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. QI is required to address the concerns of patients who experience variable or inconsistent standards of care, resulting in dissatisfaction. 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 UK NHS Patient Experience Framework. We aimed to evaluate the variability in satisfaction between participating sites using HCAHPS, and the impact of the QI project on such variability.