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 (363 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3708 downloads )
- North East & North Cumbria ICS Formulary (252 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1667 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (789 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (2276 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (570 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (316 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (436 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (284 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2544 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 (11462 downloads )
- COPD Treatment - CD&TV APC Guide (31362 downloads )
- Paediatric Asthma Inhaler Guide (4789 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2284 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (472 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (295 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1777 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 (376 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (427 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (530 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (346 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (332 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6504 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (357 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1441 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (681 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (3201 downloads )
- Management of Menopause – referral to secondary care (275 downloads )
- Menopause and HRT Education Session (231 downloads )
- Tinzaparin Information Sheet (816 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2782 downloads )
- CD&TV Vitamins & Minerals Guidance (2359 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1615 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (701 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (603 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1264 downloads )
- Primary Care Management of Vitamin D Deficiency (4435 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (401 downloads )
- ST Undernutrition Pathway adults July 2021 (912 downloads )
- ST Undernutrition Pathway NH July 2021 (775 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3542 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1987 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1613 downloads )
- Primary Care Dermatology Society Website (2542 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2263 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1557 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2727 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 (855 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2935 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (944 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1467 downloads )
- Dapsone [Dermatology] Shared Care Guideline (689 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2111 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4294 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2089 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (240 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (436 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (284 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3391 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1558 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (766 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (3996 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2727 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (976 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (363 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3708 downloads )
- NTAG Guidance (2277 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (357 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (363 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (3201 downloads )
- Model Repeat Prescribing System (4262 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (979 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1650 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (789 downloads )
- What to do When Prescribers Join or Leaves (375 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (664 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1667 downloads )