The 16 Mark "Factors" Question: Health & the People (Q4) (AQA GCSE History)
Revision Note
Written by: Zoe Wade
Reviewed by: Bridgette Barrett
Summary of Question Four
Question Four requires you to evaluate one of the seven factors in Health and the People
There are also four available marks for Spelling, Punctuation and Grammar (SPaG)
Amount of marks | 16 + 4 SPaG |
---|---|
The time that you should spend on the question | Around 25 minutes 5 minutes to plan 20 minutes to write your answer |
An example of the type of question you may encounter can be seen below:
In previous years, this question has focused on the following topics in Health and the People:
Making Judgements in History
The 16-mark question is reliant on your ability to weigh all the evidence and state your opinion. Students often find this part the hardest to do
Common mistakes with judgements include:
Not giving a clear judgement. This includes making judgement statements such as:
"I kind of agree that..."
"I don't agree or disagree..."
Contradicting your judgements
Students sometimes haven't planned their answers properly. They begin their answer with one judgement and then change their opinion halfway through
Doing this means that there is not a substantiated judgement. This type of answer cannot access Level 4 (13-16 marks)
Good judgements will:
Either agree or disagree with the statement
There is no "right" or "wrong" answer in history
If you are unsure of your opinion, pick the side of the argument that you have better or more evidence to support
For the example question, there is more evidence that science was the main factor in developing the treatment of disease in Britain
Use words like "partially" and "fully" to explain the extent of their opinion on the question
Consider the other side of the argument
Even if you fully agree with the statement, you still need to present some evidence from the opposite opinion. A great way to introduce this is to write "Some historians think that..."
What Makes a Great Conclusion in GCSE History?
Conclusions are usually where most of your judgement marks will be awarded
Students often rush their conclusions so they are not as developed as they could be
All great conclusions have these three elements:
Judgement – Start with your opinion. Try to include the words from the question. Consider second-order concepts like short- and long-term consequences, change and continuity and significance
Counter – Give an example from the other side of the argument to show your awareness of this
Support – Explain why, after considering all the evidence, you have reached your judgement. Use your best piece of evidence to show your opinion
How to get Full SPaG Marks
In Paper 2A, students have access to an additional four marks for answering Question 4
This is awarded for SPaG (Spelling, Punctuation and Grammar)
SPaG marks are allocated in the following categories:
SPaG mark | Reason for this mark |
---|---|
0 |
|
1 |
|
2-3 |
|
4 |
|
You can boost your SPaG marks by:
Ensuring key terms mentioned in the question are spelt correctly in your answer
Making sure that you use paragraphs in your answer
Allowing yourself an appropriate amount of time to re-read your answer to check for mistakes
Reading the answer in your head as if you were speaking it. Where you would take a breath, make sure there is a comma or full stop
How to Answer a “Factors” Question
The thematic study is divided into four different time periods
Medieval
Renaissance
19th century
20th century to the present day
Seven factors connect the time periods. For Health and the People, these are:
War
Superstition and religion
Chance
Government
Communication
Science and technology
The role of the individual in encouraging or inhibiting change
When answering a "Factors" question you need to:
Read the question carefully
Make sure that you fully understand which factor the question is asking you about
For the example question. the factor identified is chance
Annotate the question to find the key demands of the question
Plan your answer. This will help you to:
Decide which factor you will support
Have a logical and concise argument
Have a substantiated judgement
Achieve higher levels
Examiners argue those who plan their answers, achieve higher marks
Your plan should include:
What key knowledge you wish to use
An outline of your argument
To achieve Levels 3 and 4 (9-16 marks), you must discuss the stated factor in the question
If the question was on how war developed surgery, you must discuss this factor in one of your paragraphs
The question states that you need to “use a range of examples from across your study”
You should aim to use three examples across three time periods throughout your answer to cover this aspect of the question
For the example question, the answer covers Alexander Fleming (20th century), Louis Pasteur (19th century) and Ambroise Paré (Renaissance)
How to Structure a “Factors” Question
Your answer should consist of:
Specific knowledge
Relevant evidence
Substantiated judgement
A conclusion
If you want to include an introduction you can, but it is not necessary
Your answers could be written in PEEL paragraphs:
P - Make a point about the question
This should include your judgement
E - Use evidence that supports the point that you have made
Evidence needs to be relevant and specific
E - Explain why this evidence supports your point
L - Link your explanation back to the question by stating how it is more or less important than the other factors
You should aim to have three well-explained paragraphs and a conclusion
Worked Example of the “Factors” Question
Worked Example
Has chance been the main factor in developing the treatment of disease in Britain?
Explain your answer with reference to chance and other factors.
Use a range of examples from across your study of Health and the People: c1000 to the present day
[16 marks + 4 SPaG]
Answer:
Chance played a small role in the development of disease treatment in Britain, but it was not the main factor. A notable example of chance impacting medical treatment is Alexander Fleming's discovery of penicillin in 1928. Fleming left a petri dish to discover a mould that had killed bacteria growing in his petri dish. This accidental discovery led to the development of the first antibiotic, penicillin. The development of penicillin under Florey and Chain in the 1940s revolutionised medicine by providing an effective treatment for bacterial infections. We still use penicillin as an antibiotic today. While chance played a role in Fleming's discovery, it did not impact many other discoveries in Britain. Penicillin only dealt with bacterial infections. In addition, many more treatments were discovered using other factors. Therefore, chance had a limited impact on the development of treatments.
Science was the main factor in advancing disease treatment. The work of Louis Pasteur and Robert Koch in the late 19th century significantly impacted the treatment of disease. Pasteur developed the concept of Germ Theory. This disproved the previous idea of spontaneous generation. Instead of moulding objects producing bacteria, Pasteur proved that bacteria caused rotting to occur. As a result, Pasteur and Robert Koch applied Germ Theory to disease. Koch identified specific pathogens that caused diseases. This improved the treatment of diseases because both Koch and Pasteur now understood why diseases occurred. With this knowledge, they created vaccinations for diseases like chicken cholera. They also encouraged antiseptic surgery which improved the treatment of patients. Unlike chance, scientific research and experimentation have had a profound and lasting impact on disease treatment. The understanding of Germ Theory has addressed a wide range of illnesses and improved public health. Therefore, the main factor in the development of treating diseases has been science, because the effects have been widespread and have continued to help develop treatments today.
The role of individuals has also influenced the treatment of diseases. Ambroise Paré, a 16th-century French surgeon, introduced innovative techniques in wound treatment. Paré used ligatures to tie blood vessels and stop bleeding. He also covered gunshot wounds with egg yolk, rose oil and turpentine. This improved treatment because more patients did not suffer blood loss and healed after serious battlefield injuries. However, Paré as an individual only had a limited impact on improving disease treatment. Individuals relied on the technology and knowledge available in the time period. In the Renaissance, people like Paré started to question the accepted disease treatments. However, a lack of technology and understanding of disease limited the impact that individuals like Paré could have. Therefore, whilst individuals had a bigger impact than chance, science remained key to the development of the treatment of disease throughout British history.
In conclusion, I believe that science is the most important factor in the improvement of the treatment of disease. While chance discoveries like Fleming's penicillin have made important contributions to disease treatment, science has contributed to a bigger number of treatments. Investigations like Pasteur’s Germ Theory and technological advancements like the microscope have enabled researchers to understand the causes of diseases. With this knowledge, scientists have developed effective treatments and improved public health on a large scale. Therefore, the role of science is the main reason for significant progress in the treatment of disease in Britain since Medieval times.
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