Patients with tracheostomies and their families can experience delays and frustration with care, compounded if systems are inconsistent, uncoordinated or ineffective. Improving Tracheostomy Care (ITC) is a three-year Quality Improvement (QI) programme guiding the implementation of the Global Tracheostomy Collaborative’s (GTC) resources into 20 diverse UK sites to address patient satisfaction. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a patient satisfaction survey used in both the United States and the NHS to describe the patient experience. The aim of this study was to evaluate the internal consistency (reliability) of HCAHPS in this setting.