I am the Integrated Chronic Obstructive Pulmonary Disease (COPD) Team Lead at Solent NHS Trust and University Hospitals Southampton NHS Trust. I am also a Clinical Doctoral Research Fellow, working towards a doctorate with the Faculty of Health Sciences at the University of Southampton. In order to fulfil this I am seconded from my Solent NHS Trust leadership role for 0.2 WTE to investigate, implement and evaluate the GENIE social networking tool within the Southampton COPD patient population.
I am employed to ensure the delivery of high quality COPD care to patients living in the City of Southampton. The service encompasses the whole COPD patient pathway, from primary care education and diagnosis, acute care including respiratory failure admission, supported discharge, readmission prevention, pulmonary rehabilitation and community COPD clinics. I am a respiratory nurse and remain clinically active working across all environments, currently in pulmonary rehabilitation and in nurse led community COPD clinics.
I have a particular interested in self-management theory, and in 2014 I was awarded an NIHR internship to enable me to spend time working with academics at the University of Southampton to understand the burden and complexity of disease in COPD.
Further clinical and academic interests include; non - pharmacological therapies in COPD, and complexities in social and psychological aspects of COPD. This has led to a successful bid within the service to the Queens Nursing Institute for a Singing in COPD project.
Why I love my job
I enjoy the challenges and balances of the different elements of my role; the management strategy and the hands on clinical care. I prefer combining the two in innovative new ways to deliver respiratory care.
More about me
I am keen to ensure strategic clinical pathways are sufficiently evidenced and grounded in robust and timely research. In this way facilitating an ethos of care provision that promotes patient wellbeing in long term conditions, and moves away from reactive COPD care, towards early preventative health strategies.
Current projects/research studies
In Sept 2016 I commenced a doctoral programme within the NIHR CLAHRC theme 5: Supportive Self-Management. Aiming to research and evaluate new methods of self-management support in the existing COPD population. Using the GENIE (Generating network engagement) tool within the COPD population, to understand barriers and challenges to community networking within the COPD populations.
Further to this I am supervising a MSc student to deliver a study in health literacy in COPD, commencing November 2017.
Welch, L, Lippiett, K and Radford, K. Nursing Model to Deliver Respiratory Research. RCN Nursing Management. March 2013. Volume 19, Number 10.
May, C. Myall, Masters, J. M. Welch, L. Hunt, K. Pope, C.J. Griffiths, P. Roderick, P.J. Glanville, J. and Richardson, A. 2015. EXPERTS 1: Experiences of long term, life-limiting conditions amongst patients and carers: protocol for a qualitative meta-synthesis and conceptual modelling study. BMJ OPEN. Accepted January 2015.
Ostridge,K. Williams,N. Kim,V. Bennett,M. Harden,M. Welch,L. Bourne,S. Coombs,N.A. Elkington,P.T. Staples,K.J. Wilkinson, T.M.A. Relationship between pulmonary matrix metalloproteinases and quantitative CT markers of small airways disease and emphysema in COPD.
Thorax Online First, published on December 8, 2015. 10.1136/thoraxjnl-2015-207428
Welch, L. Guide to spirometry best practice for community nurses. Journal of Community Nursing. 2016. Vol 30, No.1.
Welch, L. Community pulmonary rehabilitation: a multidisciplinary approach. Journal of Community Nursing. 2016. Vol 30, No.4.
Kelly, C and Preston, W. (Ed) Respiratory Nursing at a glance. Wiley. August 2016. (Chapter on Sputum examination)
Karl J Staples; Stephen Taylor; Steve Thomas; Stephanie Leung; Karen Cox; Thierry G Pascal; Kristoffer Ostridge; Lindsay Welch; Andrew C Tuck; Stuart C Clarke; Andrew Gorringe; Tom MA Wilkinson. Relationships between mucosal antibodies, non-typeable Haemophilus influenza (NTHi) infection and airway inflammation in COPD. PLOS One. 2016
Adam Lewis1, Phoene Cave1, Myra Stern2 ,Lindsay Welch3Karen Taylor1, Juliet Russell1, Anne-Marie Doyle1, Anne-Marie Russell1, Heather McKee4, Stephen Clift5Julia Bott1, Nicholas S Hopkinson. Primary Care Respiratory Medicine 26, Article number: 16080 (2016) Singing for Lung Health—a systematic review of the literature and consensus statement. ORCID: orcid.org/0000-0003-3235-04541doi:10.1038/npjpcrm.2016.80
"Research priorities for respiratory nursing: A UK-wide Delphi study. " has been selected for presentation in Oral Presentation entitled
"Delivering person-centred care across the spectrum of respiratory nursing" at the ERS Milan 2017 International Congress.