In 1981, a child in the US was discharged home dependent on medical technology. Since then, it is widely acknowledged this cohort of children should live at home. However, most countries are still reactive in their approach to care. The aim of this study was to explore knowledge and challenges caring for children technology dependent in the home care setting. Knowledge was specifically asked in relation to best practice caring for a child / young person requiring tracheostomy care and challenges nurses’ face caring for this cohort of children in the homecare setting.