In LTSpice you create new parts by creating/adding models. Typically you will have to download these from the manufacturer's website.
In LtSpice, how do you get a potentiometer symbol, is it by combining a resistor and the gnd symbol?
Uhm, no. I think there may be a variable resistor symbol (don't have it in front of me right now), if not, you just make a fixed resistor(s) as needed and change their values on the fly. It makes no difference from the simulation point of view.
I understand from bd139 that you cannot have variables in this program because it is primarily a simulation based program. I'm actually looking for something that would ideally allow me to draft a schematic, then hopefully run a simulation and if at all possible lay it all out on a pcb to a status where I could then make or get made up the pcb's to suit. Is there such a program out there that is fairly easy to use without costing a king's ransom to obtain at all?

You won't find this in cheap/free programs. KiCAD has some start on Spice integration but it isn't very usable yet. And anyhow, you most likely don't want to use a simulator for doing schematic capture for your PCB design as the requirements and the sort of data you need to put in are different. For example, it is common to do simulations with ideal components, to include components such as voltage and current sources that replace entire sub-circuits of your system that aren't relevant for simulation in order to speed it up (large circuits can take hours to simulate!). You won't find this in a PCB oriented tool because you can't put e.g. an ideal current source on a PCB - it doesn't exist! On the other hand, you will need footprint information - which the simulator tool doesn't have and doesn't care about because it is irrelevant in most cases.
If you don't want to draw a circuit diagram twice, then most PCB CAD tools allow you to export a netlist - that you can then import into most simulators, such as that LTSpice, and only add the bits and pieces necessary for the simulation there.
I have just played around with a demo version of Livewire which seems reasonable at least for TH stuff, will this do SMD as well, or is there something better still and yet affordable?
Use a dedicated tool. A $70 jack-of-all-trades-master-of-none tool doesn't inspire much confidence, IMO.