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GCE JUN 2010 : A2, 9 Providing Services

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Centre Number 71 Candidate Number ADVANCED General Certificate of Education 2010 assessing Unit 9: Providing Services [A6H31] A6H31 Assessment Unit A2 9 *A6H31* Health and Social Care THURSDAY 10 JUNE, AFTERNOON TIME 2 hours. INSTRUCTIONS TO CANDIDATES Write your Centre Number and Candidate Number in the spaces provided at the top of this page. Write your answers in the spaces provided in this question paper. Answer all three questions. INFORMATION FOR CANDIDATES The total mark for this paper is 100. Quality of written communication will be assessed in questions 1(d), 2(d), 3(c) and 3(d). Figures in brackets printed down the right-hand side of pages indicate the marks awarded to each question or part question. For Examiner s use only Question Number 1 2 3 Total Marks 5289 Marks TASK Carry out an investigation of local service provision in relation to clients with physical disabilities or illnesses. Your investigation should address the following: 5289 How the Beveridge Report (1942) proposed to help people with physical disabilities or illnesses. Political beliefs that have subsequently affected the approaches taken by governments to health and social care provision The New Right (Conservative government from 1979) and the Third Way (New Labour). The impact of the NHS and Community care Act (1990) and the Disability Discrimination Act (2005)/NI Order (2006) on service provision. An analysis of the services provided by the mixed economy of care for clients with physical disabilities and illnesses. How a hospice may be funded. An analysis of the physical, intellectual, emotional and social needs of patients with life threatening illnesses and how they could be met in a hospice. Knowledge, psychological and cultural barriers to accessing hospice care and how they may be broken down. Examples of rationing within the NHS and the impact on clients with disabilities or illnesses, on their families and on service providers. The roles and responsibilities of the following practitioners for patients with a physical disability occupational therapist, physiotherapist, General Practitioner (GP) and a psychologist. The strengths and weaknesses of the multi-disciplinary team approach to supporting clients. How the social workers code of practice influences their work with clients with physical disabilities. Information that would be included in a Patients Charter in a hospice. 2 1 Gavin, aged 24, is about to be discharged from hospital following a serious road traffic accident that has left him paralysed from his waist down. The hospital social worker is trying to organise a package of care that will allow Gavin to live as independently as possible. She has already had meetings with a range of practitioners who work in the statutory sector. Examiner Only Marks Remark (a) Explain one different way each of the following practitioners could support Gavin. An occupational therapist _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A physiotherapist _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] His GP (General Practitioner) _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A psychologist _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 5289 3 [Turn over (b) Practitioners work in teams to support clients with physical disabilities or illnesses. Use the following headings to evaluate the multidisciplinary team approach to supporting clients like Gavin. Strengths 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Weaknesses 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 5289 4 Examiner Only Marks Remark (c) The hospital social worker is guided by her code of practice. Examine how three aspects of her code of practice will influence her work with Gavin. Examiner Only Marks Remark 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 5289 5 [Turn over (d) The social worker has already met with a range of practitioners who work in the statutory sector. Discuss how Gavin could be supported by the other sectors of the mixed economy of care . _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5289 6 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [9] 5289 7 [Turn over 2 The National Health Service (NHS) was established over 60 years ago to provide free healthcare. It was established as a result of recommendations made by the Beveridge Report (1942) which provided the basis of the Welfare State. The political beliefs of successive governments have impacted on how the NHS has provided services and so it has changed considerably over time. Recently, concerns have been expressed about whether the NHS can continue to provide free healthcare from the cradle to the grave . (a) As well as NHS healthcare, explain two ways that Beveridge proposed to help people with physical disabilities or illnesses. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 5289 8 Examiner Only Marks Remark (b) Describe the following political beliefs that have affected the approaches taken by governments to health and social care provision since the introduction of the Welfare State. Examiner Only Marks Remark The New Right (Conservative government from 1979) _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] The Third Way (New Labour) _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 5289 9 [Turn over (c) Explain two ways the following legislation has affected health and social care provision for clients with physical disabilities or illnesses. NHS and Community Care Act (1990) 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Disability Discrimination Act (2005)/NI Order (2006) 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 5289 10 Examiner Only Marks Remark (d) One consequence of financial pressure on the NHS has been the rationing of services. Using examples, assess the potential impact of rationing on clients with physical disabilities or illnesses, on their families and on service providers. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5289 11 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] 5289 12 Marks Remark 3 Hospices provide specialist palliative care for people with life limiting and life threatening illnesses such as cancer. Care can be provided in the hospice and in the community. Hospices are usually voluntary organisations. Examiner Only Marks Remark (a) Write down three examples of information that could be included in a Patients Charter in a hospice. 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] 3. _______________________________________________________ ______________________________________________________ [1] (b) Explain three ways a hospice may be funded. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 5289 13 [Turn over (c) Discuss how psychological, knowledge and cultural barriers may prevent clients accessing hospice care and analyse how these barriers may be broken down. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5289 14 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] 5289 15 [Turn over (d) Analyse how the needs of patients with life threatening illnesses could be met in a hospice. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5289 16 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5289 17 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [15] 5289 18 Marks Remark THIS IS THE END OF THE QUESTION PAPER Permission to reproduce all copyright material has been applied for. In some cases, efforts to contact copyright holders may have been unsuccessful and CCEA will be happy to rectify any omissions of acknowledgement in future if notified. T80249/2

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Additional Info : Gce Health and Social Care June 2010 Assessment Unit A2 9 Unit 9: Providing Services
Tags : General Certificate of Education, A Level and AS Level, uk, council for the curriculum examinations and assessment, gce exam papers, gce a level and as level exam papers , gce past questions and answer, gce past question papers, ccea gce past papers, gce ccea past papers

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