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“I love the sticky sound this steamy pasta makes as you stir through pumpkin, walnuts and blue cheese until it forms a creamy sauce,” says chef Donal Skehan. “It’s proper autumnal food – seek out smaller, sweeter pumpkins with interesting textures and skin colours; they are far more flavourful than the regular large orange ones.” Autumn pasta with blue cheese and nuts Serves: 4 Ingredients: 1 pumpkin or autumn squash (about 1kg), peeled, deseeded and sliced 3-4 sprigs of thyme 1 tbsp olive oil 1 tbsp salted butter 2 onions, thinly sliced 350g pasta shapes, such as conchiglie or rigatoni 100g blue cheese 75g walnuts, toasted and roughly crushed Sea salt and freshly ground black pepper Best-quality extra virgin olive oil, to serve Method: 1. Preheat the oven to 200C/180C fan/400F/gas 6. 2. Place the pumpkin on a large baking sheet with the thyme sprigs and toss in the olive oil until all the pieces are coated. Season generously with salt and pepper. Roast in the oven for 40 minutes, or until tender and caramelised at the edges. Once cooked, keep warm. 3. While the pumpkin cooks, place a large heavy-based frying pan (skillet) over a medium-high heat and add the butter. Add the onions and season generously, tossing to coat completely in the melted butter. Reduce the heat and cook gently until the onions are sweet and caramelised, about 10-15 minutes. 4. Towards the end of the pumpkin cooking time, bring a large pan of water to the boil and generously season with salt. Once boiling, add the pasta and cook until al dente. Drain and reserve a cup of the starchy cooking water for use in the sauce. 5. Increase the heat back up under the pan with the onions, then add the reserved pasta water and bring to a steady simmer. Meanwhile, mash half the cooked pumpkin and add this to the onions. Crumble in almost all of the blue cheese (keep a little back to serve) and stir until you have a smooth, creamy sauce. Working quickly, add the pasta to the pan and stir through until completely coated. 6. Serve the pasta hot in warmed plates topped with the remaining pumpkin slices and blue cheese. Sprinkle with toasted crushed walnuts and top with a generous drizzle of the best-quality extra virgin olive oil you have to hand and a last seasoning of sea salt and black pepper. One-pot Moroccan-style meatballs “There are some recipes that are ideal for making ahead of time and seem to improve in flavour once you plonk them in the fridge for an overnight stay. This is particularly true of a tomato-based meatball stew like this one,” says Skehan. “The spices have an opportunity to mingle with the lamb, the harissa paste has time to develop the deep hum of heat in the sauce, and you are left with a pot of something truly special. “Make these meatballs while you have time on a Sunday night, and all you have to do to make a meal of them is serve them at the table with rice or couscous, and maybe some flatbreads.” If you don’t have a slow cooker, make this in a casserole dish and cook, uncovered, in an oven preheated to 160C/140C fan/320F/gas 3 for one hour. Serves: 4 Ingredients: 450g minced lamb ½ red onion, finely chopped 2 garlic cloves, crushed 1 medium free-range egg 2 tsp ras el hanout 30g fresh white breadcrumbs 1 tbsp finely chopped flat-leaf parsley 2 tbsp olive oil Sea salt and freshly ground black pepper For the sauce: 1 tbsp olive oil ½ red onion, finely chopped 2 garlic cloves, finely chopped 1 heaped tbsp harissa paste Grated zest of 1 lemon 400g tin chopped tomatoes 100ml chicken stock 400g tin chickpeas, drained and rinsed To serve: Handful of flat-leaf parsley, chopped Couscous, steamed Greek yoghurt Flatbreads, charred and torn Method: 1. In a large bowl, mix the lamb with the red onion, garlic, egg, ras el hanout, breadcrumbs and parsley. Season well and with wet hands, shape into 20 walnut-sized balls. 2. Heat the two tablespoons of oil in a frying pan or using the sauté function on the slow cooker and brown the meatballs all over. Transfer to a plate. 3. Now for the sauce. Add the one tablespoon of oil to the pan or slow cooker and gently fry the onion for five minutes, then add the garlic, harissa and lemon zest, and cook for one minute more. 4. Transfer to the slow cooker (if you’re not already using it), then add the meatballs. Pour over the chopped tomatoes and stock. 5. Season well and cook on high for four hours, then add the chickpeas and cook for a further 30 minutes. If the sauce is too juicy at the end, remove the meatballs and reduce to your liking in a pan or using the sauté function on your slow cooker. 6. Serve the meatballs and sauce scattered with parsley, with steamed couscous, a dollop of yoghurt and flatbreads. Irish coffee, hazelnut and chocolate tiramisu Tiramisu is one of Skehan’s “go-to desserts to feed a crowd”. He says: “This version is the latest twist and an homage to that favourite after-dinner treat: Irish coffee topped with whipped cream.” Serves: 6 Ingredients: 400ml double cream 250g mascarpone 4 tbsp caster sugar 75ml Baileys 300ml strong coffee 75ml whiskey 200g Savoiardi sponge fingers 100g hazelnuts, toasted and roughly crushed in a pestle and mortar 75g dark chocolate, grated Method: 1. Put the cream, mascarpone and sugar into a bowl and whisk by hand with a balloon whisk until it is thick and luscious. Whisk in the Baileys and set aside. 2. Mix the coffee and whiskey together in a shallow dish. Dip the sponge fingers into this mixture and put a layer of them into a glass serving dish. Spread over a third of the mascarpone mixture and scatter with a third of the nuts and chocolate. 3. Repeat to make two more layers, finishing with a layer of cream scattered with nuts and chocolate. Chill for at least two hours before serving. This will keep well covered in the fridge for two to three days. ‘Home Kitchen: Everyday Cooking Made Simple And Delicious’ by Donal Skehan (Yellow Kite, £25). Read More Three authentic Thai recipes to try at home Move over Nando’s – how chicken restaurants became cool Long live British scran: Three classic dishes for autumn Four delicious ways to use up leftover pumpkin this Halloween The best foods to forage in November and how to cook them Why ‘chain’ restaurant shouldn’t be a dirty word

Mental health patients have been left languishing in hospitals for years due to a chronic shortage in community care, as the number of people trapped on wards hits a record high, The Independent can reveal. Analysis shows 3,213 patients were stuck on units for more than three months last year, including 325 children kept in adult units. Of those a “deeply concerning” number have been deemed well enough to leave but have nowhere to go. One of these cases was Ben Craig, 31, who says he was left “scarred” after being stranded on a ward for two years – despite being fit enough to leave – because two councils fought over who should pay for his supported housing. He missed his daughter's birth and didn’t meet her until she was 18 months old while waiting to be discharged, which only exacerbated his depression. He told The Independent: “I was promised I was going to be moving on, but it just seemed like it went on forever.” The average stay for patients in low-security hospitals was 833 days in 2022-23. The NHS does not collect data on how long people are waiting to be discharged, but mental health charity Mind said Mr Craig’s case was far from unique. Leaked reports, obtained by The Independent, also reveal NHS community services are struggling to see patients, while the NHS is spending hundreds of thousands of pounds a year to house those who could be discharged. Documents for 2022-23 obtained and analysed by The Independent reveal: Adult mental health beds cost the NHS between £500 and £1,000 a day, compared to £5,000 per patient per year for community care One in five referrals for community care was rejected as the NHS battles a 12 per cent staff vacancy rate Patients waited 13 weeks on average to see a community mental health worker, but some waited up to 60 weeks The 3,213 patients stuck for more than three months was an increase of 639 on the year before and an all-time high, according to an analysis of NHS data In August, 10 per cent of patients were waiting 221 days to start community treatment One in 10 patients under a community mental health team did not see a healthcare worker for a year Saffron Cordery, deputy chief executive for NHS Providers, which represents hospitals, told The Independent mental health patients stuck in hospitals were experiencing “personal distress” and getting ill again while they wait. She called on the government to put mental health on an “equal foot” to physical care and said not doing so suggested the government was content not to treat all patients equally. One senior NHS source said long stays in mental health units had become “normalised” and patients were becoming institutionalised. “These 60 and 90 [days] stayers are just being medicated and drifting. They’re adjusting meds to stabilise the person ... These long-stays people can get completely dependent, they lose contact with the world [and] their life, They’re terrible for people,” they said. ‘Robbed’ Mr Craig was admitted to Prestwich Hospital in September 2019 with psychosis from prison after his mental health deteriorated and he began hearing voices. In 2020 he was told by doctors he was well enough to be discharged home after his sentence ended. However, he then had two years of his life “robbed” as two councils rowed over who should fund the mental health hostel he needed to be discharged into to support his recovery. He was eventually discharged into supported living in September 2022 where he still receives mental health support. Mr Craig, who now lives in Manchester, told The Independent: “I was very depressed, I am still not over it properly yet. When I was there, I just didn’t want to go out or anything, so just stayed in my bed all the time. “I missed my daughter’s birth, and I didn’t see her until she was eighteen months old ... it’s left me scarred.” Even when he was finally discharged into supported living accommodation he says the community mental health team had “no input” into his care and says he was still struggling to get in contact with his community service team. Rheian Davies, head of Mind’s legal unit, told The Independent that cases like Mr Craig’s showed councils were failing in their legal duty to fund mental health support in the community. She said the charity had seen patients with longer discharge delays than Mr Craig’s due to this problem. “It’s deeply concerning that people are finding themselves stuck in hospital, their lives on hold, due to a lack of supported housing,” she said. “Delays in leaving hospital cause uncertainty and anxiety that can hamper or even reverse recovery. “This takes a huge emotional toll on the person and their loved ones, but the delay in discharge also means there are fewer beds available for people experiencing mental health crises.” She added that patients “deserve much better than being held indefinitely in hospital settings when they are well enough to return to the community”. Ms Davies said: “This case [Mr Craig’s] is a real opportunity to reduce the delays and hurdles caused by a disjointed system.” Greater Manchester Mental Health Foundation Trust said: “We work hard with all our system partners to ensure where patients are ready for discharge, they can do so as quickly as it is safe to do so.” Abena Oppong-Asare, Labour’s shadow mental health minister, said The Independent’s exposé showed NHS mental health services were “in crisis”. She added: “The Independent investigation reveals the appalling reality that patients are being left in hospital for months, when community care can be far more effective and less expensive for the NHS.” As part of its election manifesto pledges, Labour has promised to recruit 8,500 more mental health professionals, paid for through plans to abolish “tax loopholes for private equity fund managers and tax breaks for private schools”. The Department of Health and Social Care said in 2021-22 an additional £116m was invested in the NHS for mental health discharges and that it will have invested £1bn more in the sector by March 2024. An NHS England spokesperson said: “There is no doubt mental health services are under significant pressure, with the NHS treating record numbers of young people and community crisis services seeing a 30 per cent increase in referrals compared to before the pandemic, and NHS urgent and emergency care also treating record numbers.” Read More Rosalynn Carter tributes will highlight her reach as first lady, humanitarian and small-town Baptist Friends target rowing world record to raise awareness of mental health challenge Women in mental health crisis being jailed in prisons deemed ‘unfit for purpose’ Suspect in fatal Hawaii nurse stabbing pleaded guilty last year to assaulting mental health worker The Priory hospital fined £140k after woman dies on ‘utter shambles’ ward Dumped in A&E and left untreated for 5 days: Shameful plight of vulnerable patients

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