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GCE JUN 2007 : A2, 9 Providing Services

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Centre Number 71 Candidate Number ADVANCED General Certificate of Education 2007 Health and Social Care assessing Unit 9: Providing Services A6H31 Assessment Unit A2 9 [A6H31] TUESDAY 12 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 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 A6H31S7 2446 Marks TASK Investigate service provision in relation to clients with learning disabilities, both children and adults. You should address the following: A6H31S7 The impact of legislation The NHS and Community Care Act 1990, Special Educational Needs Disability Order 2005 The needs of clients with learning disabilities and how they may be met Demographic trends number of people in the population with learning disability, changes in life expectancy and the impact on service provision The mixed economy of care and the services it provides for clients with learning disabilities Funding arrangements related to service provision for clients with learning disabilities How clients with learning disabilities access health and social care services Barriers to access and how they may be broken down The roles of a range of health and social care practitioners who care for both children and adults with learning disabilities The importance of codes of practice, charters of rights and organisational policies in raising the standards of care for clients with learning disabilities Rationing services for clients with learning disabilities and the consequences of this for clients, families and service providers Quality assurance procedures in organisations which support clients with learning disabilities codes of practice/conduct, policies and procedures and charters of rights 2446 2 1 (a) Write down four ways clients with learning disabilities may gain access to health and social care services. Examiner Only Marks Remark 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] 3. _______________________________________________________ ______________________________________________________ [1] 4. _______________________________________________________ ______________________________________________________ [1] (b) Write down three potential barriers to accessing services for clients with learning disabilities and explain how these barriers may be broken down. Barrier __________________________________________________ ______________________________________________________ [1] Explanation ______________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Barrier __________________________________________________ ______________________________________________________ [1] Explanation ______________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A6H31S7 2446 3 [Turn over Examiner Only Barrier __________________________________________________ ______________________________________________________ [1] Explanation ______________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) Some social workers are responsible for designing individual packages of care to meet the physical, intellectual, emotional and social needs of clients with learning disabilities. Identify one example of each type of need and explain how it may be met. Physical need Example ______________________________________________ [1] Explanation ______________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Intellectual need Example ______________________________________________ [1] Explanation ______________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A6H31S7 2446 4 Marks Remark Emotional need Examiner Only Marks Remark Example ______________________________________________ [1] Explanation ______________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] Social need Example ______________________________________________ [1] Explanation ______________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (d) Discuss the impact of demographic trends in learning disability on the provision of services for clients. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H31S7 2446 5 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [8] A6H31S7 2446 6 Marks Remark 2 When David was two years old his mother expressed concern to the health visitor about his development. David had difficulties with his speech, his interactions with others and his behaviour. After a series of assessments by health and social care professionals, David was diagnosed with autism. David is now four years old and will be starting school next week. His parents have raised money to pay for Applied Behaviour Analysis (ABA), a therapy which they learned about through the National Autistic Society and which David is now receiving at home. They had hoped that he would have been able to benefit from this therapy free of charge when he starts school but have been told that the local education board will not fund it. The rationing of this service has made David s parents angry because they are aware that it has been provided for other children in the UK. Examiner Only Marks Remark (a) Explain three ways a voluntary sector organisation such as the National Autistic Society may be funded. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A6H31S7 2446 7 [Turn over (b) Explain three functions of a voluntary organisation such as the National Autistic Society. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) A health visitor, a consultant paediatrician and an educational psychologist have all been involved in David s assessments. Write down two different ways each of these professionals contribute to the care of children with learning disabilities. Health visitor 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] A6H31S7 2446 8 Examiner Only Marks Remark Consultant paediatrician Examiner Only Marks Remark 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] Educational psychologist 1. _______________________________________________________ ______________________________________________________ [1] 2. _______________________________________________________ ______________________________________________________ [1] (d) Discuss the potential consequences of the rationing of ABA for David, his family and his local education board. David _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31S7 2446 9 [Turn over David s family Examiner Only Marks _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] David s local education board _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31S7 2446 10 Remark (e) Discuss the impact of the Special Educational Needs and Disability Order 2005 (SENDO) on schools and on children with learning disabilities. Examiner Only Marks Remark Impact of SENDO on schools _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [8] A6H31S7 2446 11 [Turn over Impact of SENDO on children with learning disabilities _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [8] A6H31S7 2446 12 Examiner Only Marks Remark 3 Examiner Only Marks Remark Extract has been removed due to copyright (a) Discuss how each of the following can contribute to ensuring quality care provision for clients with learning disabilities who live in long-stay hospitals run by private companies. Staff training _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31S7 2446 13 [Turn over A residents charter Examiner Only Marks _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] The nurse s code of practice _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31S7 2446 14 Remark A complaints policy Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H31S7 2446 15 [Turn over (b) Evaluate the impact of the NHS and Community Care Act 1990 on the lives of clients with learning disabilities who were previously shut away from the community in long-stay hospitals . _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H31S7 2446 16 Examiner Only Marks Remark Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] A6H31S7 2446 17 Marks Remark THIS IS THE END OF THE QUESTION PAPER A6H31S7 2446 18 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) T26623/4

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Additional Info : Gce Health and Social Care June 2007 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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