Published 9th October 2025

09 October 2025 (Last updated 9 Oct 2025)

We are pleased to announce the publication of the National Bowel Cancer Audit (NBOCA) State of the Nation Report 2025 for England and Wales.  The report, alongside an interactive data dashboard presenting provider-level results, is available to view here: NBOCA State of the Nation Report 2025 - National Cancer Audit Collaborating Centre. 

This year’s report focuses on people diagnosed or undergoing surgery for bowel cancer between 1 January 2023 and 31 December 2023.

An accompanying foreword by Mr Athur Harikrishnan, ACPGBI President, is also available here: Microsoft Word - NBOCA-SotN-Foreword-2025_09_2025

NBOCA State of the Nation webinar

As a reminder, the NATCAN State of the Nation webinars, covering nine national cancer audits, take place on Monday 13 October.  Key findings from the NBOCA State of the Nation Report 2025 will be presented at 10:35am–10:50am. 

To register and find out more, visit🔗 https://www.natcan.org.uk/events/2025-state-of-the-nation-webinar/

‘Close-it-Quick’ collaborative

With nearly two in five patients (38%) having an unclosed diverting ileostomy 18-months after anterior resection, the NBOCA State of the Nation Report 2025 highlights the urgent need to improve ileostomy closure rates across England and Wales.  Prolonged delays are associated with substantial physical, psychological, and social consequences for patients, as reduced quality of life. The impact of delays on the NHS and your Trust include increased demand on stoma care services, and increased risk of avoidable readmissions due to stoma complications, both of which can contribute to increased financial strain.

We are offering Trusts the opportunity to join the national NBOCA/RCS England/ACPGBI-led ‘Close-it-Quick’ collaborative. Participation will help improve patient care and quality of life, reduce unwarranted delays, streamline ileostomy closure pathways, and deliver efficiency gains and cost savings for your Trust. The project follows a proven model used in other successful RCS England QI collaboratives, offering a structured and effective approach to improvement. 

Find out more at www.rcseng.ac.uk/closeitquick or email closeitquick@rcseng.ac.uk.

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