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Medical school comparison

Lancaster vs Queen's University Belfast (QUB)

Lancaster and Queen's University Belfast (QUB) are both UK medical schools, but the path to an offer at each is meaningfully different. Lancaster is based in Lancaster (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 1220-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.

Queen's University Belfast (QUB) is the older institution (founded 1849); the other (founded 2020) has shaped its medical school around modern integrated-curriculum thinking.

Side-by-side comparison

Lancaster

Lancaster

Quick comparison

Location
Lancaster, UK
A-Level offer
AAA at A-level including any 2 of Biology, Chemistry and Psychology - OR AAB with grade B in a 4th subject or EPQ
TrueScore
Lancaster TrueScore 1950
UCAT home cut-off
1920+ /2700 (2026 entry official cut-off, non-contextual)
Interview format
Multiple Mini Interviews (MMI)
Post-interview chance
Home student: 261/587 = 44%; International: 6/19 = 32%
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

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

UCAT thresholds compared

Lancaster's published UCAT threshold for home applicants is around 1920, while Queen's University Belfast (QUB) sits at approximately 700.

That's a 1220-point gap — large enough to put the two schools in completely different competitiveness tiers. An applicant scoring in the 1100-1500 band would be competitive at Queen's University Belfast (QUB) but borderline at Lancaster.

Contextual / widening-participation cut-offs differ — Lancaster: 1870+ /2700 (2026 entry contextual); Queen's University Belfast (QUB): not separately disclosed. Eligible applicants should weight this heavily when choosing.

A-Level and academic profile

Lancaster requires AAA at A-level including any 2 of Biology, Chemistry and Psychology - OR AAB with grade B in a 4th subject or EPQ.

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

GCSE profile matters at both schools — Lancaster: Minimum grade 6/B in GCSE Biology, Chemistry, Physics (or 6-6 Combined Science) plus Mathematics and English Language.

Score calculated /16 across 8 GCSE subjects: 7+ = 2 pts, 6 = 1 pt; minimum 13/16… 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 Lancaster 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: Lancaster interviews in December - March; Queen's University Belfast (QUB) in January - February.

Post-interview offer rate

Lancaster: Home student: 261/587 = 44%; International: 6/19 = 32%. 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 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

Lancaster: Newer medical school with a focus on regional healthcare in north-west England. Personal statement is not used in selection and interviewers do not have access to it. SJT band 4 is auto-rejected - bands 1-3 are equal.

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, Lancaster is the lower-risk academic option.

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

Lancaster's typical home cut-off is around 1920, while Queen's University Belfast (QUB) sits at approximately 700 — a 1220-point spread. That's a meaningful gap; Queen's University Belfast (QUB) is materially more accessible for an average-to-good UCAT, while Lancaster expects performance closer to the top 29% 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.

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