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

Bristol requires AAA including Chemistry and one of Biology, Physics, Mathematics or Further Mathematics. 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 Bristol and Queen's University Belfast (QUB) located, and how does that affect cost?

Bristol is in Bristol, 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?

Bristol 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

Bristol vs Queen's University Belfast (QUB)

Bristol and Queen's University Belfast (QUB) are both UK medical schools, but the path to an offer at each is meaningfully different. Bristol is based in Bristol (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.

On UCAT alone there is roughly a 1540-point gap between them — a substantial difference that should shape which you list as firm choice vs. insurance. 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: Bristol and Queen's University Belfast (QUB).
Comparison field	BristolBristol	Queen's University Belfast (QUB)Belfast
Quick comparison
Location	Bristol, UK	Belfast, UK
A-Level offer	AAA at A-level including Chemistry and one of Biology, Physics, Mathematics or Further Mathematics	A*AA at A-level including Chemistry and Biology (or Maths/Physics - see subject rules)
TrueScore	Bristol TrueScore 2280	Queen's University Belfast (QUB) TrueScore 1700
UCAT home cut-off	2240+ /2700 - the final threshold to be invited to interview for 2026 entry.	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	Total: 650/968 = 67% (2024); A108 Gateway to Medicine: 63/88 = 72%	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 at A-level including Chemistry and one of Biology, Physics, Mathematics or Further Mathematics	A*AA at A-level including Chemistry and Biology (or Maths/Physics - see subject rules)
Contextual A-Level offer	ABB at A-level for contextual / WP-eligible applicants	-
Required A-Level subjects	Chemistry required, plus one of Biology / Physics / Mathematics / Further Mathematics	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	Resits accepted - no requirement that all three A-levels be sat in the same year	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	Mathematics at minimum grade 7/A and English Language at minimum grade 4/C. GCSE resit applicants welcomed and may apply with results pending.	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	GCSEs and A-levels used only as minimum thresholds - 100% UCAT weighting for shortlisting once minimums are met	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	AAAAB at Higher including Chemistry and one of Biology, Physics or Mathematics	-
Scottish Advanced Highers	AA at Advanced Higher including Chemistry and one of Biology, Physics or Mathematics	-
International Baccalaureate	36 points overall, 18 at Higher Level including 6,6 HL in Chemistry and one of Biology / Physics / Mathematics (either Analysis & Approaches or Applications & Interpretation)	36 points overall, 6,6,6 at Higher Level including Chemistry and Biology (or Chemistry plus Maths/Physics)
Graduate-entry degree requirement	A 2:1 in your degree plus BBB at A-level, including Chemistry and either Biology, Physics, Mathematics or Further Mathematics	-
Alternative qualifications	-	-

Contextual cut-off	-	-
Scottish (where applicable)	-	-
Rest of UK (where applicable)	-	-
International cut-off	2270+ /2700 for 2026 entry.	-
Graduate cut-off	-	-
SJT band	Not used	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	Shortlisting is wholly UCAT once the academic minimum is met, using the combined score from every subtest EXCEPT the Situational Judgement Test. Bristol states the threshold is subject to change year…	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	MB ChB	MB BCh BAO
Course length	5 years	5 years
Teaching style	Case-based learning + Integrated	Traditional / lecture-led + Integrated
Anatomy teaching	Prosection	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	Offered between years 3 and 4, at bachelor's or master's level.	-
Course highlight	You choose the placement for your final-year elective.	-

Interview window	November - April	January - February
Interview details	Bristol calls this a structured interview rather than an MMI: around 30 minutes across six stations, each assessed by a panel of three, and hosted remotely. No reading or writing is required in any of…	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, Veterinary Sciences	Medicine, Dentistry, Pharmacy
Established	1876	1849
Course type	Undergraduate	Undergraduate
What makes it different	Russell Group university with strong medical and dental programmes. Shortlisting is wholly UCAT-based - neither personal statement nor SJT is used in selection. Bristol has the highest UCAT cut-off of…	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.bristol.ac.uk/study/undergraduate/2027/medicine/mb-chb-medicine/	https://www.qub.ac.uk/courses/undergraduate/medicine-mb-a100/

Bristol

Quick comparison

Location: Bristol, UK
A-Level offer: AAA at A-level including Chemistry and one of Biology, Physics, Mathematics or Further Mathematics
TrueScore: Bristol TrueScore 2280
UCAT home cut-off: 2240+ /2700 - the final threshold to be invited to interview for 2026 entry.
Interview format: Multiple Mini Interviews (MMI)
Post-interview chance: Total: 650/968 = 67% (2024); A108 Gateway to Medicine: 63/88 = 72%
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

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

UCAT thresholds compared

Bristol's published UCAT threshold for home applicants is around 2240, while Queen's University Belfast (QUB) sits at approximately 700.

That's a 1540-point gap — large enough to put the two schools in completely different competitiveness tiers. An applicant scoring in the 1200-1700 band would be competitive at Queen's University Belfast (QUB) but borderline at Bristol.

A-Level and academic profile

Bristol requires AAA at A-level including Chemistry and one of Biology, Physics, Mathematics or Further Mathematics.

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; Bristol is slightly more forgiving. If your predicted grades are borderline, Bristol carries the lower academic-rejection risk pre-interview.

GCSE profile matters at both schools — Bristol: Mathematics at minimum grade 7/A and English Language at minimum grade 4/C. GCSE resit applicants welcomed and may apply with results pending.

GCSEs and A-levels used only as minimum thresholds -… 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 Bristol 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: Bristol interviews in November - April; Queen's University Belfast (QUB) in January - February.

Post-interview offer rate

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

Bristol: Russell Group university with strong medical and dental programmes. Shortlisting is wholly UCAT-based - neither personal statement nor SJT is used in selection. Bristol has the highest UCAT cut-off of the major English schools.

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?

If your UCAT lands below the UK median (~1880/2700), Queen's University Belfast (QUB) is the more realistic firm-choice option. For applicants with predicted A-Level grades at the lower end of the AAA-A*AA range, Bristol is the lower-risk academic option.

Regionally, the choice often comes down to cost of living and NHS-deanery preferences — Bristol 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

Bristol's typical home cut-off is around 2240, while Queen's University Belfast (QUB) sits at approximately 700 — a 1540-point spread. That's a meaningful gap; Queen's University Belfast (QUB) is materially more accessible for an average-to-good UCAT, while Bristol expects performance closer to the top 17% of test-takers. Cut-offs change year on year and vary by tier — check each school's latest published threshold before submitting your UCAS form.

Bristol 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: November - April (Bristol); January - February (Queen's University Belfast (QUB)).

Bristol — Mathematics at minimum grade 7/A and English Language at minimum grade 4/C. GCSE resit applicants welcomed and may apply with results pending. GCSEs and A-levels used only as minimum thresholds - 100% UCAT weighting for shortlisting once minimums are met 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%).

Bristol's selection methodology: Once the academic minimum is met, shortlisting is wholly on the UCAT total excluding the SJT. For 2026 entry the final thresholds to be invited were 2,240 (home) and 2,270 (overseas). Work experience is encouraged but is not a requirement. 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.

Bristol: Total: 650/968 = 67% (2024); A108 Gateway to Medicine: 63/88 = 72%. 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

BristolEntry 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.