NCEPOD & the National Tracheostomy Safety Project

The UK National Confidential Enquiry into Patient Outcome and Death (NCEPOD) examines topics covering all aspects of medical and nursing care within hospitals. NCEPOD is a charity and whilst commissioned by the UK Health Quality improvement Programme (HQIP) maintains its independence in terms of project design and publication of findings. It is strongly supported by the Medical and Nursing Royal Colleges, and professional associations but is not governed by them. Over the last 25 years it has a well established track record in the UK of performing nationally relevant high quality studies that examine areas of medical and surgical practice in which there is room for improvement. NCEPOD recommendations are now widely and routinely adopted in many areas of health care practice.

NCEPOD&NTSP NCEPOD The Association of Anaesthetists of Great Britain & Ireland (AAGBI)I proposed the study and along with members of the NTSP, collaborated with NCEPOD to form an invited multidisciplinary group of experts. The group comprised health care professionals from anaesthesia,  intensive care medicine, ear, nose and throat surgery, maxillofacial surgery, respiratory medicine, critical care nursing, physiotherapy, speech and language therapy, and lay representation, working alongside the NCEPOD clinical and research team. The primary aim of this study was to explore factors surrounding the insertion and subsequent management of tracheostomies in adults in both the ICU and ward environments. Key aims included exploring tracheostomy related complications and remediable factors in care, and to make recommendations to improve future practice.

The report was launched at the Royal College of Nursing, London, in June 2014. Summary and full versions of the report are available from the NCEPOD website, or by clicking the image above. Launch day presentations and comments from the invited expert panel are also available from NCEPOD.

The report benchmarks tracheostomy care in England & Wales for over 2,500 patients and makes relevant recommendations in line with those recommended previously by the NTSP and GTC. It is clear that there is a challenge for all healthcare providers to improve the quality and safety of the care that we deliver. We hope that the resources here and from other partner organisations will help to deliver this. Collaboration with others around the world via the GTC is also anticipated to rapidly disseminate new strategies to improve care.

See News... for more details.

The NTSP emergency algorithms, bed-head signs, e-learning and supporting videos and materials are available from the Medical Resources section.

Algorithms NTSP Manual 2013 NTSP Manual 2013 GTC Facebook NTSP Manual NTSP Manual

NTSP Manual 2013 is available to download. NTSP resources are now available for iPhone and iPad. Other smartphone Apps coming soon.

Comprehensive Tracheostomy Care - the NTSP Manual is available in hardback from April 2014. Links on Amazon and Wiley-Blackwell here.

Prof Hawking at the GTC











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.