How to apply for Medicine and Surgery with a Gateway Year

Applications are made through UCAS. The deadline for applications to study Medicine and Surgery with a Gateway Year (A104) for 2025 entry is 15th October 2024.

Eligibility criteria

A104 Medicine and Surgery with a Gateway Year is designed for students who are not eligible to apply directly to our A100 Medicine and Surgery degree programme.

Lancaster Medical School believes that doctors should reflect the community they serve and that future doctors should be selected from all sections of society. To this end, we are committed to widening participation. The Gateway Year is a route into Medicine for those whose academic grades would not allow them to be considered for direct entry but who fulfil certain widening participation criteria.

We will use a range of indicators to determine whether you are eligible for entry to our Gateway year course. You may be eligible for the Gateway Year, and to be made a lower offer compared to those applying directly, if you fulfil certain widening participation criteria, such as living in an area where a low proportion of school leavers go onto higher education; being from a low income family or being the first in family to attend university.

Eligibility Criteria

In order to be eligible for this course, you must be a UK applicant. EU and International students are not eligible for Medicine and Surgery with a Gateway Year.

You must also meet two or more of our Widening Participation criteria (see below) to be eligible for this course. If you are a Care Leaver, Care Experienced, or you are a Refugee, then you do not meet to meet any additional criteria.

  • You live in a neighbourhood of low participation in higher education or live in an area that is less advantaged, as assessed by multiple factors. To find out if this applies to you please visit the Index of Multiple Deprivation, or if you live in Scotland, the Scottish Index of Multiple Deprivation. A map of the UK, showing the areas that differ in terms of young people’s participation in higher education can be found on the Office for Students website.
  • You live in a low income household. This can be demonstrated in any of three ways: (1) your parent or guardian is in receipt of a means-tested benefit (e.g. Universal Credit, Income Support, Job Seekers Allowance); (2) you receive or are eligible for the 16-19 bursary or, if you live in Wales, Northern Ireland or Scotland, Education Maintenance Allowance instead of 16-19 bursary; (3) you receive or are eligible for free school meals.
  • You attended a non-selective state school for your GCSEs with an Attainment 8 score below the average of mainstream English state schools or you attend(ed) a non-selective state school or college for your A Levels with A Level results below the average of mainstream English state schools/colleges.

To determine the average we use Attainment 8 and A Level performance data published by the Department for Education from the previous three academic years and compare this against the average performance of all mainstream state schools and colleges over the same period. For further advice or guidance, please email the Medical School Admissions team at medicine@lancaster.ac.uk.

  • Your parent(s) did not attend university or attain a higher education qualification, apart from as a mature student.
  • You have been in local authority care for three months or more or considered as Care Experienced , including residing within a secure or children’s care home, foster care and kinship care. You can find out more on our Care Leavers page.
  • You are a young carer to a parent or sibling.
  • You are a refugee.

Academic entry requirements

The Medicine and Surgery with a Gateway Year course is designed for students who are not eligible to apply directly to the Medicine and Surgery degree programme. Your application to Medicine and Surgery with a Gateway Year will be considered in a four stage selection process detailed below; the academic entry requirements are considered at the first stage.

All 2024 applicants for the MBChB course will undertake the BMAT aptitude test, but from 2025 Lancaster Medical School will be using UCAT as part of our application process. This test must be taken in the year of application. More information on how this will be used in our selection processes can be found in the UCAT tab below.

Tab Content: GCSE

GCSE: requirements will vary depending on individual circumstance but all applicants must have a grade B or 6 in Biology, Chemistry and Physics taken as individual subjects (or Combined Science: Triology as two GCSE qualifications), as well as Maths and English Language.

Tab Content: A-levels

BBB achieved in a single sitting after 2 years of study.

Required Subjects: A-level Biology and Chemistry

Candidates who have taken longer to achieve their grades or who have undertaken additional study at Higher Education Level since completing their A Levels (e.g. any years of an undergraduate or foundation degree) are not eligible to apply.

BTEC Applied Science not accepted. BTEC in other subjects may be considered alongside A-level qualifications, in lieu of 3rd A-level. Applicants must be taking at least two A-levels, including both Biology and Chemistry. Typical offer: AB + D or BB + D*

Please note that our entry requirements for this programme have changed for 2025 entry. For 2024 entry, the grade requirements for this course were ABB.

Selection process

Stage One: Academic aptitude

Applications are assessed against our entry requirements, considering prior academic achievement and predicted grades.

Only those who meet our academic entry requirements (at GCSE and A Level) or have achieved the requisite grades at GCSE and are predicted grades ABB-BBC at A Level (or equivalent in other qualifications) will progress to Stage Two.

All applicants will be expected to take the University Clinical Aptitude Test (UCAT)

Stage Two: University Clinical Aptitude Test

For 2025 entry onwards, all applicants must take the University Clinical Aptitude Test (UCAT) to be eligible for consideration at Lancaster Medical School. This must be taken in the summer testing window prior to application. More information about UCAT, how to register, and how to prepare for the test can be found on the UCAT website.

Registration and taking the test

You must register to be able to take UCAT. Registration is separate from the UCAS application process. Account creation opens on 14th May 2024, with tests available to book from 18th June. The testing window will run from 8th July to 26th September 2024.

You can find a timeline of key dates on the UCAT website.

Preparing for UCAT

The UCAT consists of five separately timed subtests in multiple-choice format:

Verbal Reasoning: assesses your ability to critically evaluate information presented in a written form

Decision Making: assess your ability to make sound decisions and judgements using complex information

Quantitative Reasoning: assesses your ability to critically evaluate information presented in a numerical form

Abstract Reasoning: assesses your use of convergent and divergent thinking to infer relationships from information

Situational Judgement: measures your capacity to understand real world situations and to identify critical factors and appropriate behaviour in dealing with them

UCAT has produced a number of resources aimed at helping you to prepare for the test, including tutorials for the different subtests as well as question banks to practice and familiarise yourself with the test.

UCAT recommends that candidates should "use the free official preparation materials to support their test preparation". All of the resources on the UCAT webpages are free to access.

How is UCAT used in the selection process?

Lancaster Medical School will be using the UCAT as part of its selection processes for the first time in the 2024-25 admissions cycle.

Applicants will be ranked according to their overall UCAT score. We anticipate selecting from candidates who have an overall score within the top 7 deciles, and with an SJT score between 1 and 3.

Stage Three: Multiple Mini Interview (MMI)

No applicant will be offered a place without being interviewed. The Multiple Mini Interviews (MMIs) will usually be held in January and February and are currently held remotely via Microsoft Teams. The exact timing of the MMI days will vary from year to year.

The MMI consists of 12-15 different 'stations', most of which will be five minutes long. Some stations will consist of a short interview, where you may be asked questions about your career choice, work experience or suitability for a medical career. At others, you may be asked to read a short paragraph or watch a short video clip, take some notes and then discuss at a subsequent station. An additional 20 minute station will involve group work and will assess your suitability for our problem-based learning curriculum. Applicants who are selected for interview will be sent detailed information prior to their interview. The applicant’s performance at each station is assessed by trained interviewers, against clearly defined criteria. Interviewers include members of University staff, NHS clinicians, local GPs, patients and public representatives, and medical students.

Applicants are assessed at each station and given a score for their performance at that station. The station scores are summed and applicants ranked according to their overall MMI score. Those with the highest score will be made an offer of a place to study medicine. All offers are conditional upon being deemed Fit to Practise (Stage Four).

Stage Four: Fitness to Practise

The professional body that governs medical practice in the UK, the General Medical Council (GMC), has specific requirements to protect staff and patient safety. In accordance with these requirements, all medical students must have the ability to function as a fully competent doctor and fulfil the rigorous demands of professional fitness to practise. Applicants are advised to familiarise themselves with the expectations of medical students to ensure that they are able to comply with these requirements before applying.

Fitness to practise

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Application timeline

Pre-Application

14 May:

UCAT account creation opens. Bursary and Access Arrangement applications open.

18 June:

UCAT test booking opens.

8 July:

UCAT testing begins.

September

15 September

UCAT Access Arrangements application deadline

19 September

Test booking deadline and UCAT account creation closes

26 September

Final UCAT test day

27 September:

UCAT Bursary Scheme application deadline

October

15 October

UCAS deadline for all applications to A100 and A104.

All applicants will be asked to complete the Initial Applicant Survey by email after their application has been received. This survey allows you to provide us with additional information about your qualifications, educational and residential timeline and background which will help the Admissions team to process your application.

The deadline to complete the Initial Applicant Survey for the 24/25 admissions cycle is Tuesday 29th October.

Eligible applicants to A104 will be sent the Supplementary Information Form to complete.

16 October to end of November

Stage One: Eligibility and academic screening of all applicants.

November

Early November

UCAT test results are delivered to universities

Stage Two: Applicants ranked according to UCAT score. Top-ranking applicants progress to Stage Three of the selection process.

We will consider contextual information in cases where a candidate's UCAT score is borderline. Candidates with borderline scores who indicated that they met Widening Participation criteria in the Initial Applicant Survey (IAS) will be asked to provide evidence in support of this.

December

Invitations for interview will be sent to the majority of candidates.

January to February

Stage Three: Interview period. Applicants who meet our academic entry requirements (Stage One) and have a competitive UCAT score (Stage Two) are called for interview.

Applicants will be asked to complete our Supplementary Information Form and provide evidence in support of our Widening Participation criteria if applicable.

March onwards

After all interviews are completed, all applicants are ranked according to their Multiple Mini Interviews (MMI) score. Offers are made to those with the highest MMI scores.

Conditional and Unconditional offers are confirmed on UCAS.

Candidates being held on the reserve list will be informed of this outcome.

June

Unconditional and Conditional offer holders are sent information about accommodation, finance and registration.

August

A Level results are published.

Conditional offer holders who have achieved the required grades become Unconditional.

September

All Unconditional offer holders are sent further information about beginning their studies at Lancaster Medical School.

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Information for applicants, their parents and advisors, which brings together a variety of different information into one comprehensive document that explains our policy with respect to admissions to A100 Medicine and Surgery.

Read our admissions policy