John Welch, RN BSc MSc - Board Member NOrF 
President of the International Society for Rapid Response Service and 
Nurse Consultant in Critical Care and Critical Care Outreach at University College London Hospitals

John has degrees in psychology and in nursing.  He has worked in critical care since 1988, was appointed to one of the first Consultant Nurse posts, set-up one of the first Critical Care Outreach services in the UK, was the Programme Lead for Critical Care Outreach at the Department of Health Modernisation Agency, and sat on the Royal College of Physicians National Early Warning Score Design & Implementation Group that devised NEWS 1.0 and NEWS 2.0.

John is currently Consultant Nurse in Critical Care & Critical Care Outreach at University College London Hospitals; and was also previously Deteriorating Patient Lead and then Clinical Lead for sepsis across thirteen UCL Partners hospitals in a NHS England funded Breakthrough Series Collaborative that achieved significant mortality reductions across the group.

He has recently completed co-investigation of two National Institute for Health Research sponsored evaluations of i) interventions aimed at recognising and rescuing deteriorating patients across the NHS, and ii) nurse-led psychological interventions for at-risk patients.

John is also co-lead of a European Union Horizon 2020 funded programme to develop an integrated system for identifying and communicating deterioration - in and out of the hospital - which will facilitate patient and carer contributions and participation too.

Recent publications:
      • Farenden S, Gamble D, Welch J. Impact of implementation of the National Early Warning Score on patients and staff. Br J Hosp Med (Lond). 2017 Mar 2;78(3):132-136.
      • Hogan H, …, Welch J, et al. Effectiveness of ways to improve detection and rescue of deteriorating patients. Br J Hosp Med (Lond). 2017 Mar 2;78(3):150-159.
      • Lalani M, …, Welch J, et al. Building motivation to participate in a quality improvement collaborative in NHS hospital trusts in Southeast England: a qualitative participatory evaluation. BMJ Open. 2018 Apr 7;8(4):e020930.
      • Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017.
      • Stephens T, …, Welch J, et al. Capacity building for critical care training delivery: Development and evaluation of the Network for Improving Critical care Skills Training (NICST) programme in Sri Lanka. Intensive Crit Care Nurs. 2017 Apr;39:28-36.
      • Subbe CP, Welch J. It's Been a Hard Day's Night-What Determines Impact of Less Than 24/7 Rapid Response Systems? Crit Care Med. 2017 Jun;45(6):1104-1105.
      • Subbe CP, …, Welch J; et al. Crisis checklists for in-hospital emergencies: expert consensus, simulation testing and recommendations for a template determined by a multi-institutional and multi-disciplinary learning collaborative. BMC Health Serv Res. 2017 May 8;17(1):334.
      • Wade D, …, Welch J, et al. Providing psychological support to people in intensive care: development and feasibility study of a nurse-led intervention to prevent acute stress and long-term morbidity. BMJ Open. 2018 Jul 23;8(7):e021083.


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