Pearson Edexcel · GCSE · History

    Course version: 1HI0 · Version from Sept 2016

    C1900–present: Medicine in modern Britain - 2 Approaches to prevention and…

    Full specification wording

    Option 11: c1900–present: Medicine in modern Britain - 2 Approaches to prevention and treatment: The extent of change in care and treatment. The impact of the NHS and science and technology: improved access to care; advances in medicines, including magic bullets and antibiotics; high-tech medical and surgical treatment in hospitals.

    The twentieth century saw an unprecedented extent of change in medical care and treatment.

    Checked against the Pearson Edexcel 1HI0 specification (opens in a new tab) on .

    • Point 1 of 2
    • 4 key terms

    Study notes

    From the checked teaching notes for this specification point.

    The idea

    The twentieth century saw an unprecedented extent of change in medical care and treatment. The creation of the NHS in 1948 drastically improved access to care, making treatment free at the point of use and removing financial barriers. Science and technology drove massive advances in medicines, starting with Ehrlich's 'magic bullet' Salvarsan 606, followed by the mass production of antibiotics like penicillin, which conquered many bacterial infections. Hospitals transformed into centres of high-tech medical and surgical treatment, utilising advanced machinery for dialysis and complex procedures like organ transplants and keyhole surgery. Together, these developments dramatically increased life expectancy and fundamentally altered patient care.

    What earns the marks

    • Explain how the establishment of the NHS in 1948 improved access to medical care by making it free at the point of use.
    • Describe the development and impact of 'magic bullets' like Salvarsan 606 in targeting specific bacteria.
    • Analyse the significance of the mass production of antibiotics, such as penicillin, in treating bacterial infections.
    • Evaluate the transformation of hospitals into centres for high-tech medical and surgical treatments, including transplants and keyhole surgery.

    Common mistakes and how to put them right

    • Confusing 'magic bullets' with antibiotics.

      Put it right by explaining that magic bullets are chemical drugs (like Salvarsan 606), while antibiotics are produced by microorganisms (like penicillin).

    • Stating that the NHS was created in the 19th century.

      Put it right by confirming the NHS was established in 1948 after the Second World War.

    • Claiming that antibiotics cure all diseases.

      Put it right by specifying that antibiotics only treat bacterial infections, not viral ones.

    Exam tips

    • Clearly distinguish between the impact of the NHS on access to care and the impact of science on the quality of treatments.
    • Use penicillin as a key example of how science, technology, and government funding combined to advance medicine.
    • Discuss high-tech surgical treatments, such as keyhole surgery, to demonstrate the extent of change in hospital care.

    Try the lesson

    The start of the Option 11: c1900–present: Medicine in modern Britain - 2 Approaches to prevention and treatment: The extent of change in care and treatment. The impact of the NHS and science and technology: improved access to care; advances in medicines, including magic bullets and antibiotics; high-tech medical and surgical treatment in hospitals. lesson, made from checked teaching notes for this specification point.

    Have a go first

    What major change in healthcare provision was introduced in Britain in 1948?

    Listen

    The twentieth century saw an unprecedented extent of change in medical care and treatment. The creation of the NHS in 1948 drastically improved access to care, making treatment free at the point of use and removing financial barriers. Science and technology drove massive advances in medicines, starting with Ehrlich's 'magic bullet' Salvarsan 606, followed by the mass production of antibiotics like penicillin, which conquered many bacterial infections. Hospitals transformed into centres of high-tech medical and surgical treatment, utilising advanced machinery for dialysis and complex procedures like organ transplants and keyhole surgery. Together, these developments dramatically increased life expectancy and fundamentally altered patient care. A strong answer earns marks for these points. Explain how the establishment of the NHS in 1948 improved access to medical care by making it free at the point of use. Describe the development and impact of 'magic bullets' like Salvarsan 606 in targeting specific bacteria. Analyse the significance of the mass production of antibiotics, such as penicillin, in treating bacterial infections. Evaluate the transformation of hospitals into centres for high-tech medical and surgical treatments, including transplants and keyhole surgery. A common slip: Confusing 'magic bullets' with antibiotics. Instead, explaining that magic bullets are chemical drugs (like Salvarsan 606), while antibiotics are produced by microorganisms (like penicillin). Exam tip: Clearly distinguish between the impact of the NHS on access to care and the impact of science on the quality of treatments.

    See it

    A top-down flowchart. The top node, 'Extent of change in care and treatment', branches into two nodes: 'NHS, 1948' and 'Science and technology'. The NHS node leads to 'Improved access to care'. The science and technology node leads to two nodes: 'Advances in medicines' and 'High-tech medical and surgical treatment in hospitals'. 'Advances in medicines' then branches into 'Magic bullets' and 'Antibiotics'.
    This shows the two main drivers of change in care and treatment — the NHS and science and technology — and the developments each brought about.

    Key words

    Say what each word means before you turn the card.

    NHS

    Try answering aloud or in your head before turning the card.

    Magic bullets

    Try answering aloud or in your head before turning the card.

    Antibiotics

    Try answering aloud or in your head before turning the card.

    High-tech medical and surgical treatment

    Try answering aloud or in your head before turning the card.

    See every definition
    NHS
    Created in 1948, it drastically improved access to care, making treatment free at the point of use and removing financial barriers.
    Magic bullets
    Chemical drugs, starting with Ehrlich's Salvarsan 606, that target specific bacteria.
    Antibiotics
    Produced by microorganisms, such as penicillin, they were mass produced and conquered many bacterial infections.
    High-tech medical and surgical treatment
    Hospitals transformed into centres for this, utilising advanced machinery for dialysis and complex procedures like organ transplants and keyhole surgery.

    Label the diagram

    Some boxes have lost their names. Pick the right name for each number.

    The diagram again, with 3 boxes numbered instead of named. A top-down flowchart. The top node, 'Extent of change in care and treatment', branches into two nodes: 'NHS, 1948' and 'Science and technology'. The NHS node leads to 'Improved access to care'. The science and technology node leads to two nodes: 'Advances in medicines' and 'High-tech medical and surgical treatment in hospitals'. 'Advances in medicines' then branches into 'Magic bullets' and 'Antibiotics'.
    • 1Box 1

    • 2Box 2

    • 3Box 3

    0 of 3 labelled

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