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Ian and Margaret

Margaret, living with MND, is a farmer’s daughter, who trained as a shorthand typist. She spent most of her working life as a school secretary and greatly enjoyed her career.

Her husband Ian is her main carer. He trained in agriculture and managed a farm until he reached 27 years of age. He then switched careers and joined the Warwickshire Fire Service.

Both Margaret and Ian enjoy getting out and about – visiting places, friends and family as much as they can. Even though Margaret uses thickeners now, they still enjoy a wide variety of food and drink, and kindly contributed to the development of this guide.

“As well as the recipe we’ve suggested here, we cook a lot of stews and casseroles. I enjoy these too and they are full of nutrition. We cook and then freeze extra portions for another time.

The joy with a good stew is that you can slow cook until meat is very tender – or blend if needed. But of course, after a good stew, you still need that dish of sweet apple crumble to finish!”

Ian, carer

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Smooth apple crumble

“I really love apple crumble, which I can still manage to eat with lots of custard. But if crumble tends to make you cough, the following version is an easy-swallow twist.

I hope this helps you enjoy the flavours. You can also add cream to fortify, when cooking the porridge (which tastes lovely too).”

Margaret, living with MND


Preparation time:15 - 20 minutes

Serves:4

Cooking time:10 minutes


If needed, you can stew the apple in a little water and sugar before blending, to soften. Or use precooked apple pie filling.


  • Ingredients
    • 1 large apple, cored, peeled and cut into small chunks
    • ¼ – ½ tsp honey (or pure maple syrup if preferred)
    • Cinnamon
    • ½ tsp water
    • ½ serving porridge oats, cooked as instructed, and cooled
    • Soft brown sugar
  • Method
    1. Preheat oven (180° C, 160° C fan oven, gas mark 4).
    2. Blend the apple chunks with the honey or maple syrup, cinnamon and water, until smooth. Scrape down the sides of the blender if needed, then blend again to ensure the mix is entirely smooth.
    3. Place the apple mix into a ramekin or oven-proof small dish.
    4. Top with 2-3 tbsp of the porridge.
    5. Sprinkle lightly with more cinnamon and brown sugar, which should melt into the porridge when baked.
    6. Bake for 8-10 minutes, but not for too long in case it forms a crust.

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