My trust/network has an unusual distribution of a risk-factor. How will this affect my adjusted outcome?

If your trust/network has unusually low-risk patients compared to all patients nationally, for example they tend to be younger, or have lower ASA grade, or less advanced cancer, the adjusted outcomes for your trust/network will be higher than the observed outcomes. Conversely, if your trust/network has unusually high-risk patients compared to all patients nationally, the adjusted outcomes for your trust/network will be lower than the observed outcomes.