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GCE JAN 2008 : A2, 9 Providing Services

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Centre Number 71 Candidate Number ADVANCED General Certificate of Education 2008 Health and Social Care assessing Unit 9: Providing Services A6H31 Assessment Unit A2 9 [A6H31] THURSDAY 24 JANUARY, MORNING 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 all questions. 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 A6H31W8R 3500.03 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: A6H31W8R The physical, intellectual, emotional and social needs of clients with physical disabilities or illnesses. The impact of the political ideology of successive governments on health and social care provision, in particular social democracy (the traditional Labour Party), The New Right (Conservatives from 1979) and The Third Way (New Labour). The impact of the Beveridge Report 1942 and the NHS and Community Care Act 1990 on the provision of services for clients with physical disabilities or illnesses. Funding arrangements for services for clients with physical disabilities or illnesses in the mixed economy of care . The impact of increasing morbidity and immigration on service provision. An evaluation of care in the community for clients with physical disabilities. How the needs of clients with physical disabilities or illnesses may be met by the Northern Ireland Chest Heart and Stroke Association. How clients with physical disabilities or illnesses access services, barriers to access and how they may be broken down The consequences of rationing drug treatments for individuals, their families and health care providers. The roles of health and social care practitioners who care for clients with physical disabilities or illnesses speech therapist, occupational therapist and social worker. How the government has attempted to influence the quality of service provision for clients with physical disabilities or illnesses through legislation and policy, in particular The Care Standards Act 2000, The Disability Discrimination Act 1995 and league tables. 3500.03 2 1 (a) Identify two examples of each of the following types of needs for clients with physical disabilities or illnesses. Examiner Only Marks Remark Physical 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] Intellectual 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] Emotional 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] Social 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] A6H31W8R 3500.03 3 [Turn over (b) Explain two ways each of the following demographic factors might impact on the provision of services for clients with physical disabilities or illnesses. Increasing morbidity rates 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Increasing immigration 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A6H31W8R 3500.03 4 Examiner Only Marks Remark (c) Due to finite resources health trusts and local authorities have had to resort to rationing drug treatments for illnesses such as breast cancer and multiple sclerosis. Discuss the consequences of such rationing for individuals, their families and health care providers. Examiner Only Marks Remark Individuals _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] Families _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31W8R 3500.03 5 [Turn over Health care providers Examiner Only Marks _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] (d) (i) Explain two ways clients with physical disabilities or illnesses may gain access to health and social care services. 1. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] 2. ___________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [2] A6H31W8R 3500.03 6 Remark (ii) Clients with physical disabilities or illnesses often encounter physical barriers when accessing services. Discuss three other barriers these clients may meet and explain how they may be broken down. Examiner Only Marks Remark _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ A6H31W8R 3500.03 7 [Turn over Examiner Only _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ __________________________________________________ [9] A6H31W8R 3500.03 8 Marks Remark 2 (a) Explain two ways each of the following has influenced the provision of services for clients with physical disabilities or illnesses. Examiner Only Marks Remark The NHS and Community Care Act 1990 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] The Beveridge Report 1942 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A6H31W8R 3500.03 9 [Turn over (b) Discuss how the government attempted to influence the quality of service provision for clients with physical disabilities or illnesses using the following legislation and policy. The Disability Discrimination Act 1995 _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] The Care Standards Act 2000 _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31W8R 3500.03 10 Examiner Only Marks Remark League tables Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] (c) Using the following headings, discuss how the following political ideologies of successive governments influenced their approach to health and care service provision. Social democracy (the traditional Labour Party) _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31W8R 3500.03 11 [Turn over The New Right (Conservatives from 1979) Examiner Only Marks _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] The Third Way (New Labour) _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31W8R 3500.03 12 Remark 3 Maggie, aged 42, is in hospital recovering from a stroke. Even though her speech is still badly affected and she has only partial control of one side of her body, she is now ready to go home. Maggie has been advised that she may have a physical disability for the rest of her life and a hospital social worker has visited her to discuss how she can be supported to enable her to return home. Examiner Only Marks Remark (a) Explain one different way each of the following practitioners could contribute to Maggie s care. Social worker _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Speech therapist _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Occupational therapist _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A6H31W8R 3500.03 13 [Turn over (b) Discuss how the Northern Ireland Chest Heart and Stroke Association may help to meet the needs of clients like Maggie. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H31W8R 3500.03 14 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [9] A6H31W8R 3500.03 15 [Turn over (c) Analyse how services for clients with physical disabilities or illnesses are funded in the mixed economy of care . _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H31W8R 3500.03 16 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [9] A6H31W8R 3500.03 17 [Turn over (d) Discuss the strengths and weaknesses of care in the community for clients like Maggie who have a physical disability or illness. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H31W8R 3500.03 18 Examiner Only Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H31W8R 3500.03 19 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] THIS IS THE END OF THE QUESTION PAPER A6H31W8R 3500.03 20 Marks Remark 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. SP (NF) T58180/4 (R)

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Additional Info : Gce Health and Social Care January 2008 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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