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 (654 downloads )
- North East & North Cumbria ICS Formulary (516 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1969 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1090 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (3737 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (824 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2848 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 (12877 downloads )
- COPD Treatment - CD&TV APC Guide (32752 downloads )
- Paediatric Asthma Inhaler Guide (6146 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2484 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1279 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (497 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 (719 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (760 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (821 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (558 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (543 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6973 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (636 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2147 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1405 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (4417 downloads )
- Management of Menopause – referral to secondary care (479 downloads )
- Menopause and HRT Education Session (462 downloads )
- Tinzaparin Information Sheet (1036 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3478 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (3094 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (1001 downloads )
- NTHFT_Adult Dietetic Referral Form (76 downloads )
- NTHFT_Paediatric Dietetic Referral Form (78 downloads )
- Primary Care Management of Vitamin D Deficiency (5210 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (607 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- HAST & NTHFT Community Wound Dressing Order Form (1918 downloads )
- Primary Care Dermatology Society Website (2806 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2559 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1880 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3031 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 (1568 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (3625 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (1778 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2170 downloads )
- Dapsone [Dermatology] Shared Care Guideline (1027 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2809 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (5131 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2765 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (553 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (824 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4206 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1801 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (1507 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4253 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (3031 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (1311 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (654 downloads )
- NTAG Guidance (2650 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (636 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (654 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (4417 downloads )
- Model Repeat Prescribing System (4639 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1284 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1892 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (1090 downloads )
- What to do When Prescribers Join or Leaves (589 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (1030 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1969 downloads )