A tracheostomy can be a life-saving and life-giving procedure, but it can lead to complications that have serious consequences. In the lead author’s (CR) experience, there has been a noticeable increase in the number of patients leaving hospital with tracheostomies over the past two decades.

This article will help community teams to recognise and plan for the many aspects to be considered when embarking on tracheostomy care in community settings. It identifies priorities of clinical care, offers advice about preparing the patient’s environment, and discusses the knowledge and skills required to deal with issues arising from tracheostomy. The aim is to enhance patient and carer confidence, and thereby promote independence, safety and quality of life.