Mr Steven A Livesey

Qualifications

MBChB

FRCS

Surgical experience and interests

Mr Livesey has been a Consultant Cardiac Surgeon at the University Hospital Southampton since 1990. He has performed over 7500 cardiac operations in Southampton during this time. His surgical experience encompasses all aspects of adult cardiac surgery. This includes both first time and redo coronary artery bypass grafting and valve procedures as well as thoracic aortic surgery. Mr Livesey has a special interest and expertise in mitral valve surgery. He is acknowledged as a British and International expert on repair of the mitral valve, having performed over 1000 of these procedures, including his own now recognised modifications of mitral valve repair technique.

Mr Livesey’s personal operative results, and those of the Cardiac Unit at University Hospital Southampton (UHS), are available for public scrutiny on the website of the Society for Cardiothoracic Surgery in Great Britain and Ireland (www.scts.org). His personal operative outcomes, and those of the Cardiac Unit at UHS, have consistently been significantly better than expected when adjusted for patient risk. The outcomes at UHS compare favourably with other Cardiac Units in the United Kingdom.

Mr Livesey’s experience and results at Spire Southampton Hospital are available for scrutiny on the Spire Hospital website (www.spirehealthcare.com). He has performed almost 2000 cardiac procedures at this hospital with a mortality rate less than 0.50% for all cases - despite a varied case mix. The outcomes for the Cardiac Surgical Group at Spire Southampton are especially outstanding considering the surgical and operative risk profiles of patients are equivalent to many much larger Cardiac Units in the United Kingdom. The risk adjusted surgical outcome data for Mr Livesey and the Cardiac Surgical group are consistently updated on the Spire Southampton website.

Professional and research interests

Mr Livesey has over 25 years of experience in clinical research in the field of cardiac surgery. This has resulted in the publication of over 60 peer reviewed publications. His major field of professional interest and expertise is in the field of mitral valve repair and reconstruction. He has not only published widely on his own experience but also described his own modified mitral valve repair technique. He was recently the leading implanter in the European registry on the new “PHYSIO II” mitral annuloplasty ring.

Mr Livesey has a long standing involvement and leadership reputation both at regional and national level in cardiac surgery. He has been a speciality advisor to NCEPOD and an assessor for the National Clinical Assessment Service as well as a specialist advisor to NICE. He is a member of the Specialist Advisory Committee for Cardiothoracic Surgery as well as a National Clinical Lead for NHS improvement (HEART). He is an examiner for the final FRCS (Cardiothoracic) Intercollegiate Examination. He is the lead for re-validation with the Society for Cardiothoracic Surgery in GB & Ire and was Chair of the Cardiac Surgery Clinical Expert Panel of Healthcare for London. He is currently Chair of the Cardiothoracic Specialist Advisory Committee of the Surgical Royal Colleges.

Current NHS and/or university posts

Consultant Cardiac Surgeon, University Hospital Southampton Foundation Trust (UHS)

Year of first medical qualification

1979

Current membership(s) of professional, national and regional bodies

Royal College of Surgeons of England

Society for Cardiothoracic Surgery in Great Britain and Ireland

European Association for Cardiothoracic Surgery

Background Information

Mr Livesey received his undergraduate training at Manchester University graduating MB, ChB in 1979. He trained in Cardiothoracic surgery in Papworth, St. Georges and Middlesex Hospitals before becoming Senior Registrar at the Brompton and National Heart Hospitals in London between 1987 – 1989. From 1989 – 1990 he was a Fellow at Duke University, North Carolina, USA. On return to the United Kingdom he came to Southampton 1990 as a Consultant Cardiac Surgeon. In 2010 he was appointed Lead Surgeon, Cardiac Surgery at the University Hospital Southampton.


Surgical Outcomes Data

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.

Click here for help understanding this graph

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

Risk adjusted in-hospital survival for all surgeons

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 in comparison with the other units and surgeons in GB&I.