A tracheostomy tube (1) is made from a first component (20) of a relatively hard plastics material that is overmoul - ded with a second component (29) of a softer plastics material (26). The first component (20) provides a machine end coupling (6) and a helical reinforcement member (23, 23′) extending along the region (3) that will, in use, extend through the tracheal tissue. The second component (29) extends along the reinforcement member (23, 23′) and beyond it to form the patient end (2) of the tube (1).