The 8 Mark "Explain the Significance" Question: Health & the People (Q2) (AQA GCSE History)

Revision Note

Zoe Wade

Written by: Zoe Wade

Reviewed by: Bridgette Barrett

Summary of Question Two 

  • Question Two requires you to identify and explain the significance of a key event, development, person or group both at the time and over time

  • This question will require you to use second-order concepts in your answer

Amount of marks 

8

The time that you should spend on the question 

No more than 10 minutes 

  • An example of the type of question you may encounter can be seen below:

Question Two for Britain: Health & the People, c1000 to the Present Day
An example of Question Two in Paper 2A
  • In previous years, this question has focused on the following topics in Health and the People:

Year of Exam 

Question Topic 

2018

Hippocratic and Galenic medicine after c1000 AD

2019

Islamic medicine and surgery

2020

The National Health Service

2021

Edward Jenner

2022

Christianity

Sample 1

Anaesthetics

Sample 2

Penicillin

How to Explain Significance

  • Significance is a key second-order concept in history

  • Second-order concepts allow you to:

    • Understand history 

    • Have a complex explanation 

  • Significance is decided using hindsight

    • Modern historians look at a time period and decide which events or people:

      • Created new ideas

      • Directly changed events at the time

      • Impacted a significant amount of people

      • Had important long-term impacts that can be seen today

    • For the example question, James Simpson has been selected as a significant individual because of his impact on modern anaesthetics

  • To understand significance, try visualising the events and people of a period as a set of falling dominoes

    • A significant event, development or person is a domino which changes the direction of all of the dominos that come after it

A hand tips over dominoes, altering their course. Dotted lines highlight "Expected Course of History" and "New Course of History" due to a "Significant Event."
An illustration that uses dominos to explain how significant events, developments or people can change the course of history
  • Historical significance is often:

    • Subjective

      • Each historian brings their own opinion on what events or people are important

    • Debatable

      • Historians use different evidence to come to their own conclusions about how important an event or a person was in history

  • Imagine the set of dominos again

    • A significant development, event or person is a domino that, if taken out of the sequence, stops other dominoes from falling

      • This shows that the development, event or person is vital for causing the events of the period

    • An insignificant development, event or person is a domino that, if taken out of the sequence, does not stop the dominoes from falling

      • This shows that development, event or person did not significantly impact the events of the period

Two diagrams compare outcomes based on the sequence of events. Left: significant event shown by falling blocks. Right: less significant event with blocks intact.
An illustration showing significance as a set of dominos

How to Answer an “Explain the Significance of” Question

  • When answering an "Explain the Significance of" question, you need to: 

    • Read the question carefully 

    • Include specific and relevant knowledge 

      • For the example question, the significant person that you need own knowledge about is James Simpson

    • Explain how the event, development, person or group impacted the time period

      • In Britain: Health & the People: c1000 to the Present Day course, these could include:

        • Medical practices in different societies

        • The role of religion

        • Individuals like Joseph Lister

        • Institutions like the Royal Society

        • Inventions like antibiotics

  • To access Level 4 (7-8 marks), explain that:

    • Significance can change over time

    • A person’s background and experiences affect how they view how significant an event is

“Explain the Significance of” Question Structure

  • Your answer should consist of: 

    • Specific relevant knowledge 

    • Complex explanations showing:

      • How a development, event or person impacted the time period 

      • How significance changes over time or due to a person’s background

  • Your answers could be written in PEE paragraphs: 

    • P- Make a point about the question

    • E- Include knowledge to support the point you have made

      • Focused on the development, person or event mentioned in the question 

      • Show knowledge to demonstrate significance

    • E- Explain the question

      • Focus on the key demands of the questions 

      • Include a complex explanation showing your understanding of significance

  • To achieve full marks, you need to repeat this twice 

Worked Example of a “Explain the Significance” Question

Worked Example

Explain the significance of the work of James Simpson

[8 marks]

Answer:

James Simpson was significant because he began the development of anaesthetics. Before Simpson, surgeons gave the patients no pain relief or ether, a flammable and dangerous chemical. Simpson’s discovery of chloroform as an anaesthetic in 1847 was the most long-lasting and effective anaesthetic of the time. Chloroform still had negative side effects. It encouraged other scientists and doctors to develop more efficient and less damaging forms of anaesthetics. Therefore, chloroform helped to develop the modern anaesthetics that we have today.

James Simpson was also significant because important people embraced his discoveries. Simpson initially struggled to persuade patients and doctors to use chloroform because of their religious beliefs or safety concerns. However, in 1853, Queen Victoria used chloroform to give birth to her eighth child, Prince Leopold. This significantly reduced opposition from religious leaders and influential surgeons. Many people in England looked up to and trusted the Queen’s decision-making as head of the government. As a result, more people used chloroform and accepted anaesthetics as an important part of medicine.

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Zoe Wade

Author: Zoe Wade

Expertise: History

Zoe has worked in education for 10 years as a teaching assistant and a teacher. This has given her an in-depth perspective on how to support all learners to achieve to the best of their ability. She has been the Lead of Key Stage 4 History, showing her expertise in the Edexcel GCSE syllabus and how best to revise. Ever since she was a child, Zoe has been passionate about history. She believes now, more than ever, the study of history is vital to explaining the ever-changing world around us. Zoe’s focus is to create accessible content that breaks down key historical concepts and themes to achieve GCSE success.

Bridgette Barrett

Author: Bridgette Barrett

Expertise: Geography Lead

After graduating with a degree in Geography, Bridgette completed a PGCE over 25 years ago. She later gained an MA Learning, Technology and Education from the University of Nottingham focussing on online learning. At a time when the study of geography has never been more important, Bridgette is passionate about creating content which supports students in achieving their potential in geography and builds their confidence.