Skip to main content
NextGen MedPrep logoNextGenMedPrep
Medical school comparison

Imperial College London vs St Mary's Twickenham

Imperial College London and St Mary's Twickenham are both UK medical schools, but the path to an offer at each is meaningfully different. Both sit in London, so location and clinical-placement breadth are similar — the differentiation comes from selection methodology, interview style and curriculum philosophy. Their A-Level requirements (A*AA vs AAA) place them in slightly different academic-strictness tiers.

Imperial College London is the older institution (founded 1907); the other (founded 2025) has shaped its medical school around modern integrated-curriculum thinking.

Side-by-side comparison

Imperial College London

London

Quick comparison

Location
London, UK
A-Level offer
A*AA including A* and A in Biology and Chemistry (A* in either) plus A in a third subject. All qualifications must be taken in the same sitting; General Studies and Critical Thinking are not accepted, and a pass in the science practical endorsement is required.
TrueScore
Imperial College London TrueScore 2340
UCAT home cut-off
2320+ /2700 (2026 entry official cut-off)
Interview format
Multiple Mini Interviews (MMI)
Post-interview chance
Good. Imperial interviews only about the top third of applicants, then makes offers against 345 places from the 852 (2025 entry) and 870 (2026 entry) candidates it invited - so well over half of interviewees receive an offer. The offer threshold moves each year and is set separately for widening-participation applicants.
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

Imperial College London vs St Mary's Twickenham - in detail

A-Level and academic profile

Imperial College London requires A*AA including A* and A in Biology and Chemistry (A* in either) plus A in a third subject. All qualifications must be taken in the same sitting; General Studies and Critical Thinking are not accepted, and a pass in the science practical endorsement is required.

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

Imperial College London is the stricter A-Level offer; St Mary's Twickenham is slightly more forgiving. If your predicted grades are borderline, St Mary's Twickenham carries the lower academic-rejection risk pre-interview.

GCSE profile matters at both schools — Imperial College London: Grade 6/B in GCSE English Language. No further GCSE requirements. GCSE used only as minimum threshold - not used to rank applicants beyond meeting the floor St Mary's Twickenham: Minimum grade 6/B in GCSE Mathematics, English Language, Biology and Chemistry (or Dual Award Science).

Interview formats

Both Imperial College London 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: Imperial College London interviews in December - February; St Mary's Twickenham in December - March.

What makes each distinctive

Imperial College London: Heavy emphasis on scientific reasoning and the integrated London course structure. Around a quarter of places are now reserved for international applicants. UCAT is the primary shortlisting factor, with personal-statement use limited to exceptional cases.

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?

For applicants with predicted A-Level grades at the lower end of the AAA-A*AA range, St Mary's Twickenham is the lower-risk academic option. Both schools sit in the same London foundation-programme catchment, so post-graduation training paths overlap heavily.

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. Imperial College London guidance: 2320+ /2700 (2026 entry official cut-off). 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..

Where to go next

Imperial College LondonEntry 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 .