Where are Birmingham and St Mary's Twickenham located, and how does that affect cost?

Birmingham is in Birmingham, UK. St Mary's Twickenham is in Twickenham, London, 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. St Mary's Twickenham releases medicine decisions March 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 St Mary's Twickenham

Q: How are GCSEs weighted at Birmingham vs St Mary's Twickenham?

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%) St Mary's Twickenham — Minimum grade 6/B in GCSE Mathematics, English Language, Biology and Chemistry (or Dual Award Science).

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

Birmingham is the older institution (founded 1900); the other (founded 2025) has shaped its medical school around modern integrated-curriculum thinking.

Side-by-side comparison

Show only differences

Side-by-side comparison: Birmingham and St Mary's Twickenham.
Comparison field	BirminghamBirmingham	St Mary's TwickenhamTwickenham, London
Quick comparison
Location	Birmingham, UK	Twickenham, London, 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.	AAA at A-level (offer and prediction) including Chemistry or Biology and one of Biology / Chemistry / Physics / Mathematics
TrueScore	Birmingham TrueScore 2030	St Mary's Twickenham TrueScore 1700intl
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)	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	March 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.	AAA at A-level (offer and prediction) including Chemistry or Biology and one of Biology / Chemistry / Physics / Mathematics
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	Chemistry or Biology required, plus one of Biology / Chemistry / Physics / Mathematics
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 only considered in exceptional circumstances
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 6/B in GCSE Mathematics, English Language, Biology and Chemistry (or Dual Award Science)
GCSE scoring methodology	Top GCSEs heavily scored: GCSE = 45% of pre-interview application score (UCAT 40%, contextual 15%)	-
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 or Biology and a second science / Maths
Graduate-entry degree requirement	-	-
Alternative qualifications	-	New international-only medicine course for 2026 entry - first cohort. Applied to directly outside standard UCAS medicine route. UCAT contributes to combined admissions test + academic ranking. No SJT use.

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.	No cut-off exists yet. UCAT contributes to the shortlisting rank, but the first cohort is September 2026 so no historic threshold exists.
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.	No usage mentioned in any selection policy
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…	International (non-UK/Irish) applicants only. No SJT use stated. Any quoted 'cut-off' for this school is guesswork - it has not yet completed an admissions cycle.

Degree awarded	MBChB	MBBS
Course length	5 years	5 years
Teaching style	Integrated	Case-based learning
Anatomy teaching	-	-
First patient contact	Year 1	Year 1
Placement geography	-	London, Surrey, Hampshire and Berkshire
Named placement sites	-	West London Trust, Hampshire Hospitals NHS Foundation Trust (Basingstoke), Practice Plus Group (Ilford), Royal Trinity Hospice, Princess Alice Hospice, Meadow House
Intercalation	Available, usually between year 2 and year 3.	-
Course highlight	-	Currently accepts international students only.

Interview window	December - February	December - March
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…	Applications are scored on academic record and admissions tests to produce a shortlisting rank. Interviews are online Multiple Mini Interviews (MMIs).

Specialities	Medicine, Dentistry, Medical Sciences	Medicine, International Medicine
Established	1900	2025
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…	International (non-UK/Irish) applicants only, applying direct rather than through UCAS, so it costs none of your four UCAS medical choices. Weigh that against the accreditation risk: the MBBS is not y…
Official course page	https://www.birmingham.ac.uk/undergraduate/courses/med/medicine	https://www.stmarys.ac.uk/courses/undergraduate/mbbs-medicine-degree

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

St Mary's Twickenham

Twickenham, London

Quick comparison

Location: Twickenham, London, UK
A-Level offer: AAA at A-level (offer and prediction) including Chemistry or Biology and one of Biology / Chemistry / Physics / Mathematics
TrueScore: St Mary's Twickenham TrueScore 1700intl
UCAT home cut-off: -
Interview format: Multiple Mini Interviews (MMI)
Post-interview chance: -
Decision date: March onwards

Birmingham vs St Mary's Twickenham - 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.

St Mary's Twickenham requires AAA at A-level (offer and prediction) including Chemistry or Biology and one of Biology / Chemistry / Physics / Mathematics.

Both demand the same A-Level grade band, so academic prediction is unlikely to differentiate your application between them — provided you meet the required subject combination at each.

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%… St Mary's Twickenham: Minimum grade 6/B in GCSE Mathematics, English Language, Biology and Chemistry (or Dual Award Science).

Interview formats

Both Birmingham and St Mary's Twickenham 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; St Mary's Twickenham in December - March.

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.

St Mary's Twickenham: International (non-UK/Irish) applicants only, applying direct rather than through UCAS, so it costs none of your four UCAS medical choices. Weigh that against the accreditation risk: the MBBS is not yet GMC-accredited, and St Mary's contingency is that students would transfer to the University of Lancashire if accreditation is not achieved.

Which is right for you?

Regionally, the choice often comes down to cost of living and NHS-deanery preferences — Birmingham feeds into the England foundation programme network; St Mary's Twickenham into the London 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.. St Mary's Twickenham guidance: International (non-UK/Irish) applicants only. No SJT use stated. Any quoted 'cut-off' for this school is guesswork - it has not yet completed an admissions cycle..

Birmingham uses Multiple Mini Interviews: Multiple Mini Interviews (MMI). St Mary's Twickenham 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); December - March (St Mary's Twickenham).

Birmingham requires AAA including Chemistry and a second science from Biology/Human Biology, Physics or Mathematics, with a minimum prediction of AAB. St Mary's Twickenham requires AAA prediction and offer requirements, must include chemistry or biology as well as one of biology/chemistry/physics/maths. Resits only considered in exceptional circumstances. GCSEs: grade 6 minimum in maths, English language, biology and chemistry (or dual award science).. Most successful applicants achieve these grades on first sitting with strong predicted grades from their school.

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. St Mary's Twickenham'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.

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

St Mary's TwickenhamEntry 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.

Birmingham vs St Mary's Twickenham

Side-by-side comparison

Birmingham vs St Mary's Twickenham - in detail

A-Level and academic profile

Interview formats

What makes each distinctive

Which is right for you?

Common questions

What UCAT score do I need for Birmingham vs St Mary's Twickenham?

How do interviews differ between Birmingham and St Mary's Twickenham?

What A-Level grades do Birmingham and St Mary's Twickenham require?

How are GCSEs weighted at Birmingham vs St Mary's Twickenham?

How does each school actually shortlist applicants?

Where are Birmingham and St Mary's Twickenham located, and how does that affect cost?

When does each school release decisions?

Should I apply to both Birmingham and St Mary's Twickenham?

Where to go next

Other medical school comparisons