The Global Tracheostomy Collaborative (GTC) is a Quality Improvement (QI) collaborative conceived to help healthcare providers improve the care they deliver. Inadequate care can leave patients feeling anxious, and the potentially life-threatening or life-changing experiences associated with tracheostomy can lead to depression. The Improving Tracheostomy Care (ITC) program has implemented the GTC resources into 20 diverse UK NHS hospitals. The aim of this project was to evaluate the impact of the ITC program on patient anxiety and depression, assessed using the Hospital Anxiety and Depression Scale (HADS).