You are required to write an essay that demonstrates your understanding of the i

You are required to write an essay that demonstrates your understanding of the inequalities in health and illness.
A case study has been provided for you to use as the basis of your essay. You can also access a copy in the “Download Assessor Guidance” section below.
Your essay must include the following in relation to the issues presented in the case study:
• Outline the impact of social, economic and environmental developments to changes in morbidity and mortality in the UK.
• Explain patterned inequalities in health and illness.
• Evaluate sources of evidence with regards to protected characteristics, for example, gender, ethnicity and age.
• Evaluate the relationship between theories of health and welfare inequalities and their impact on the development of health policies.
You must apply the case study to each of the areas outlined above.
GUIDANCE
The essay should be written in paragraphs which flow; it is therefore recommended that you plan your essay before you start to write it.
You must attempt to include some conclusions and recommendations towards the end of your essay.
Relevant theory must be referenced where appropriate and a references list and bibliography provided.
The essay should be a maximum of 2,000 words in length.
DOWNLOAD ASSESSOR GUIDE
Case study – Brook Road, a tale of three families
Brook Road is a busy street in run-down part of a large midlands town, and the
residents are a mix of different ages, ethnicities and social classes. Residents say
that the top end of the street, next to the park, is where “the posh people” live, and
the bottom end, near the shops and petrol station, is where the people with lower
incomes live. The houses at the top end are bigger and tend to be owner-occupied,
whereas the terraced houses at the bottom end have mainly been divided into flats
and are rented out.
The traffic is busier near the shops, and the petrol station and garage cause
congestion at busy times of the day. The scrap yard operates from 6am to 6pm six
days a week and the noise is horrendous. The residents have complained, but
nothing has been done.
At the top end, things are quieter as there are no shops or factories and the park
provides a large green open space.
This case study looks at the lives of the people living in three of the houses in Brook
Street.
The Bradleys – an elderly couple who live close to the shops at the bottom end of
the road. They have been married for over 60 years and have always lived at
number 4 Brook Road, and they can remember when the road was quieter and all
the residents looked out for each other. They have four children who have all left
home. Three have moved away, but their youngest daughter lives fairly close-by and
pops in now and then to see if they need anything.
Bert is 89 years old and is starting to have memory problems. He doesn’t get out
much as he has a series of mobility issues, including arthritis, so he spends his days
watching TV and looking out of the window. He smokes about 10-15 cigarettes a day
and likes to have a couple of bottles of stout each evening.
Iris is 87 and is fairly overweight. She has Type 2 diabetes which is not wellcontrolled as she doesn’t attend the diabetes clinic as it is too far away. Her diabetes
has affected her eyesight and kidney function and she has problems with painful
feet. She gets out when she can as the shops are close, but tends to buy quick and
cheap food rather than foods that are healthy.
The Bradleys tend not to visit the doctor or dentist as they don’t think they need to.
Their daughter buys them paracetamol and other over-the-counter drugs if they need
them.
The house has not been touched for over thirty years and is described by neighbours
as being in a bad state. They sleep downstairs, so upstairs is damp and dirty.
The Khans – a married couple with four children aged 1, 3, 5 and 7, and Mrs Khan
is expecting her 5th child. Mr Khan works for a local builder and he does as much
overtime as he can get. Mrs Khan stays at home to look after the children, two of
them are at school and two of them are with her all day.
The Khans are generally healthy but the 7-year old has been diagnosed with severe
asthma so is having frequent visits to the GP asthma clinic. Mrs Khan is very anxious
about this so needs plenty of help and support. The midwife is keeping an eye on
Mrs Khan’s blood pressure as it is slightly raised, possibly due to stress about her
child’s asthma.
Money is tight for the family but they eat well and the children are well cared for. Just
recently there have been a couple of racist incidents in the area, with some name
calling. This has added to their stress levels.
The Huntleys – a married couple with two teenaged children aged 15 and 17. Mr
Huntley works for an insurance company and has to commute for an hour to get to
his office. He is out of the house from 7am – 7pm, sometimes later. His company is
making staff redundant on a regular basis, so he is working longer hours in the hope
he will keep his job. He has been getting more and more stressed, but doesn’t feel
he can talk to his wife about it. He grabs fast food options which he eats at his desk,
so he is putting on weight.
The children are at secondary school and Mrs Huntley works part-time as a teaching
assistant in the local primary school.
Their marriage is not good, so Mrs Huntley has been prescribed anti-depressants by
her GP. She won’t admit it, but she is also drinking more than she should and often
wakes up with a hangover.
Her 17-year old son has been dabbling in various recreational drugs, but has
recently been offered some harder drugs. He has started to find school boring and
has been bunking off.
The house is very modern clean and is regularly decorated as Mrs Huntley likes
things to look good.

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