Patients with tracheostomies require multidisciplinary care in complex environments from multiple healthcare professionals. This can lead to delays and frustration for the patient and their family, 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. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a patient satisfaction survey required for all hospitals in the United States providing Medicaid services and for the NHS Patient Experience Framework. We aimed to evaluate the impact of the ITC program on patient satisfaction using HCAHPS.