Liverpool Heart and Chest Hospital
About the unit
Liverpool Heart and Chest Hospital is the largest single site specialist heart and chest hospital in the country, providing specialist services in cardiothoracic surgery, cardiology, respiratory medicine including adult cystic fibrosis and diagnostic imaging. It serves a catchment area of 2.8 million, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly receives referrals from outside these areas for highly specialised services such as aortics.
In 2014, adjusted survival 30 days after lung cancer surgery in this hospital was significantly better than the national average. The difference seen is higher than we would expect just by chance. This hospital is therefore a positive outlier on this outcome measure (defined as outside a confidence interval of 99.8%).
• Cardiac Surgery
• Congenital Cardiac Surgery
• Thoracic Surgery
• Valve Surgery
• Transcatheter Aortic Valve Implantation (TAVI)
• Minimally Invasive Mitral Valve Surgery
• Aortic Aneurysm Surgery
• Upper GI Surgery
A two tier car park is located at the main entrance of the hospital site for the benefit of patients, staff and visitors. A courtesy bus service operates from this main car park and is fully wheelchair and patient friendly. Designated parking spaces for disabled visitors are available across the site. There is good access by public transport (bus and train).
Liverpool Heart and Chest Hospital operates an open door policy for family and friends. This means that wherever possible, we welcome visitors spending time with their loved ones when it is convenient for them. While we know that patients need rest, we also believe that having loved ones nearby, while they are in hospital, often makes them more comfortable and speeds up their recovery.
There may be times when we may ask visitors to leave, for example, during medical procedures or emergencies. However if this is necessary, we would discuss this at the time.
Visitors are welcome on our Critical Care Unit and POCCU between 8-9am and 12-8pm. However if this is not suitable, visitors may visit outside of these hours – please discuss this with one of the nursing team.
Liverpool Heart and Chest Hospital,
Tel: 0151 600 1616
Risk adjusted in-hospital survival rate
This graph shows the “in hospital” survival rate of patients who are operated on by the individual surgeon/unit you have selected. “In hospital” means time the patient is in the hospital where they have had their operation. It does not include any time that patients may have spent in other hospitals, either before or after their heart operation.
The data has been through a complex methodology, including the variations in patient risk factors in order to give you a comparative base from which to work from. This means that the survival rates take into account the type and risk of patients being operated on for each surgeon/unit. This is known as risk adjusted survival.
The vertical axis shows the GMC number of the surgeon or the Hospital identifier. In brackets is the total number of patients operated on by the surgeon/unit and the percentage of patients for whom the survival is known. The horizontal axis is the percentage survival. The dashed vertical line shows the risk adjusted survival rate for the UK as a whole. The solid black horizontal line represents the surgeon/unit. What is important here is that the horizontal line crosses the vertical dashed line. If this occurs, it means that the surgeon/unit are within the expected outcomes given the case-mix and risk factors of the patients they operate on.
The icons that sit on the horizontal line should give you more information about your surgeon/team.
The open square is the survival rate with no risk adjustments:
The X is the predicted survival with adjustments
The solid dot is the survival probability after the methodology has been applied.
- If the solid dot is red it means survival is worse than expected
- If the solid dot is black it means that it is within limits
- If the solid dot is green it means that there is significantly higher survival than expected
There is a lot of information on these plots, but the takeaway message is that if the solid black line crosses the dashed vertical line then the survival rate for the surgeon/unit is within expectations and that there is no reason for any concern.
A more detailed explanation about these graphs and methodology can be found here: Graph Explanations
Data for period April 2016 – March 2019.
Risk Adjusted In-Hospital Survival Rate
The Lung Cancer Clinical Outcomes Publication or LCCOP 2019 (2017 data).
LCCOP is a compulsory audit of surgery for lung cancer in NHS hospitals in England. It does not cover SCTS units in the devolved nations or Ireland.
The outcomes of patients undergoing surgery to remove a lung cancer in this Trust in 2017 can be downloaded in PDF form here.
Several outcomes are reported. These are the percentage of patients alive at 30 days and one year after surgery, the median length of stay after surgery, the overall and the early stage performance status 0-1 resection rate for that unit.
Survival data are adjusted to take into account some of the characteristics for the patient population being treated.
Beside these numbers are the national data for England.
Surgeons operating in this hospital
|Number of lung cancer operations|
|Shackcloth Michael John||66|
|Woolley Steven Michael||82|
Other thoracic surgery undertaken by this team
Thoracic surgery units also undertake surgery for other cancers within the chest, such as thymoma or mesothelioma, and benign conditions like pneumothorax or pleural infections. The SCTS collects data on these other operations in the thoracic registry. Some data for this hospital for the 2017-18 audit year* is given below;
Data from the 2017-18 SCTS thoracic registry
|Total thoracic surgery excluding endoscopy all case (excluding endoscopy)||1087|
|Did this hospital perform radical surgery for mesothelioma in 2017-18?||Yes|
|Did this hospital perform chest wall deformity (pectus) surgery in 2017-18?||Yes|
*note that the thoracic registry reports in financial years (1st April-31st March), while the LCCOP audit reports in calendar year.
Consultant Cardiac Surgeons 2015 - 2018: 16
- Chalmers John
- Chung Darryl
- Field Mark
- Harrington Deborah
- Ivancarmine Gambardella
- Kuduvalli Manoj
- Mediratta Neeraj
- Modi Suresh
- Muir Andrew
- Nawaytou Omar Mahmoud Salama
- Oo Aung Ye
- Poullis Michael
- Pullan David
- Williams Richard
- Wilson Ian
Consultant Congenital Cardiothoracic Surgeons: 0
Consultant Thoracic Surgeons 2017: 6