In 2004, a multidisciplinary team (MDT) tracheostomy care model was developed to care for patients with a tracheostomy who were outside of the intensive care setting. The three main components of the MDT care model are: a tracheostomy care bundle checklist, an educational program for staff on the dedicated wards where patients with a tracheostomy are cared for and a dedicated MDT who attend a weekly tracheostomy ward round. We have critically reviewed how the care model is currently working to reassess its effectiveness. In addition, we have looked at the financial savings brought about by the reduction in length of stay in the high dependency setting.