Liverpool Heart and Chest NHS Foundation Trust

Introduction

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%).

Services provided

• Cardiac Surgery
• Congenital Cardiac Surgery
• Thoracic Surgery
• CABG
• Valve Surgery
• Transcatheter Aortic Valve Implantation (TAVI)
• Minimally Invasive Mitral Valve Surgery
• Aortic Aneurysm Surgery
• Upper GI Surgery

Access

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).

Visiting hours

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.

Location

Liverpool Heart and Chest Hospital,
Thomas Drive,
Liverpool,
L14 3PE

Tel: 0151 600 1616

Website: http://www.lhch.nhs.uk/

 

 

Cardiac Outcomes

Number and type of operations performed

This graph shows the number and percentage of each type of heart surgery done by this consultant surgeon. The number of operations is shown in the line going up the left hand side. The percentage (%) underneath each coloured bar shows how much of this consultant's heart surgery is made up each procedure type.

The 'key' underneath the graph shows what procedure(s) each coloured bar shows. The abbreviations used are explained below:

  • Isolated: This procedure has been carried out on its own. No other procedures were done during the same operation.
  • CABG: Coronary artery bypass grafting
  • AVR: Aortic valve replacement
  • MV: Mitral valve procedure

You can find out more about these procedures in the 'About cardiothoracic surgery' section. If you or someone you know if having heart surgery, it may be helpful to know whether the consultant does lots of that procedure. If you have questions or concerns about the number of procedures being done at your hospital, you should speak to your heart surgeon.

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In-hospital survival rate (risk adjusted)

This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected and the number of operations performed over the last 3 year period. The blue line indicates the predicted survival and the red dotted lines the range of results expected, worked out by complex statistics.

For more information on understanding mortality rates, look at the Understanding the graphs page

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Average patient risk profile

Some risk factors like age, gender, and other medical problems can affect the outcome of heart surgery.

Each of the graphs below shows what percentage of this consultant's patients have each risk factor (light blue bar on the left) next to the average for the whole of the UK (dark blue bar on the right). This can tell you whether the consultant operates on high risk patients in general, and whether they specialise in doing particular types of complicated surgery, like operations on the thoracic aorta.

You can find out more about the risk factors in the 'About cardiothoracic surgery' section.

Click here for help understanding this graph


Thoracic Outcomes

The Lung Cancer Clinical Outcomes Publication or LCCOP 2017 (2015 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.

Four outcomes are reported. These are the percentage of patients alive at 30, 90 days and one year after surgery, and the median length of stay before and after a lung cancer operation in this Trust. Survival data are adjusted to take into account some of the characteristics for the patient population being treated.

Beside these numbers are the combined figures for all Trusts in England that undertake lung cancer surgery within the NHS. We have also shown the resection rates for the Trusts who usually referred all or some of their patients to this surgical centre. The resection rate is the number of patients having lung cancer surgery, divided by the total number of lung cancer patients diagnosed by that hospital that year.

Surgeons operating in this hospital

Number of lung cancer operations
Woolley Steven Michael91
Shackcloth Michael John125
Poullis Michael75
Page Richard68
Mediratta Neeraj34
Asante-Siaw Julius125
(this table shows the names of the surgeons who performed lung cancer surgery in this hospital in 2016, and the number of operations they performed that year)

Other thoracic surgery undertaken by this team

Thoracic surgery units also undertake surgery for other cancers within the chest such as thymoma or mesothelioma, collapsed lungs known as pneumothorax, major infections and to biopsy suspicious areas, among other surgery. The SCTS collects data on these other operations in the thoracic registry. Some data for this hospital for the 2016-17 audit year* is given below;

Data from the 2016-17 SCTS thoracic registry

Cases Performed
Total thoracic surgery excluding endoscopy all case (excluding endoscopy) 1247
Did this hospital perform radical surgery for mesothelioma in 2015-16? yes
Did this hospital perform chest wall deformity (pectus) surgery in 2015-16? yes

*note that the thoracic registry reports in financial years (1st April-31st March), while the LCCOP audit reports in calendar year.