The National Ovarian Cancer Audit (NOCA) aims to evaluate the patterns of care and outcomes for women with ovarian cancer in England and Wales, and to support services to improve the quality of care for these women. This State of the Nation report publishes information on the care received by 5,601 women diagnosed with ovarian cancer in England in 2022-2023 and by 274 women diagnosed in Wales in 2022-2024.