What A-Level grades do Birmingham and Queen's University Belfast (QUB) require?

Birmingham requires AAA including Chemistry and a second science from Biology/Human Biology, Physics or Mathematics, with a minimum prediction of AAB. Queen's University Belfast (QUB) requires A*AA including Chemistry and Biology (or Maths/Physics - see subject rules). Most successful applicants achieve these grades on first sitting with strong predicted grades from their school.

Where are Birmingham and Queen's University Belfast (QUB) located, and how does that affect cost?

Birmingham is in Birmingham, UK. Queen's University Belfast (QUB) is in Belfast, UK. Tuition is £9,250/year at both for UK home applicants; the main cost difference is accommodation (London accommodation typically runs 30-50% above the national average).

When does each school release decisions?

Birmingham typically releases medicine decisions March onwards. Queen's University Belfast (QUB) releases medicine decisions April onwards. If one is earlier than the other, you may need to hold a decision while waiting for the second school — be ready to compare in real time.

Medical school comparison

Birmingham vs Queen's University Belfast (QUB)

Birmingham and Queen's University Belfast (QUB) are both UK medical schools, but the path to an offer at each is meaningfully different. Birmingham is based in Birmingham (England) while Queen's University Belfast (QUB) sits in Belfast (Northern Ireland), and the regional context shapes everything from fee status to NHS-deanery destination.

Their A-Level requirements (AAA vs A*AA) place them in slightly different academic-strictness tiers.

Side-by-side comparison

Show only differences

Side-by-side comparison: Birmingham and Queen's University Belfast (QUB).
Comparison field	BirminghamBirmingham	Queen's University Belfast (QUB)Belfast
Quick comparison
Location	Birmingham, UK	Belfast, UK
A-Level offer	AAA including Chemistry and a second science from Biology/Human Biology, Physics or Mathematics, with a minimum prediction of AAB. Three A-levels are required.	A*AA at A-level including Chemistry and Biology (or Maths/Physics - see subject rules)
TrueScore	Birmingham TrueScore 2030	Queen's University Belfast (QUB) TrueScore 1700
UCAT home cut-off	No cut-off. Birmingham states there is no minimum UCAT score - your total is converted to a national decile and fed into a combined application score.	No cut-off published. Queen's ranks applicants on cognitive performance, with the overall UCAT score contributing points alongside GCSE attainment, and invites roughly the top 700 to interview.
Interview format	Multiple Mini Interviews (MMI)	Multiple Mini Interviews (MMI)
Post-interview chance	Strong. In the 2024-25 cycle Birmingham made 845 offers from 1,061 home interviews (80%) and 79 from 117 international interviews (68%). Getting to interview is the hard part.	Good. Queen's states that once you reach interview it anticipates at least a one-in-two chance of an offer, so the hard part is being among the roughly 700 selected.
Decision date	March onwards	April onwards

A-Level offer	AAA including Chemistry and a second science from Biology/Human Biology, Physics or Mathematics, with a minimum prediction of AAB. Three A-levels are required.	A*AA at A-level including Chemistry and Biology (or Maths/Physics - see subject rules)
Contextual A-Level offer	AAB under the Contextual Offer scheme (one grade below standard), or ABB on completing a Pathways to Birmingham programme (two grades below), both including Chemistry and a second science from Biology/Human Biology, Physics or Mathematics	-
Required A-Level subjects	Chemistry plus one of Biology / Physics / Mathematics, plus one other subject	Standard offer: A*AA inc Chemistry and Biology, OR Chemistry and Maths/Physics with grade B in AS Biology. Alternative: AAA + grade A in 4th AS-level/EPQ (Chemistry + one of Biology/Maths/Physics; if Maths or Physics chosen, AS Biology grade A required).
A-Level resit policy	Birmingham does not publish a resit policy on its medicine selection pages, and its sibling dentistry programme states that resits are not considered. Applicants resitting any qualification should confirm their position with the Medical School before applying rather than assuming resits are accepted.	Resits accepted only for previous Belfast applicants who held a conditional firm offer and must have achieved AAA or A*AB on first attempt
GCSE requirements	English Language at grade 6/B, Mathematics at grade 6/B, Biology and Chemistry (or Dual Award Science) at grade 6/B	Minimum grade C/4 in GCSE Mathematics, English and Physics (or 4-4 in Double Science) if not offered at AS-level or A-level
GCSE scoring methodology	Top GCSEs heavily scored: GCSE = 45% of pre-interview application score (UCAT 40%, contextual 15%)	Top 9 GCSEs scored /36: A*/9 = 4 pts, A/7-8 = 3 pts, B/6 = 2 pts, C/4-5 = 1 pt. GCSEs are 80% of pre-interview score under the 2026 system (UCAT 20%).
Scottish Highers	-	-
Scottish Advanced Highers	-	-
International Baccalaureate	Minimum 32 points overall with 6,6,6 at Higher Level, including Chemistry and a second science from Biology / Physics / Mathematics	36 points overall, 6,6,6 at Higher Level including Chemistry and Biology (or Chemistry plus Maths/Physics)
Graduate-entry degree requirement	-	-
Alternative qualifications	-	-

Contextual cut-off	No cut-off. Contextual applicants gain up to 1.5 extra points on the application score, scaled to their POLAR4 quintile, which lets a lower UCAT decile still reach the interview threshold.	-
Scottish (where applicable)	-	-
Rest of UK (where applicable)	-	-
International cut-off	International applicants are not given an application score at all: they must meet an academic standard equivalent to A*AA and are then ranked on total UCAT alone.	-
Graduate cut-off	-	-
SJT band	Used post-interview as one of the interview stations. B1=3/3, B2=2/3, B3=1/3, B4=0/3.	May be used if borderline before/after interview. 2025: anyone with 30/42 received interview, didn't matter. 2024: 38/42 cut off, or 37/42 with B1 or B2.
UCAT notes	Application score = 45% GCSE + 40% UCAT + 15% contextual, out of 10. UCAT is scored by national decile, from 4.000 for the 10th decile down to 0.000 for the 1st, so a decile drop costs about 0.44 poin…	Because UCAT is only part of a combined score, a lower UCAT can still be carried by a strong GCSE profile and vice versa. Queen's publishes the exact scoring system each cycle in its "How we choose ou…

Degree awarded	MBChB	MB BCh BAO
Course length	5 years	5 years
Teaching style	Integrated	Traditional / lecture-led + Integrated
Anatomy teaching	-	Dissection
First patient contact	Year 1	Year 1
Placement geography	-	Across Northern Ireland
Named placement sites	-	Belfast Health and Social Care Trust, Northern Health and Social Care Trust, South Eastern Health and Social Care Trust, Southern Health and Social Care Trust, Western Health and Social Care Trust
Intercalation	Available, usually between year 2 and year 3.	-
Course highlight	-	-

Interview window	December - February	January - February
Interview details	An MMI circuit of six or seven stations, each lasting 8 minutes including 2 minutes of preparation in which you are told the topic and, where relevant, the questions. The circuit mixes interview stati…	MMI format with stations centred around the qualities of a good doctor - for example, "describe a time you have shown resilience" rather than NHS-policy or current-affairs questions.

Specialities	Medicine, Dentistry, Medical Sciences	Medicine, Dentistry, Pharmacy
Established	1900	1849
Course type	Undergraduate	Undergraduate
What makes it different	Selection is GCSE-heavy: 45% GCSE / 40% UCAT / 15% contextual. UCAT scored by national decile, so a clear top-decile score makes a big difference. Birmingham was the first UK university to offer denti…	Less weight on NHS hot topics than most schools. Stronger emphasis on reflective examples of personal qualities. SJT may be used if borderline before or after interview, but in 2025 anyone with 30/42…
Official course page	https://www.birmingham.ac.uk/undergraduate/courses/med/medicine	https://www.qub.ac.uk/courses/undergraduate/medicine-mb-a100/

Birmingham

Quick comparison

Location: Birmingham, UK
A-Level offer: AAA including Chemistry and a second science from Biology/Human Biology, Physics or Mathematics, with a minimum prediction of AAB. Three A-levels are required.
TrueScore: Birmingham TrueScore 2030
UCAT home cut-off: No cut-off. Birmingham states there is no minimum UCAT score - your total is converted to a national decile and fed into a combined application score.
Interview format: Multiple Mini Interviews (MMI)
Post-interview chance: Strong. In the 2024-25 cycle Birmingham made 845 offers from 1,061 home interviews (80%) and 79 from 117 international interviews (68%). Getting to interview is the hard part.
Decision date: March onwards

Queen's University Belfast (QUB)

Belfast

Quick comparison

Location: Belfast, UK
A-Level offer: A*AA at A-level including Chemistry and Biology (or Maths/Physics - see subject rules)
TrueScore: Queen's University Belfast (QUB) TrueScore 1700
UCAT home cut-off: No cut-off published. Queen's ranks applicants on cognitive performance, with the overall UCAT score contributing points alongside GCSE attainment, and invites roughly the top 700 to interview.
Interview format: Multiple Mini Interviews (MMI)
Post-interview chance: Good. Queen's states that once you reach interview it anticipates at least a one-in-two chance of an offer, so the hard part is being among the roughly 700 selected.
Decision date: April onwards

Birmingham vs Queen's University Belfast (QUB) - in detail

A-Level and academic profile

Birmingham requires AAA including Chemistry and a second science from Biology/Human Biology, Physics or Mathematics, with a minimum prediction of AAB. Three A-levels are required.

Queen's University Belfast (QUB) requires A*AA at A-level including Chemistry and Biology (or Maths/Physics - see subject rules).

Queen's University Belfast (QUB) is the stricter A-Level offer; Birmingham is slightly more forgiving. If your predicted grades are borderline, Birmingham carries the lower academic-rejection risk pre-interview.

GCSE profile matters at both schools — Birmingham: English Language at grade 6/B, Mathematics at grade 6/B, Biology and Chemistry (or Dual Award Science) at grade 6/B. Top GCSEs heavily scored: GCSE = 45% of pre-interview application score (UCAT 40%… Queen's University Belfast (QUB): Minimum grade C/4 in GCSE Mathematics, English and Physics (or 4-4 in Double Science) if not offered at AS-level or A-level.

Top 9 GCSEs scored /36: A*/9 = 4 pts, A/7-8 = 3 pts, B/6 = 2 pts, C/4-5 =…

Interview formats

Both Birmingham and Queen's University Belfast (QUB) use MMI interviews, so the underlying prep approach is the same — practise ethics frameworks, NHS hot-topic answers and (for MMI) structured station responses against a timer.

Interview windows: Birmingham interviews in December - February; Queen's University Belfast (QUB) in January - February.

Post-interview offer rate

Queen's states that once you reach interview it anticipates at least a one-in-two chance of an offer, so the hard part is being among the roughly 700 selected.

Post-interview odds give you the clearest signal of how competitive each school is at the final stage — a school with a 60% post-interview success rate is structurally easier to convert than one at 25%, even if the interview thresholds look identical on paper.

What makes each distinctive

Birmingham: Selection is GCSE-heavy: 45% GCSE / 40% UCAT / 15% contextual. UCAT scored by national decile, so a clear top-decile score makes a big difference. Birmingham was the first UK university to offer dentistry and medicine programmes side by side.

Queen's University Belfast (QUB): Less weight on NHS hot topics than most schools. Stronger emphasis on reflective examples of personal qualities. SJT may be used if borderline before or after interview, but in 2025 anyone with 30/42 received an interview regardless.

Which is right for you?

For applicants with predicted A-Level grades at the lower end of the AAA-A*AA range, Birmingham is the lower-risk academic option. Regionally, the choice often comes down to cost of living and NHS-deanery preferences — Birmingham feeds into the England foundation programme network; Queen's University Belfast (QUB) into the Northern Ireland network.

Your firm/insurance choice should ultimately weight: where your UCAT and predicted grades sit relative to each school's threshold, which interview format you can prepare for most credibly, and where you'd actually want to live for five or six years.

Common questions

Neither school publishes a single fixed UCAT cut-off; both use UCAT as part of a composite shortlisting score alongside GCSE and personal-statement weighting. Birmingham guidance: No cut-off. Birmingham states there is no minimum UCAT score - your total is converted to a national decile and fed into a combined application score.. Queen's University Belfast (QUB) guidance: No cut-off published. Queen's ranks applicants on cognitive performance, with the overall UCAT score contributing points alongside GCSE attainment, and invites roughly the top 700 to interview..

Birmingham uses Multiple Mini Interviews: Multiple Mini Interviews (MMI). Queen's University Belfast (QUB) uses Multiple Mini Interviews: Multiple Mini Interviews (MMI). The format is the same, so the same prep approach applies — practise ethics frameworks, NHS hot topics, and (for MMI) structured 5-7 minute station answers. Interview windows: December - February (Birmingham); January - February (Queen's University Belfast (QUB)).

Birmingham — English Language at grade 6/B, Mathematics at grade 6/B, Biology and Chemistry (or Dual Award Science) at grade 6/B. Top GCSEs heavily scored: GCSE = 45% of pre-interview application score (UCAT 40%, contextual 15%) Queen's University Belfast (QUB) — Minimum grade C/4 in GCSE Mathematics, English and Physics (or 4-4 in Double Science) if not offered at AS-level or A-level. Top 9 GCSEs scored /36: A*/9 = 4 pts, A/7-8 = 3 pts, B/6 = 2 pts, C/4-5 = 1 pt. GCSEs are 80% of pre-interview score under the 2026 system (UCAT 20%).

Birmingham's selection methodology: Home applicants are ranked on a total application score out of 10: 45% GCSE (max 4.5), 40% UCAT by national decile (max 4.0) and 15% contextual (max 1.5). There is no fixed UCAT cut-off, so strong GCSEs genuinely compensate for a weaker UCAT. The personal statement is not scored, though it is read before and after interview and must evidence commitment to medicine. The threshold score moves each year and is only set once the whole pool is known. International applicants are handled separately, ranked on UCAT alone once they meet the academic bar. Queen's University Belfast (QUB)'s selection methodology: shortlisting weight not fully disclosed; check the official admissions page. Understanding each school's exact algorithm is the single highest-leverage piece of pre-application research — it tells you whether your profile is competitive before you spend an application choice.

Birmingham: Strong. In the 2024-25 cycle Birmingham made 845 offers from 1,061 home interviews (80%) and 79 from 117 international interviews (68%). Getting to interview is the hard part.. Queen's University Belfast (QUB): Good. Queen's states that once you reach interview it anticipates at least a one-in-two chance of an offer, so the hard part is being among the roughly 700 selected.. Post-interview odds tell you how competitive each school is at the final stage. Two schools with similar UCAT thresholds can have very different post-interview rates — a school with a 60% post-interview success rate is structurally easier to convert than one at 25%.

You can — UCAS allows 4 medicine/dentistry choices in total, so listing both is feasible if your profile fits each school's selection algorithm. Apply to both only if your UCAT, GCSE and predicted-grade profile is competitive against each school's published weighting. A common mistake is using two of your four slots on similar schools when a more spread-out portfolio (one safe + one stretch) would maximise overall offer probability.

Where to go next

BirminghamEntry requirements, interview format and key dates in full

Queen's University Belfast (QUB)Entry requirements, interview format and key dates in full

Other medical school comparisons

School data reviewed by the NextGen MedPrep editorial team — last reviewed 19 September 2026.