Oesophago-Gastric Cancer Report 2025 (NOGCA/NATCAN)
The National Oesophago-Gastric Cancer Audit (NOGCA), part of the National Cancer Audit Collaborating Centre (NATCAN), has published a report on care received by people diagnosed with oesophageal or gastric cancer between 1 January 2022 and 31 December 2023 in England and Wales.
People aged 80 years and over had the highest rates of diagnosis via emergency admission
For people who have surgery with curative intent, rates of survival remain consistently high. 90-day and 1-year post operative survival is subject to the audit’s outlier process, and no outlier NHS Trusts/health boards were identified. However, in other areas, figures show that specific aspects of the care pathway remain a concern, and there has been little progress in tackling these issues.
The proportion of people diagnosed with stage 4 disease remains high, with more than 1 in 3 presenting with advanced cancer, similar to those reported five years ago. The report states that this may reflect the non-specific symptoms of oesophago-gastric cancers. In addition, patients continue to experience delays along the diagnostic and treatment pathway, noting that long delays can affect decision options, recovery, and people’s emotional wellbeing at a time of profound uncertainty. As such, this report states that reducing delays remains a shared priority at all levels of the NHS, but achieving target times will require better coordination across services, local innovation to streamline diagnostic pathways, and a continued focus on improving patient flow.
Read the full report: You can view the report by clicking the button below. Version 2: Published September 2025. This version of the report clarifies the description of the report cohort on page 1 (paragraph 2) and corrects a value reported on page 10 (section 4.6).
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