Mark Scheme (Results)

January 2020

BTEC Level 3 Nationals in

Health and Social Care

Unit 2: Working in Health and Social

Care (31491H)
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January 2020
Publications Code 31491H_2001_MS
All the material in this publication is copyright
© Pearson Education Ltd 2020
Unit 2: Working in Health and Social Care
marking grid

General marking guidance

• All learners must receive the same treatment. Examiners must mark the
first learner in exactly the same way as they mark the last.
• Marking grids should be applied positively. Learners must be rewarded
for what they have shown they can do, rather than be penalised for
omissions.
• Examiners should mark according to the marking grid, not according to
their perception of where the grade boundaries may lie.
• All marks on the marking grid should be used appropriately.
• All the marks on the marking grid are designed to be awarded.
Examiners should always award full marks if deserved. Examiners should
also be prepared to award zero marks, if the learner’s response is not
rewardable according to the marking grid.
• Where judgement is required, a marking grid will provide the principles
by which marks will be awarded.
• When examiners are in doubt regarding the application of the marking
grid to a learner’s response, a senior examiner should be consulted.

Specific marking guidance

The marking grids have been designed to assess learner work holistically.
Rows in the grids identify the assessment focus/outcome being targeted.
When using a marking grid, the ‘best fit’ approach should be used.
● Examiners should first make a holistic judgement on which band
most closely matches the learner’s response and place it within that
band. Learners will be placed in the band that best describes their
answer.
● The mark awarded within the band will be decided based on the
quality of the answer, in response to the assessment focus/outcome
and will be modified according to how securely all bullet points are
displayed at that band.
● Marks will be awarded towards the top or bottom of that band,
depending on how they have evidenced each of the descriptor bullet
points.
BTEC Next Generation Mark Scheme

Health and Social Care Unit 2 2001

Question Answer Mark

Number
1a Award one mark for any of the following up to a 2
maximum of two marks.

GP/doctor/consultant
Nurse/district nurse/palliative care nurse
Nurse practitioner
Healthcare assistant

Accept any other appropriate wording.

Question Answer Mark

Number
1b Award one mark for each identification and one 4
additional mark for each appropriate expansion
up to a maximum of four marks.

Care and support planning (1) so the family are

involved (1).

Referring to charities/support groups/counselling

(1) to support the family with their emotional
needs (1).

Professionals act as advocates (1) to put the

family’s point of view forward (1).

Providing information (1) so the family are fully

aware of the progress (1).

Respite care offered (1) to give the family a

break (1).

Do not accept health roles.

Responses must apply to Angela’s family.
Accept any other appropriate response.
Question Answer Mark
Number
1c This is not an exhaustive list and any other 6
plausible content should be considered.
Marks should be awarded following the specific
marking guidance on page 3.

• Involve Angela in planning care.

• Provide person-centred care.
• Promote her rights.
• Make sure Angela understands
information about her condition and care,
so that she can make informed
decisions/give consent.
• Promote Angela’s dignity and
independence.
• Provide care that meets her needs and
preferences.
• Provide support and treatment that
meets the requirements of Angela’s
beliefs, culture and preferences.

Level Mark Descriptor

Level 0 0 No rewardable material.
Level 1 1–2 • Demonstrates isolated elements of knowledge and
understanding.
• Generic statements may be presented rather than linkages
being made.
• Lines of reasoning are unsupported in relation to the
scenario.

Level 2 3–4 • Demonstrates mostly accurate knowledge and

understanding.
• Answer evidences occasional linkages among the elements
in the context of the question.
• Lines of reasoning occasionally supported through the
application to the scenario.

Level 3 5–6 • Demonstrates accurate and thorough knowledge and

understanding.
• Answer evidences comprehensive linkages among the
elements in the context of the question.
• Lines of reasoning supported throughout by sustained
application to the scenario.
Question Answer Mark
Number
1d This is not an exhaustive list and any other 8
plausible content should be considered.
Marks should be awarded following the specific
marking guidance on page 3.

• Qualified professionals available 24 hours a

day.
• Decisions about medication can be put in
place quickly so she is not in pain.
• Respects Angela’s wishes.
• Provides family support.
• Offers respite for the family.
• Offers personalised care.
• Additional support from volunteers for
Angela and the family.
• 24-hour access for the family.

Level Mark Descriptor

Level 0 0 No rewardable material.
Level 1 1–3 • Demonstrates isolated elements of knowledge and
understanding, there will be major gaps or omissions.
• Few of the points made will be relevant to the context in
the question.
• Limited discussion which contains generic assertions rather
than considering different aspects and the relationship
between them.
Level 2 4–6 • Demonstrates some accurate knowledge and
understanding, with only minor gaps or omissions.
• Some of the points made will be relevant to the context in
the question, but the link will not always be clear.
• Displays a partially developed discussion which considers
some different aspects and some consideration of how they
interrelate, but not always in a sustained way.
Level 3 7–8 • Demonstrates mostly accurate and detailed knowledge and
understanding.
• Most of the points made will be relevant to the context in
the question, and there will be clear links.
• Displays a well-developed and logical discussion which
clearly considers a range of different aspects and considers
how they interrelate, in a sustained way.
Question Answer Mark
Number
2a Award one mark for any of the following up to a 2
maximum of two marks.

GP practice/surgery
Health centre
Hospital
Clinics – e.g. antenatal or community (do not
accept clinic by itself if another specific clinic is
identified)

Do not accept professionals.

Accept any other appropriate response.

Question Answer Mark

Number
2b Award one mark for each identification and one 4
additional mark for each appropriate expansion
up to a maximum of four marks.

Evidence of CPD requirements (1) maintain up-

to-date knowledge/deliver high standard of
practice (1).

Ensure revalidation procedures are followed (1)

to maintain registration (1).

Complaints followed up/investigated (1)

standards of professional conduct are
maintained (1).

Qualifications checked (1) to ensure people are

qualified to carry out their work role (1).

Set codes of practice (1) so staff are aware of

expectations (1)

Accept any other appropriate response.

Question Answer Mark
Number
2c This is not an exhaustive list and any other 6
plausible content should be considered.
Marks should be awarded following the specific
marking guidance on page 3.

• Specific needs – support available for

individual needs.
• Individual preferences.
• Financial – personal finances.
• Geographical – location of services.
• Social – support of partner/family.
• Cultural – beliefs of self and others.
• Lack of understanding – own
understanding and that of professionals.
• Communication – affecting
understanding/not taking on board the
preferences.
• Psychological and emotional.

Level Mark Descriptor

Level 0 0 No rewardable material.
Level 1 1–2 • Demonstrates isolated elements of knowledge and
understanding.
• Generic statements may be presented rather than linkages
being made.
• Lines of reasoning are unsupported in relation to the
scenario.

Level 2 3–4 • Demonstrates mostly accurate knowledge and

understanding.
• Answer evidences occasional linkages among the elements
in the context of the question.
• Lines of reasoning occasionally supported through the
application to the scenario.

Level 3 5–6 • Demonstrates accurate and thorough knowledge and

understanding.
• Answer evidences comprehensive linkages among the
elements in the context of the question.
• Lines of reasoning supported throughout by sustained
application to the scenario.
Question Answer Mark
Number
2d This is not an exhaustive list and any other 8
plausible content should be considered.
Marks should be awarded following the specific
marking guidance on page 3.

• Provide advice to support Jessica with her

health during the pregnancy.
• Provide information to Jessica about the
development of the foetus/baby.
• Provide advice and carry out monitoring of
Jessica during the pregnancy.
• Support Jessica and her partner to put a
birthing plan in place.
• Provide parenting sessions.
• Provide information on labour to Jessica and
her partner.
• Support Jessica during labour.
• Provide advice and support on how to care
for the baby.
• Observe Jessica and partner feeding, bathing
and changing the baby.
• Liaise with other professionals

Level Mark Descriptor

Level 0 0 No rewardable material.
Level 1 1–3 • Demonstrates isolated elements of knowledge and
understanding, there will be major gaps or omissions.
• Few of the points made will be relevant to the context in
the question.
• Limited discussion which contains generic assertions rather
than considering different aspects and the relationship
between them.
Level 2 4–6 • Demonstrates some accurate knowledge and
understanding, with only minor gaps or omissions.
• Some of the points made will be relevant to the context in
the question, but the link will not always be clear.
• Displays a partially developed discussion which considers
some different aspects and some consideration of how they
interrelate, but not always in a sustained way.
Level 3 7–8 • Demonstrates mostly accurate and detailed knowledge and
understanding.
• Most of the points made will be relevant to the context in
the question, and there will be clear links.
 • Displays a well-developed and logical discussion which
clearly considers a range of different aspects and considers
how they interrelate, in a sustained way.

Question Answer Mark

Number
3a Award one mark for any of the following up to a 2
maximum of two marks.

Provide an advocate.
Provide information and advice.
Provide equipment/resources.
Provide access to support groups.
Support access to health and social care
services.
Provide emotional support/befriending service

Accept any other valid response.

Accept specific examples.

Question Answer Mark

Number
3b Award one mark for each identification and one 4
additional mark for each appropriate expansion
to a maximum of four marks.

• Prescribe treatment (1) to treat Laidan’s

condition (1).
• Talk to and examine Laidan (1) to
diagnose his condition (1).
• Carry out specific procedures (1) e.g.
specialist investigations or operations
(1).
• Make notes and prepare paperwork (1)
as a legal record of treatment (1).
• Liaise with medical and non-medical staff
(1) to provide general care (1).
• Promote health education (1) to maintain
Laidan’s health (1).
• Teach and supervise junior doctors and
medical students (1) to ensure that
procedures are carried out correctly (1).
• Follow policies and procedures (1) to
promote his rights (1).

Accept any other valid response. Accept specific

examples, do not credit repetition.
Question Answer Mark
Number
3c This is not an exhaustive list and any other 6
plausible content should be considered.
Marks should be awarded following the specific
marking guidance on page 3.

• Line management – one-to-ones and

appraisal
• Observation of practice
• CPD records
• Service user feedback
• Complaints
• Feedback from external inspections
• Whistleblowing
• Criminal investigations

Level Mark Descriptor

Level 0 0 No rewardable material.
Level 1 1–2 • Demonstrates isolated elements of knowledge and
understanding.
• Generic statements may be presented rather than linkages
being made.
• Lines of reasoning are unsupported in relation to the
scenario.

Level 2 3–4 • Demonstrates mostly accurate knowledge and

understanding.
• Answer evidences occasional linkages among the elements
in the context of the question.
• Lines of reasoning occasionally supported through the
application to the scenario.

Level 3 5–6 • Demonstrates accurate and thorough knowledge and

understanding.
• Answer evidences comprehensive linkages among the
elements in the context of the question.
• Lines of reasoning supported throughout by sustained
application to the scenario.
Question Answer Mark
Number
3d This is not an exhaustive list and any other 8
plausible content should be considered.
Marks should be awarded following the specific
marking guidance on page 3.

• Range of specialists involved to meet all

needs.
• Holistic care ensuring all areas of support are
addressed.
• Ensures gaps in provision are addressed.
• Ensure that Laidan is involved in planning
and decision making.
• Provide access to an advocate to ensure
Laidan can voice his preferences and
choices.
• Review of care plans to monitor the
effectiveness and make appropriate changes.
• Promote his rights.

Level Mark Descriptor

Level 0 0 No rewardable material.
Level 1 1–3 • Demonstrates isolated elements of knowledge and
understanding, there will be major gaps or omissions.
• Few of the points made will be relevant to the context in
the question.
• Limited discussion which contains generic assertions rather
than considering different aspects and the relationship
between them.
Level 2 4–6 • Demonstrates some accurate knowledge and
understanding, with only minor gaps or omissions.
• Some of the points made will be relevant to the context in
the question, but the link will not always be clear.
• Displays a partially developed discussion which considers
some different aspects and some consideration of how they
interrelate, but not always in a sustained way.
Level 3 7–8 • Demonstrates mostly accurate and detailed knowledge and
understanding.
• Most of the points made will be relevant to the context in
the question, and there will be clear links.
• Displays a well-developed and logical discussion which
clearly considers a range of different aspects and considers
how they interrelate, in a sustained way.
Question Answer Mark
Number
4a Award one mark for any of the following up to a 2
maximum of two marks.

Problem solving
Decision making
Communication skills – verbal and interpersonal
Communication – written
Analytical ability
Compassion/caring/empathetic
Patience/Ability to remain calm when working
under pressure
Organisational/time management
Monitoring and administering medication –
maths skills
Assessment
Team working/leading
Use own initiative

Accept any other appropriate wording.

Accept specific examples.

Question Answer Mark

Number
4b Award one mark for each identification and one 4
additional mark for each appropriate expansion
up to a maximum of four marks.

• Provide staff development sessions (1)

staff are aware of current accepted
practice (1).
• Update policies and procedures (1) ensure
staff meet legislative requirements (1).
• Make sure staff are aware of the codes of
practice (1) implement best practice (1).
• Provide a performance management
system (1) review practice and identify
training needs (1).
• Have a robust interview and selection
process (1) ensure staff have required
qualifications and skills (1).
• Complaints/whistleblowing procedure (1)
meet professional duty (1).

Accept any other appropriate response.

Question Answer Mark
Number
4c This is not an exhaustive list and any other 6
plausible content should be considered.
Marks should be awarded following the specific
marking guidance on page 3.

• Risk assessments.
• Following policies and procedures.
• Safeguarding and protecting from abuse.
• Regular training for staff.
• Monitoring of staff including regular line
management meetings.
• Monitoring visitors to the ward.
• Effective complaints and whistleblowing
procedures.
• Monitoring infection control procedures.
• Ensure adequate PPE provided.
• Confidentiality procedures followed –
involve parents.
• Accurate records maintained.

Level Mark Descriptor

Level 0 0 No rewardable material.
Level 1 1–2 • Demonstrates isolated elements of knowledge and
understanding.
• Generic statements may be presented rather than linkages
being made.
• Lines of reasoning are unsupported in relation to the
scenario.

Level 2 3–4 • Demonstrates mostly accurate knowledge and

understanding.
• Answer evidences occasional linkages among the elements
in the context of the question.
• Lines of reasoning occasionally supported through the
application to the scenario.

Level 3 5–6 • Demonstrates accurate and thorough knowledge and

understanding.
• Answer evidences comprehensive linkages among the
elements in the context of the question.
• Lines of reasoning supported throughout by sustained
application to the scenario.
Question Answer Mark
Number
4d This is not an exhaustive list and any other 8
plausible content should be considered.
Marks should be awarded following the specific
marking guidance on page 3.

• Improves information sharing between

professionals.
• Improves the efficiency ensuring holistic care
is given.
• Improves the planning and commissioning of
care.
• Maintains confidentiality.
• Promotes Jake’s rights.
• Safeguarding – ensures any concerns are
identified.
• Ensures all aspects of Jake’s needs are
considered – including education.
• Involves Jake and his family in care
planning.
• Accurate records maintained.

Level Mark Descriptor

Level 0 0 No rewardable material.
Level 1 1–3 • Demonstrates isolated elements of knowledge and
understanding, there will be major gaps or omissions.
• Few of the points made will be relevant to the context in
the question.
• Limited discussion which contains generic assertions rather
than considering different aspects and the relationship
between them.
Level 2 4–6 • Demonstrates some accurate knowledge and
understanding, with only minor gaps or omissions.
• Some of the points made will be relevant to the context in
the question, but the link will not always be clear.
• Displays a partially developed discussion which considers
some different aspects and some consideration of how they
interrelate, but not always in a sustained way.
Level 3 7–8 • Demonstrates mostly accurate and detailed knowledge and
understanding.
• Most of the points made will be relevant to the context in
the question, and there will be clear links.
• Displays a well-developed and logical discussion which
clearly considers a range of different aspects and considers
how they interrelate, in a sustained way.
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