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

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

Manchester is in Manchester, 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?

Manchester 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

Manchester vs Queen's University Belfast (QUB)

Manchester and Queen's University Belfast (QUB) are both UK medical schools, but the path to an offer at each is meaningfully different. Manchester is based in Manchester (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 1360-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: Manchester and Queen's University Belfast (QUB).
Comparison field	ManchesterManchester	Queen's University Belfast (QUB)Belfast
Quick comparison
Location	Manchester, UK	Belfast, UK
A-Level offer	AAA at A-level including Chemistry or Biology, plus one of Biology / Chemistry / Maths / Further Maths / Physics / Psychology. No use of predicted grades.	A*AA at A-level including Chemistry and Biology (or Maths/Physics - see subject rules)
TrueScore	Manchester TrueScore 2060	Queen's University Belfast (QUB) TrueScore 1700
UCAT home cut-off	2060+ /2700 with Band 1 or 2 SJT (2026 entry threshold, A106)	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	2026 entry: home 985 offers from 1,667 interviews (59%); overseas 40 from 191 (21%); A101 home 91 from 157 (58%) and A101 overseas 6 from 10. Overseas applicants face a far harder run at both stages than home applicants.	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 or Biology, plus one of Biology / Chemistry / Maths / Further Maths / Physics / Psychology. No use of predicted grades.	A*AA at A-level including Chemistry and Biology (or Maths/Physics - see subject rules)
Contextual A-Level offer	AAB at A-level for WP+ contextual applicants. ABB for refugee or care-experienced (WP++) applicants.	-
Required A-Level subjects	Chemistry or Biology required, plus one of Biology / Chemistry / Mathematics / Further Mathematics / Physics / Psychology	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, but only one of Year 12 or Year 13 may be resat, a minimum of ABB at the first Year 13 sitting is required for resit grades to count, and the resit offer is AAA	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	At least 7 GCSEs at grade 7, 8 or 9. English Language or Literature, Mathematics, and 2 Science subjects must be at grade 6 or above. WP+/WP++: 6 GCSEs at grade 7+ accepted. GCSE resits permitted; up to one Level 2 BTEC may be counted.	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	Used only as minimum eligibility threshold - no further use of GCSEs in shortlisting beyond the floor	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	-	-
Scottish Advanced Highers	-	-
International Baccalaureate	36 points overall, 6,6,6 at Higher Level including HL Chemistry or Biology plus another science from Chemistry / Biology / Physics / Psychology / Mathematics	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 honours degree or above, plus a minimum of BBB at A-level at the first sitting. Applicants with a relevant science degree are exempt from the A-level subject specification but must still meet BBB. The accelerated four-year A101 Graduate Entry programme runs a separate UCAT threshold (2,080 home, 2,310 overseas for 2026 entry).	-
Alternative qualifications	-	-

Contextual cut-off	1960+ /2700 (WP+, 2026 entry threshold)	-
Scottish (where applicable)	-	-
Rest of UK (where applicable)	-	-
International cut-off	2250+ /2700 (2026 entry threshold) - 190 points ABOVE the home bar, not level with it	-
Graduate cut-off	2080+ /2700 for home A101, or 2310+ for overseas A101 (2026 entry)	-
SJT band	Band 1 or 2 - do not currently consider B3/4	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	Met-or-not thresholds, set each November once results are in, so Manchester cannot confirm them in advance and they move year to year. Clear the threshold with an SJT of Band 1 or 2 and you are very l…	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	MBChB	MB BCh BAO
Course length	5 years	5 years
Teaching style	Case-based learning + Team-based learning	Traditional / lecture-led + Integrated
Anatomy teaching	Dissection	Dissection
First patient contact	Year 3	Year 1
Placement geography	Greater Manchester and the north west	Across Northern Ireland
Named placement sites	Manchester University NHS Foundation Trust (Oxford Road), Manchester University NHS Foundation Trust (Wythenshawe), Northern Care Alliance NHS Foundation Trust (formerly Salford Royal), Lancashire Teaching Hospitals NHS Foundation Trust	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	Intercalate for a year to complete a BSc, a master’s degree or an MB-PhD.	-
Course highlight	The UK’s largest medical school, with over 2,200 undergraduate medical students.	-

Interview window	December - early March	January - February
Interview details	Five-station MMI including a role-play that assesses verbal and non-verbal communication and empathy, plus typical MMI questions on motivation, ethics and teamwork. One station may ask you to elaborat…	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, Pharmacy	Medicine, Dentistry, Pharmacy
Established	1824	1849
Course type	Undergraduate	Undergraduate
What makes it different	The UK's largest medical school, with over 2,200 undergraduate medical students and strong research links. Thresholds are met-or-not rather than ranked, so clearing the UCAT bar with an SJT of Band 1…	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.manchester.ac.uk/study/undergraduate/courses/2026/01428/mbchb-medicine/	https://www.qub.ac.uk/courses/undergraduate/medicine-mb-a100/

Manchester

Quick comparison

Location: Manchester, UK
A-Level offer: AAA at A-level including Chemistry or Biology, plus one of Biology / Chemistry / Maths / Further Maths / Physics / Psychology. No use of predicted grades.
TrueScore: Manchester TrueScore 2060
UCAT home cut-off: 2060+ /2700 with Band 1 or 2 SJT (2026 entry threshold, A106)
Interview format: Multiple Mini Interviews (MMI)
Post-interview chance: 2026 entry: home 985 offers from 1,667 interviews (59%); overseas 40 from 191 (21%); A101 home 91 from 157 (58%) and A101 overseas 6 from 10. Overseas applicants face a far harder run at both stages than home applicants.
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

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

UCAT thresholds compared

Manchester's published UCAT threshold for home applicants is around 2060, while Queen's University Belfast (QUB) sits at approximately 700.

That's a 1360-point gap — large enough to put the two schools in completely different competitiveness tiers. An applicant scoring in the 1200-1600 band would be competitive at Queen's University Belfast (QUB) but borderline at Manchester.

Contextual / widening-participation cut-offs differ — Manchester: 1960+ /2700 (WP+, 2026 entry threshold); Queen's University Belfast (QUB): not separately disclosed. Eligible applicants should weight this heavily when choosing.

A-Level and academic profile

Manchester requires AAA at A-level including Chemistry or Biology, plus one of Biology / Chemistry / Maths / Further Maths / Physics / Psychology. No use of predicted grades.

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

GCSE profile matters at both schools — Manchester: At least 7 GCSEs at grade 7, 8 or 9. English Language or Literature, Mathematics, and 2 Science subjects must be at grade 6 or above. WP+/WP++: 6 GCSEs at grade 7+ accepted.

GCSE resits permitted; up… 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 Manchester 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: Manchester interviews in December - early March; Queen's University Belfast (QUB) in January - February.

Post-interview offer rate

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

Manchester: The UK's largest medical school, with over 2,200 undergraduate medical students and strong research links. Thresholds are met-or-not rather than ranked, so clearing the UCAT bar with an SJT of Band 1 or 2 usually earns an interview; Bands 3 and 4 are not currently considered.

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, Manchester is the lower-risk academic option.

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

Manchester's typical home cut-off is around 2060, while Queen's University Belfast (QUB) sits at approximately 700 — a 1360-point spread. That's a meaningful gap; Queen's University Belfast (QUB) is materially more accessible for an average-to-good UCAT, while Manchester expects performance closer to the top 24% 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.

Manchester 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: December - early March (Manchester); January - February (Queen's University Belfast (QUB)).

Manchester — At least 7 GCSEs at grade 7, 8 or 9. English Language or Literature, Mathematics, and 2 Science subjects must be at grade 6 or above. WP+/WP++: 6 GCSEs at grade 7+ accepted. GCSE resits permitted; up to one Level 2 BTEC may be counted. Used only as minimum eligibility threshold - no further use of GCSEs in shortlisting beyond the floor 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%).

Manchester's selection methodology: Academic minimums first, then UCAT must exceed cut-off. Historically, all applicants beyond the cut-off interviewed. SJT band 1 or 2 expected. 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.

Manchester: 2026 entry: home 985 offers from 1,667 interviews (59%); overseas 40 from 191 (21%); A101 home 91 from 157 (58%) and A101 overseas 6 from 10. Overseas applicants face a far harder run at both stages than home applicants.. 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

ManchesterEntry 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.