Objective To compare whether head and neck cancer treatment provided at the district general hospital in Trincomalee is within the international temporal guidelines and if not the necessary measurements needed for improvement. Methodology A Retrospective clinical audit of head and neck cancer care provided in 2016 and a re-audit in 2017 after application of remedial measures identified in the initial audit Result Patient delay, referral delay, initiationdelay, procedural delay, biopsy delay and treatment delay were minimized to the delays accepted by European guidelines. Conclusion Following the audit, the delays were identified involving all the stakeholders and implementation of an improvement plan done leading to near ideal head & neck cancer care provision.