What A-Level grades do King's College London (KCL) and St Andrews require?

King's College London (KCL) requires A*AA including Chemistry and Biology. St Andrews requires AAA including Chemistry and one of Biology, Mathematics or Physics. Most successful applicants achieve these grades on first sitting with strong predicted grades from their school.

Where are King's College London (KCL) and St Andrews located, and how does that affect cost?

King's College London (KCL) is in London, UK. St Andrews is in St Andrews, UK. Scottish-domiciled applicants funded by SAAS pay no tuition fees at Scottish medical schools — a substantial funding advantage worth tens of thousands of pounds over the degree. Rest-of-UK applicants still pay £9,250/year.

When does each school release decisions?

King's College London (KCL) typically releases medicine decisions By the end of May. St Andrews 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

King's College London (KCL) vs St Andrews

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

Their A-Level requirements (A*AA vs AAA) place them in slightly different academic-strictness tiers. St Andrews is the older institution (founded 1413); the other (founded 1829) has shaped its medical school around modern integrated-curriculum thinking.

Side-by-side comparison

Show only differences

Side-by-side comparison: King's College London (KCL) and St Andrews.
Comparison field	King's College London (KCL)London	St AndrewsSt Andrews
Quick comparison
Location	London, UK	St Andrews, UK
A-Level offer	A*AA including grade A in Biology and Chemistry. General Studies, Critical Thinking, Thinking Skills and Global Perspectives are not accepted, and a pass in the science practical endorsement is required. The EPQ is not considered at any point in the assessment process.	AAA at A-level (offer and predicted) including Chemistry and one of Biology, Mathematics or Physics
TrueScore	King's College London (KCL) TrueScore 2150	St Andrews TrueScore 1850
UCAT home cut-off	No cut-off published. King's states that the minimum scores of interviewees and offer-holders "are not cut-off scores".	No threshold published. Applicants who meet the requirements are ranked on their UCAT global score, and roughly the top 650 are invited to interview.
Interview format	Multiple Mini Interviews (MMI)	Multiple Mini Interviews (MMI)
Post-interview chance	Strong. In the 2024 cycle King's interviewed 982 applicants and made 762 offers (78%) - 609 offers from 796 UK interviews (77%) and 153 from 186 non-UK interviews (82%). The 2023 cycle was tighter at 645 offers from 1,116 interviews (58%).	RUK Student (2025): 123/162 = 74%; Scottish + RUK: 411/505 = 81%; International (2023): 56/82 = 68%
Decision date	By the end of May	March onwards

A-Level offer	A*AA including grade A in Biology and Chemistry. General Studies, Critical Thinking, Thinking Skills and Global Perspectives are not accepted, and a pass in the science practical endorsement is required. The EPQ is not considered at any point in the assessment process.	AAA at A-level (offer and predicted) including Chemistry and one of Biology, Mathematics or Physics
Contextual A-Level offer	-	AAB at A-level for widening-access applicants
Required A-Level subjects	Biology and Chemistry both required	Chemistry plus one of Biology / Mathematics / Physics
A-Level resit policy	Resits accepted - KCL has clarified via FOI that "a first resit is considered equally to applicants taking their first sittings" (19 resit applicants received an interview in 2024, 16 received offers)	Resits considered with extenuating circumstances.
GCSE requirements	Minimum grade 6/B in GCSE English Language and Mathematics	Minimum 5 GCSEs at grade 7/A in one sitting (achieved A-level applicants may be considered with fewer). GCSE grade 5 in Biology, Mathematics, and English (Language or Literature) required if not offered at A-level. GCSE resit allowed.
GCSE scoring methodology	GCSEs are one of the four factors King's names in shortlisting, alongside A-level grades, UCAT and the personal statement, and performance is read in the context of your educational background. King's…	Used only as a minimum threshold - once met, shortlisting is entirely UCAT-based
Scottish Highers	-	Standard entry: AAAAB in S5, predicted to achieve at least BBB in Highers, Advanced Highers or a mix in S6. Minimum entry: AAABB in S5, predicted at least BB in S6.
Scottish Advanced Highers	-	Mix of Highers and Advanced Highers in S6 acceptable - minimum BB
International Baccalaureate	38 points overall (including TOK/EE), or an aggregate of 19 from three Higher Levels, and must include grade 6 in Higher Level Biology and Higher Level Chemistry	38 points overall, 6,6,6 at Higher Level + 6,6,6 at Standard Level. Minimum: 36 points (6,6,5 HL + 6,6,5 SL). Must include HL Chemistry and HL in one of Biology / Mathematics / Physics. If Maths not at HL, applicants must have SL in Biology, Maths and English. Either Maths Analysis & Approaches or Applications & Interpretation accepted.
Graduate-entry degree requirement	Graduate applicants typically hold 2:1 or above in any honours degree, plus required A-level Chemistry and Biology grades. KCL accepts graduates onto the standard 6-year MBBS A100.	ScotGEM applicants must have achieved (or be predicted to achieve) a 1st or 2:1 Honours degree in any discipline (Arts, Science, etc.). Plus: Chemistry Higher or A-level (grade A or B) or equivalent; Mathematics at Standard Grade Credit 1/2, Intermediate 2 (A or B), National 5 (A or B), or GCSE (B). GAMSAT required.
Alternative qualifications	-	-

Contextual cut-off	-	Widening-access applicants receive a 10% uplift on their UCAT score.
Scottish (where applicable)	-	-
Rest of UK (where applicable)	-	-
International cut-off	No separate cut-off published.	-
Graduate cut-off	-	-
SJT band	Band 4 automatically rejected. Band 3 riskier - only 37/360 band 3 applicants received interview in 2024.	No use of SJT (was many years ago but not any more or in the future)
UCAT notes	King's shortlists on A-level grades, UCAT, personal statement and GCSE grades together, and says exam results and UCAT are "perhaps the most important factors". Its published UCAT statistics stop at t…	St Andrews warns explicitly that the 2025 UCAT changes - three subtests and a maximum of 2,700 - mean historical UCAT figures are not comparable with current cycles, so older "lowest invited" numbers…

Degree awarded	MBBS	BSc (Hons) Medicine, then MBChB/MBBS elsewhere
Course length	5 years (6 with intercalation)	6 years (3 at St Andrews + 3 clinical)
Teaching style	Integrated	Integrated
Anatomy teaching	-	Dissection
First patient contact	-	Year 1
Placement geography	London and the south east of England	St Andrews for three years, then a partner school
Named placement sites	Guy's Hospital, King's College Hospital, St Thomas' Hospital	-
Intercalation	Optional one-year BSc between Stages 2 and 3, spanning clinical and biomedical sciences and the humanities.	-
Course highlight	Twinned with medical schools around the world, offering clinical exchanges.	You graduate with a BSc Honours before you begin clinical training.

Interview window	November - May	December - March
Interview details	MMI format with stations covering ethical scenarios, communication and clinical problem-solving. No offer is made without an interview, and King's runs them across an unusually long window - November…	MMI format with chatty, casual interviewers across multiple stations. Topics include ethical scenarios, role-play and motivation for the unusual three-year BSc Honours course before transferring to a…

Specialities	Medicine, Dentistry, Biomedical Sciences	Medicine, Medical Sciences, Gateway to Medicine
Established	1829	1413
Course type	Undergraduate	Undergraduate
What makes it different	Strong clinical focus with emphasis on London healthcare system.	Three-year pre-clinical course at St Andrews followed by transfer to a partner medical school for clinical years. SJT not used (was used many years ago, not now or in future). Scottish students face m…
Official course page	https://www.kcl.ac.uk/study/undergraduate/courses/medicine-mbbs	https://www.st-andrews.ac.uk/subjects/medicine/medicine-bsc-a100/

King's College London (KCL)

London

Quick comparison

Location: London, UK
A-Level offer: A*AA including grade A in Biology and Chemistry. General Studies, Critical Thinking, Thinking Skills and Global Perspectives are not accepted, and a pass in the science practical endorsement is required. The EPQ is not considered at any point in the assessment process.
TrueScore: King's College London (KCL) TrueScore 2150
UCAT home cut-off: No cut-off published. King's states that the minimum scores of interviewees and offer-holders "are not cut-off scores".
Interview format: Multiple Mini Interviews (MMI)
Post-interview chance: Strong. In the 2024 cycle King's interviewed 982 applicants and made 762 offers (78%) - 609 offers from 796 UK interviews (77%) and 153 from 186 non-UK interviews (82%). The 2023 cycle was tighter at 645 offers from 1,116 interviews (58%).
Decision date: By the end of May

St Andrews

Quick comparison

Location: St Andrews, UK
A-Level offer: AAA at A-level (offer and predicted) including Chemistry and one of Biology, Mathematics or Physics
TrueScore: St Andrews TrueScore 1850
UCAT home cut-off: No threshold published. Applicants who meet the requirements are ranked on their UCAT global score, and roughly the top 650 are invited to interview.
Interview format: Multiple Mini Interviews (MMI)
Post-interview chance: RUK Student (2025): 123/162 = 74%; Scottish + RUK: 411/505 = 81%; International (2023): 56/82 = 68%
Decision date: March onwards

King's College London (KCL) vs St Andrews - in detail

A-Level and academic profile

King's College London (KCL) requires A*AA including grade A in Biology and Chemistry. General Studies, Critical Thinking, Thinking Skills and Global Perspectives are not accepted, and a pass in the science practical endorsement is required. The EPQ is not considered at any point in the assessment process.

St Andrews requires AAA at A-level (offer and predicted) including Chemistry and one of Biology, Mathematics or Physics.

King's College London (KCL) is the stricter A-Level offer; St Andrews is slightly more forgiving. If your predicted grades are borderline, St Andrews carries the lower academic-rejection risk pre-interview.

GCSE profile matters at both schools — King's College London (KCL): Minimum grade 6/B in GCSE English Language and Mathematics. GCSEs are one of the four factors King's names in shortlisting, alongside A-level grades, UCAT and the personal statement, and performance… St Andrews: Minimum 5 GCSEs at grade 7/A in one sitting (achieved A-level applicants may be considered with fewer).

GCSE grade 5 in Biology, Mathematics, and English (Language or Literature) required if not…

Interview formats

Both King's College London (KCL) and St Andrews 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: King's College London (KCL) interviews in November - May; St Andrews in December - March.

Curriculum and teaching style

Intake size: King's College London (KCL) — Around 300 places on A100, within roughly 410 across all of King's medicine programmes.; St Andrews — RUK ~24 places, Scottish ~150, International ~30 (3-year pre-clinical only - clinical years at partner schools).. A larger cohort means more peer breadth; a smaller cohort means more tutor contact.

Post-interview offer rate

St Andrews: RUK Student (2025): 123/162 = 74%; Scottish + RUK: 411/505 = 81%; International (2023): 56/82 = 68%.

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

King's College London (KCL): Strong clinical focus with emphasis on London healthcare system.

St Andrews: Three-year pre-clinical course at St Andrews followed by transfer to a partner medical school for clinical years. SJT not used (was used many years ago, not now or in future). Scottish students face much lower cut-offs than RUK applicants.

Which is right for you?

For applicants with predicted A-Level grades at the lower end of the AAA-A*AA range, St Andrews is the lower-risk academic option. Regionally, the choice often comes down to cost of living and NHS-deanery preferences — King's College London (KCL) feeds into the London foundation programme network; St Andrews into the Scotland 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. King's College London (KCL) guidance: No cut-off published. King's states that the minimum scores of interviewees and offer-holders "are not cut-off scores".. St Andrews guidance: No threshold published. Applicants who meet the requirements are ranked on their UCAT global score, and roughly the top 650 are invited to interview..

King's College London (KCL) uses Multiple Mini Interviews: Multiple Mini Interviews (MMI). St Andrews 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 - May (King's College London (KCL)); December - March (St Andrews).

King's College London (KCL) — Minimum grade 6/B in GCSE English Language and Mathematics. GCSEs are one of the four factors King's names in shortlisting, alongside A-level grades, UCAT and the personal statement, and performance is read in the context of your educational background. King's does not publish a points tariff for GCSEs. St Andrews — Minimum 5 GCSEs at grade 7/A in one sitting (achieved A-level applicants may be considered with fewer). GCSE grade 5 in Biology, Mathematics, and English (Language or Literature) required if not offered at A-level. GCSE resit allowed. Used only as a minimum threshold - once met, shortlisting is entirely UCAT-based

King's College London (KCL)'s selection methodology: shortlisting weight not fully disclosed; check the official admissions page. St Andrews's selection methodology: Applicants who meet the academic requirements, provide a positive reference and can show relevant medically related work experience are ranked on their UCAT global score; roughly the top 650 are interviewed. Offers then turn on the interview score and the route applied for. St Andrews teaches the first three years (BSc Medicine) and most students then transfer to a partner clinical school such as Glasgow, Manchester or Dundee. 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.

King's College London (KCL): Strong. In the 2024 cycle King's interviewed 982 applicants and made 762 offers (78%) - 609 offers from 796 UK interviews (77%) and 153 from 186 non-UK interviews (82%). The 2023 cycle was tighter at 645 offers from 1,116 interviews (58%).. St Andrews: RUK Student (2025): 123/162 = 74%; Scottish + RUK: 411/505 = 81%; International (2023): 56/82 = 68%. 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

King's College London (KCL)Entry requirements, interview format and key dates in full

St AndrewsEntry 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.