3993 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2718 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (971 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (360 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3704 downloads )
- NTAG Guidance (2269 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (352 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (360 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (3169 downloads )
- Model Repeat Prescribing System (4254 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (975 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1648 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (786 downloads )
- What to do When Prescribers Join or Leaves (375 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (657 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1660 downloads )