About the NTSP

We started as a group of 4 Intensive Care Doctors working in Manchester who want to improve the management of patients with tracheostomies. We have sought the help of other colleagues in Critical Care, Anaesthesia, ENT surgery and Maxillofacial surgery, forming a multi-disciplinary, multi-site working party to develop these resources. A video presentation hosted by the AAGBI which outlines the project can be viewed by clicking here.

We have tested and developed our emergency guidance with high fideltiy simulators using specific scenarios to ensure that nursing staff, doctors and allied health professionals can follow our algorithms. We have also tried and tested this guidance in a number of different different Trusts in the North West and developed the project incorporating multi-site, multi-speciality peer review and feedback.

Following the positive feedback which we encountered, we have presented this work to the UK Difficult Airway Society and the UK Intensive Care Society.

We are currently engaged with these groups, the National Patient Safety Agency, ENT and MaxFax Royal Colleges and our regional ANWICU and AMGTCICU networks to develop a national tracheostomy safety resource. The NTSP is part of the Global Tracheostomy Collaborative, with the aim of delivering a quality improvement project to provide better tracheostomy care everywhere.

The NTSP team present their work internationaly, most recently at the ESICM, EuroAnaesthesia, the 2nd and 3rd International Tracheostoym Symposia and to the Institute of Healthcare Improvement based at Harvard University, Boston.

The NTSP have been successful insecuring significant grants to fund evaluations of our work and were shortlisted finalists in the BMJ Awards (Anaesthesia team of the year) and HSJ Value in Healthcare Awards 2016.

The full list of partner organisations can be found on the Partners link. Details of individual collabrators are acknowledged in the NTSP manual.

Click here to contact the NTSP

Dr Brendan McGrath, Consultant in Anaesthesia & Intensive Care Medicine, University Hospital of South Manchester

Dr Brendan McGrath

Dr Dougal Atkinson, Consultant in Anaesthesia & Intensive Care Medicine, Central Manchester NHS Foundation Trust

Dr John Moore, Consultant in Anaesthesia & Intensive Care Medicine, Central Manchester NHS Foundation Trust

Dr Lucy Bates, Consultant in Anaesthesia & Intensive Care Medicine, Royal Bolton Hospital


We have developed 3 e-learning modules in partnership with the NHS
e-learning for healthcare project and the Royal College of Anaesthetists.

Click for eLfH website

Visit e-Learning for more information.

Emergency Algorithms

The project has collaborated with multidisciplinary stakeholders to develop unique guidelines for managing tracheostomy and larynegctomy emergencies.

View NTSP published guidelines paper here in Anaesthesia.

More information in the Algorithms pages.

Videos & Resources

We have developed a library of videos to demonstrate key steps in the routine and emergency management of neck breathing patients.

Click here to view our YouTube library

You can access our printed resources including the NTSP Manual 2013 from the Medical Resources page.