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 (373 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3719 downloads )
- North East & North Cumbria ICS Formulary (258 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1676 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (799 downloads )
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- #Cardiology Prescribing Guidelines & Formulary - Guide to common problems (STH_JCUH_2019) (2306 downloads )
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (577 downloads )
- DOAC-Related Impact & Investment Fund Indicators 22/23 - Tees Valley CCG Advice Note (322 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (447 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (291 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2550 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 (11492 downloads )
- COPD Treatment - CD&TV APC Guide (31390 downloads )
- Paediatric Asthma Inhaler Guide (4824 downloads )
- Procedural Guidance for Recommending the Issue of Rescue Medication for COPD Exacerbations (2290 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (485 downloads )
- NHS Humber and North Yorkshire ICB (North Yorkshire Place) emergency palliative drugs in community pharmacy scheme: participating pharmacies (301 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (1788 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 (386 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (437 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (540 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - Hartlepool & Stockton (350 downloads )
- Influenza Outbreak in Care Homes - GP Information Pack - M'boro, Redcar & Cleveland (339 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6517 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (363 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (1449 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (699 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
- Guidance on Prescribing Continence Appliances in General Practice (3224 downloads )
- Management of Menopause – referral to secondary care (280 downloads )
- Menopause and HRT Education Session (237 downloads )
- Tinzaparin Information Sheet (820 downloads )
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (2793 downloads )
- CD&TV Vitamins & Minerals Guidance (2393 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (1646 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (711 downloads )
- GP Guidance on the monitoring of Oral Nutritional Supplements (608 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1273 downloads )
- Primary Care Management of Vitamin D Deficiency (4447 downloads )
- South Tees Hospitals Referral Form for Community Nutrition & Dietetic Services (405 downloads )
- ST Undernutrition Pathway adults July 2021 (944 downloads )
- ST Undernutrition Pathway NH July 2021 (802 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Emollient Prescribing for Dry Skin Conditions - CD&TV APC (3558 downloads )
- Emollient Switch Prescribing guide for County Durham & Tees Valley CCGs (1994 downloads )
- HAST & NTHFT Community Wound Dressing Order Form (1616 downloads )
- Primary Care Dermatology Society Website (2549 downloads )
- South Tees Hospitals Wound Dressing Guidelines (2267 downloads )
- South Tees Hospitals Wound Dressing Selection Chart (1561 downloads )
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2734 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 (864 downloads )
- Azathioprine (Rheumatology) Shared Care Guideline (2941 downloads )
- Ciclosporin (Rheumatology) Share Care Guidelines (951 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (1477 downloads )
- Dapsone [Dermatology] Shared Care Guideline (700 downloads )
- Leflunomide (Rheumatology) Shared Care Guideline (2118 downloads )
- Methotrexate (Rheumatology) Shared Care Guideline (4300 downloads )
- Mycophenolate Mofetil (Rheumatology) Shared Care Guideline (2095 downloads )
- NENC Shared Care Protocol - Sativex for the treatment of spasticity in multiple sclerosis (245 downloads )
- NENC Shared Care Protocol Amiodarone for patients in adult services (447 downloads )
- NENC Shared Care Protocol Dronedarone for patients in adult services (291 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (3408 downloads )
- Octreotide (Palliative Medicine) Shared Care Guideline (1565 downloads )
- Sulfasalazine (Rheumatology) Shared Care Guideline (779 downloads )
- TEWV Medicines Optimisation - Interactive Guide [Shared Care Guidance - Page 3] (4001 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2734 downloads )
Other guidance
- CD&TV Stoma Accessories Guide (984 downloads )
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (373 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (3719 downloads )
- NTAG Guidance (2291 downloads )
- Tees Valley Community Pharmacies Stocking Oseltamivir (Tamiflu) (363 downloads )
Other Guidelines
Prescribing systems and processes
- Community Pharmacy Specialist Palliative Care Medicines Stockists and Stock List - Tees Valley (373 downloads )
- Guidance on Prescribing Continence Appliances in General Practice (3224 downloads )
- Model Repeat Prescribing System (4271 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (989 downloads )
- Optimise Rx information (1019 downloads )
- PrescQIPP Prescribing Guidelines for Stoma Appliances and Accessories (1656 downloads )
- Tees Valley Useful Information for Primary Care Pharmacy Teams and Prescribers (799 downloads )
- What to do When Prescribers Join or Leaves (381 downloads )
Self-care and over-the-counter medicines
- Self-Care OTC Guidance (674 downloads )
- Tees Valley CCG - Prescribing of Medicines Available to Purchase Over the Counter for Self-Care (1676 downloads )