Syllabus Edition

First teaching 2024

First exams 2026

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The 16 Mark "How Far do you Agree" Question (Edexcel GCSE History)

Revision Note

Summary of Question 5 or 6

  • Questions 5 or 6 require you to:

    • Evaluate the statement in the question

    • To use second-order concepts in your answer

  • You need to evaluate the statement given in the question against other reasons

    • Two possible reasons are provided for you in the stimulus box under the question

  • You only need to answer either Question 5 or 6

    • Do not answer both questions as you will not have time and will not be awarded more marks

  • This question has changed the time coverage for this question

    • Previously, the question focused on a period of at least 200 years

    • For the 2025 exams, the question will cover either a complete period or at least 200 years

Amount of marks 

16 + 4 SPaG marks

The time that you should spend on the question 

5 minutes of planning

20 minutes of writing

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

Exam paper section asking to answer either Question 5 about John Snow's work on cholera or Question 6 about government action improving hospitals. Each question is worth 20 marks.
An example of Question 5 and Question 6 in Paper 1
  • In previous years, this question has focused on the following topics in Medicine in Britain:

    Year of Exam 

    Question Topic 

    2018

    Question 5: Understanding the cause of disease

    Question 6: Advancements in surgery

    2019

    Question 5: Galen and his impact on the progress in medical care and treatment

    Question 6: The role of the government in the development of care and treatment

    2020

    Question 5: The work of Florence Nightingale and the development of care and treatment in hospitals

    Question 6: The improvements in dealing with infectious disease

    2021

    Question 5: The role of the church in the progress of care and treatment

    Question 6: The significance of the printing press

    2022

    Question 5: The role of the physician in providing care and treatment

    Question 6: The work of Pasteur in understanding the causes of illness

    2023

    Question 5: The work of Thomas Sydenham

    Question 6: People's attitudes towards medicine

Making judgements in history

  • The 16-mark question relies on your ability to weigh all the evidence and state your opinion

    • Students often find this part the hardest to do 

  • There are some common mistakes students make when making a judgement, they include: 

    • Not giving a clear judgement. Students do this by: 

      • Explaining that all of the reasons are the most important 

      • Failing to decide which factor is the most important 

      • Using language in their answer which is not decisive e.g. “kind of” or “maybe” 

  • Contradicting your judgements

    • Students sometimes haven’t planned their answers properly. They start to write their answer with one judgement and then change their opinion halfway through 

      • For example, in the example question, you state in the introduction that John Snow was a key turning point in the prevention of infectious disease. However, in the conclusion you state that it was not a key turning point

    • Doing this means that there is not a sustained judgement and you can not access Level 4 (13–16 marks) 

  • Good judgements will:

    • Explain the second-order concept outlined in the question in full

      • 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

    • Consider other reasons

      • Even if you fully believe a reason is the most important, you still need to present evidence for other reasons

    • Be sustained throughout your answer 

      • They should be used to structure your answer and help you explain 

      • This is why planning your answer is important

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 including a reference to the second-order concept mentioned in the question

    • 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 SPaG marks

  • In Paper 1, students have access to an additional four marks for answering either Question 5 or 6

  • This is awarded for SPaG ( Spelling, Punctuation and Grammar)

  • SPaG marks are allocated in the following categories:

SPaG mark

Reason for this mark

0

  • The student writes nothing

  • The student's response does not relate to the question

  • The student has included too many errors in spelling, punctuation and grammar which have greatly affected the answers meaning

1

  • The student's spelling and punctuation have some accuracy

  • The student uses rules of grammar, any errors do not significantly hinder the overall meaning of their answer

  • The student uses a limited range of specialist terms in their answer

2-3

  • The student's spelling and punctuation have considerable accuracy

  • The student uses rules of grammar with good control

  • The student uses a good range of specialist terms appropriately

4

  • The student's spelling and punctuation are consistently accurate

  • The student uses the rules of grammar effectively

  • The student uses a wide range of specialist terms

  • 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 "How far do you agree" question

  • In the exam, you will be given the option of two questions to answer

    • You only need to answer one question

      • You will not receive more marks for writing both questions

    • You should put an "X" in the box next to the question you have chosen to answer

Form with instructions to mark a cross for chosen question 5 or 6. A crossed box shows selection, and a changed mind option with a line and new cross.
An example of how to show which option you will be answering in the Medicine in Britain exam
  • The "How far do you agree" question will present you with a statement which you have to create a sustained judgement around

    • For example, in Question 6, this is:

      • ‘Government action is the most important reason why there were improvements in care and treatment in hospitals during the nineteenth and twentieth centuries.’

  • Underneath both Questions 5 and 6, you will have a stimulus box with two key knowledge suggestions

    • If you only use these suggestions in your answer, you are limited to a maximum of 13 marks

    • You can choose not to use any of the suggestions

      • You can still achieve full marks by not using the two stimulus points

  • To answer this question successfully you should

    • Read the answer carefully and multiple times (if you have the time)

    • Annotate the question to find the key demands of the question

    • Plan your answer

      • In your plan, include what key knowledge you wish to use and an outline of your argument

      • This will help you to create a sustained judgement

        AWAITING IMAGE

"How far do you agree" question structure

  • Your answer should consist of:

    • A logical structure e.g. PEEL paragraphs

    • Specific and relevant knowledge

    • A range of knowledge

    • An explanation of the second-order concept outlined in the question

    • A clear and sustained judgement throughout the answer

    • 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 (K)

      • Evidence needs to be relevant and specific to the question

    • E - Explain why this evidence supports your point

      • Your explanation should be focused on the second-order concept outlined in the question (SOC)

    • L - Link your explanation back to the question to help sustain your argument and show your understanding of the question

  • The question is out of 20 marks:

    • 6 marks for a wide range of specific knowledge of the period and the topic stated in the question (K)

    • 10 marks for the analysis of the key second-order concepts of cause and consequence, similarities and differences and importance (SOC)

    • 4 marks are awarded for Spelling, Punctuation and Grammar (SPaG)

      • This is an overall mark, not awarded in specific areas of your answer

Worked example of a "How far do you agree" question

Worked Example

  1. ‘John Snow’s work on cholera was a turning point in the prevention of infectious diseases c1700-c1900.’

How far do you agree? Explain your answer.

(16 + 4SPaG)

You may use the following in your answer.

  • Jenner’s vaccination

  • the Broad Street pump

You must also use information of your own.

Answer

I disagree that John Snow's work on cholera was a turning point in the prevention of infectious diseases c1700-c1900. I believe that vaccinations had a bigger impact on preventing infectious diseases (SOC).

Some historians may argue that John Snow's work on cholera was significant for progress in the prevention of disease. Before Snow’s work on the Broad Street cholera epidemic, there was no understanding of how diseases spread. Most people believed in miasma. When Snow removed the handle from the Broad Street pump in 1854, the cases of cholera decreased (K). This proved his theory that contaminated water, rather than miasma, spread disease. This had an impact on the prevention of infectious diseases as this disproved the widely held belief in miasma. In 1884, Koch proved that contaminated water contained cholera which allowed scientists to give better advice to the public on how to avoid catching epidemic diseases. Therefore, Snow had some impact on preventing infectious disease. However, after Snow presented his findings in 1855, the government did not act. The government and the public ignored Snow's findings, showing that it lacked importance. In addition, Snow's findings were only relevant to cause of cholera (SOC).

I believe the most important factor in preventing infectious diseases was the development of vaccinations. Jenner created a vaccine for smallpox and published his findings in 1798. It saved many lives worldwide. By 1800, 100,000 people had been vaccinated (K). However, Jenner's methods in vaccine development could not be replicated to other diseases. It was not until Pasteur's work in vaccines that significant progress in preventing infectious diseases occurred. Pasteur used his method to create vaccines for other diseases such as anthrax and rabies. This meant that, by the start of the 20th century, more dangerous and infectious diseases were vaccinated against (SOC). Therefore, the creation of vaccines was a more significant turning point than John Snow's work. This is because it had a bigger impact on a wider range of diseases than just cholera.

Another important event in the prevention of infectious diseases was the 1875 Public Health Act. This act made it compulsory for local authorities to provide clean water, dispose of waste properly to avoid polluting drinking water and hire a public officer of health to monitor where epidemics of disease occurred (K). This improved the prevention of infectious diseases because it shows the government taking responsibility for preventing diseases. This allowed tougher rules to improve public health to be passed, which improved the living standards of people across Britain. This reduced the number of epidemics and gave the public more knowledge about how to prevent them from catching diseases (SOC). Therefore, the Public Health Act made progress in the prevention of infectious diseases. However, vaccines were a better preventative method as it was a scientific way to prevent diseases rather than relying on the actions of the public and the local governments.

To conclude, I believe that Snow's work on cholera was not a turning point in the prevention of infectious diseases. Whilst Snow's work disproved miasma as a cause of cholera, it had less application for other infectious diseases in c1900. However, the development of vaccines by Jenner and Pasteur had a longer-term impact on infectious diseases (SOC).

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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.

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