1. Feedback and Mark scheme
Upper sixth - back to college test

2. Describe two differences between the role of a Healthcare assistant and the role of a Nurse. 
Mark scheme Answer
Common Misconceptions
HCA: help SUs with daily personal care: washing, toileting, feeding, mobility, making beds etc. work under the guidance of a qualified professional e.g. a nurse or a doctor 
General personal care duties 
Non-professional, may have NVQ qualifications but not a degree 
Nurse: professional – has a degree and maintains registration with NMC 
Will have a specialism such as critical care nursing, surgical care, mental health 
Give treatments and may prescribe drugs 
Offer specialist care and expertise 
NOT A MARK:  
Both work in similar settings 
Both take temperatures, pulse, respiration rates and weight
Nurse is a professional with a degree qual.
The nurse is responsible for the patients overall nursing care, they make medical judgements and are accountable for their  decisions
Nurses are regulated by the MWC
HCA are still trained - NVQ

3. In which healthcare settings would a patient get: Diagnosis. Treatment
In which healthcare settings would a patient get:  Diagnosis? Treatment? Recovery?   
Mark Scheme Answer
Common Misconceptions
Most people recover at home!
Don't need changes in treatment or constant medical care
Research has shown people recover better – less risk of infection
Diagnosis? 
GP surgery, A and E, pharmacy 
Treatment? 
GP surgery, A and E, hospital, surgery department 
Recovery? 
Home, residential care home, nursing home, sheltered housing 

4. Describe two differences between a Care manager and a Social worker.
Mark Scheme Answer
Common Misconceptions
Care manager: Responsible for day-to-day running of a residential care home. Will work with elderly or people with disabilities or learning disabilities.  Recruit and manage staff  Control the budget  Meet national care standards  Policies and procedures are in place and adhered to  Social worker:  Wide range of people find solutions to their problems  Work in social care centres, homes and clinics  Protect vulnerable people form harm and abuse  Help people live independently  Support children with foster carers and adoption  Help people with mental health difficulties, learning disabilities and physical disabilities  Support refugees and asylum seekers  Help people with alcohol, drugs and substance addictions  Help support young offenders 
Care managers manage the care home like any other business
Clearly show you understand what they DO

5. Give 3 advantages and 3 disadvantages of a person moving into a residential care home. 
Mark Scheme Answer
Common Misconceptions
Advantages: 
Trained staff support them and their needs 
Specialist support is available if patients have more complex needs 
24-hour care 
Company – other residents 
Stimulating activities 
All food and bills etc. organised for you 
Not a burden on friends or family 
Disadvantages: 
Losing some or all independence 
Reluctance to leave own home 
Isolation from neighbours, friends, relations 
Strange surroundings 
Loss of personal space 
Loss of personal routines 
Cost of the care 
Waiting lists for residential care
Don't mix residential care up with nursing care
They will NOT be lonely in a care home

6. Give 3 services which an NHS Foundation Trust would provide.
Mark Scheme Answer
Common Misconceptions
Run hospitals and A and E 
May provide mental health services (but not in GMMH)
May provide community health services 
May provide children’s health services 
Therapy – what is this? Be more specific
Can't accept NHS it is too general
Accepted any service ran by the hospital trust
Must be HEALTHCARE not social care

7. Give 3 services a local authority would provide.
Mark Scheme Answer
Common Misconceptions
Adult social care services e.g. help in the home – domiciliary services, meals on wheels 
Finance and manage day centres 
Residential care homes and nursing homes 
Children’s services e.g. Adoption and fostering services 
(Social workers and Youth workers offices and bases) 
Commission services from public, private or voluntary sectors (mixed economy of care) 
Not HEALTHCARE 
Must be a social care service
This supports people in general ways – not medical

8. Which sector do these organisation fall under?
Mark Scheme Answer
Common Misconceptions
NOT voluntary or private
Public
Can also accept Statutory sector

9. Describe the voluntary health and social care sector and give 2 examples. 
Mark Scheme Answer
Common Misconceptions
Cannot accept that service users do not have to pay – they also do not need to pay for NHS or local authority services!
Make sure you explain it AND give 2 examples
Non- profit organisations 
Provide services alongside public and private – need 
Usually charities 
Paid staff and volunteers 
Age UK, Mencap, Bardardo’s, Mind etc. etc. 

10. What is the aim of a hospice?
Mark Scheme Answer
Common Misconceptions
Improve the lives of people who have a terminal illness that cannot be cured. 
Take care of a persons’ physical, emotional, intellectual and social needs. 
Palliative care – relief from pain and symptoms 
Support families, carers and friends during the illness and bereavement 
Must use correct terminology – cannot accept "close to death"
The vast majority of patients will never leave the hospice
This is not a residential care home or a nursing home – don't mix them up
The vast majority of hospices are in their own building and grounds and NOT on a hospital site

11. Explain the differences between a residential care home and a nursing home. 
Mark Scheme Answer
Common Misconceptions
Both are managed by a care manager
Most residents are there permanently and not for short term visits
Residential care – social care or personal care from care assistants or support workers. Meals, bathing, toileting, medication. People who are unable to look after themselves and who do not have family members to look after them at home. 
Nursing home – also need medical care from trained medical staff e.g. nurses 

12. Give 4 examples of providers of support for people with mental ill health. 
Mark Scheme Answer
Common Misconceptions
Can only accept a maximum of 2 charities as examples.
You need to show a range of providers from different sectors
Be specific – e.g. day centre for people with mental health difficulties
Family and friends 
NHS 
Charities e.g. MIND 
Private sector organisations e.g. the Priory group 
(Will accept more specific answers) 

13. Give 4 examples of providers of support for people with learning disabilities. 
Mark Scheme Answer
Common Misconceptions
Must show a range of types and sectors
Can't give two from the exact same service or provision
Be specific – Learning Disability Day Centre
Family and friends 
Support workers 
Psychologists 
Social workers 

14. Give 4 examples of providers of support for children under 5 with specific needs, such as have been a victim of neglect or abuse. 
Mark Scheme Answer
Common Misconceptions
Under 5s in general – under 5s is just an example. Schools? Parents? DO NOT use therapist – what exactly is this? Youth workers work with ages years What is a rehabilitation centre???
Parents 
Other family members and friends 
Teachers, teaching assistants and schools 
Nursery assistants  
Specialist support workers – disabilities 
Paediatricians e.g. Great Ormond Street 

15. Give 3 specific care needs a person in later adulthood may have.
Mark Scheme Answer
Common Misconceptions
Be specific – what exactly will they do to help?
Physiotherapist – what exactly will they do?
E.g. has worsening eyesight so will need glasses and large type in all written documents
Developing or worsening physical conditions and mental conditions e.g. treatment and medication, surgery, appliances, care support etc. 
Supporting friends and family who care for them 
Healthy lifestyles e.g. sight and hearing checks, exercise programmes, preventing falls, flu jabs, dental health, healthy eating, catching things early – screening etc.

16. Define this key word: Routine investigations
Mark Scheme Answer
Common Misconceptions
Not an investigation into a problem or a crime!
Tests to help with the diagnosis or treatment of your condition e.g. blood tests, weight, height, temperature, urine tests, ECG, spirometry (lung function) etc. 

17. Define this key word: Patient advocate
Mark Scheme Answer
Common Misconceptions
Doesn't need to be a paid professional – a family member of friend can also act as an advocate
Speaks on behalf of someone else, represents their interests. Enables a SU to express their views and concerns and get taken seriously 
Access info and support 
Defend and promote their rights 
Explore choices and options 

18. Define this key word: Multidisciplinary team
Mark Scheme Answer
Common Misconceptions
Generally answered very well
A multidisciplinary team is a group of health care workers who are members of different disciplines (professions e.g. Psychiatrists, Social Workers, etc.), each providing specific services to the patient. 

19. Define this key word: Acute medical conditions
Mark Scheme Answer
Common Misconceptions
Come on quickly and can be very poorly indeed, but tend to get better fairly quickly
Opposite is chronic – long term illnesses you have all your life such as eczema or diabetes
Certainly NOT less severe
Acute conditions are severe and sudden in onset. This could describe anything from a broken bone to an asthma attack. A chronic condition, by contrast is a long-developing syndrome, such as osteoporosis or asthma. 

20. Define this key word: Rehabilitation
Mark Scheme Answer
Common Misconceptions
Rehabilitation is about enabling and supporting individuals to recover or adjust, to achieve their full potential and to live as full and active lives as possible. Can be drug, alcohol, physical, mental etc… 
Helping someone to recover and get back to full health and normal life
Can be following any illness or injury
NOT just drugs and alcohol

21. Define this key word: Continuity of care
Mark Scheme Answer
Common Misconceptions
The quality of care over time. 
Two aspects – ideally a patient's experience of a 'continuous caring relationship' with an identified health care professional – same person every time e.g. GP. 
As in most cases a patient’s needs usually involve a range of specialist professionals: the delivery of a 'seamless service' through integration, coordination and the sharing of information between different providers. 
At a big GP practice, ideally a patient would always see the same doctor to get continuity of care