Source · Prevention of Future Deaths

Keith Gandy

Ref: 2026-0304 Date: 5 Jun 2026 Coroner: Andrew Walker Area: North London Responses identified: 1 / 1 View PDF

Response deadline: 31 July 2026 (extracted from report).

Date 5 Jun 2026
56-day deadline 31 Jul 2026
Responses identified 1 of 1

Coroner's concerns

Coroner’s Concerns (extracted summary)
There was no guidance to GPs that underlines that previous cancer is a red flag and a referral for a specialist opinion should be made without waiting for further tests. That referral waiting times for specialist evaluation in these circumstances are between 6 months to 12 months
View full coroner's concerns
There was no guidance to GPs that underlines that previous cancer is a red flag and a referral for a specialist opinion should be made without waiting for further tests.

That referral waiting times for specialist evaluation in these circumstances are between 6 months to 12 months

Responses

1 respondent
NHS England NHS / Health Body
PDF
Received

No AI summary available.

Report sections

Investigation and inquest
On 30th October 2025, I commenced an investigation into the death of Keith Richard Gandy aged 65 years. The medical cause of death was 1a. Multiorgan Failure 1b. Radiation-induced osteosarcoma of the pelvis (operated on 13/10/2025) II. Prostate Cancer How, when and where Keith Richard GANDY died in the Royal National Orthopaedic Hospital (Stanmore, London) on the 29th October 2025. Conclusion Keith Richard GANDY died as a consequences of a delay in recognition of a radiation induced osteosarcoma.
Circumstances of the death
Keith Richard Gandy died in hospital on the 29th October 2025 after a lengthy period of deterioration following first presentation to his surgery following a fall. Mr Gandy had previously had prostate cancer and the focus was on concerns that the cancer had returned or spread together with pain management.

The reason that Mr Gandy was in so much pain was discovered when a doctor at the surgery suspected a pubic rami fracture and Mr Gandy was sent to a walk in X-ray centre on the 8th August 2025.

Mr Gandy was found to have an osteosarcoma.

Mr Gandy was taken to theatre on the 13th October 2025 but despite this failed to recover. This was an extremely rare radiation induced osteosarcoma which, even if caught earlier, is likely to have had a poor outcome.
Action should be taken
In my opinion unless action is taken to address the above concerns then there is a significant risk of future deaths and I believe each of you have the power to take such action.
Copies sent to
I can confirm I have sent the report to1. NHS England3. The Royal National Orthopaedic Hospital 4. Bedfordshire Hospital NHS Trust5. Putnoe Medical Centre

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Report details

Reference
2026-0304
Date of report
5 June 2026
Coroner
Andrew Walker
Coroner area
North London

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 31 Jul 2026.

Sent to

NHS England

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