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Application Guide 2026:
UCAS
IB Requirements for Medicine UK 2026 (2027 Entry): Every Medical School Explained

Medicine Admissions Expert
Introduction
Written by Dr Akash Gandhi MBBS MA (Cantab) DGM DRCOG MBA MRCGP | Updated April 2026 for 2026 and 2027 entry
Data sourced from the Medical Schools Council Entry Requirements Tool (medschools.ac.uk) and individual university admissions pages, verified April 2026.
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What IB score do you need for medicine in the UK?
The majority of UK medical schools require a minimum of 36 IB Diploma points, with Chemistry and Biology at Higher Level. That is the baseline. But the range is wide: from 34 points at Buckingham, Greater Manchester, Hull York, Nottingham, and UEA at the lower end, to 41 to 42 points in practice at Cambridge at the upper end.
The IB is fully accepted at every UK medical school that accepts school-leaver applicants. Several universities - including Warwick, Chester, Pears Cumbria, and Swansea - only accept graduate entry and are therefore not relevant to IB applicants.
Critical distinction: total points AND subject grades are both conditions of your offer. Reaching 38 points overall with a 5 in HL Chemistry does not satisfy an offer requiring 38 points with 6 in HL Chemistry.
Medical schools treat the overall score and individual Higher Level grades as separate, simultaneous conditions. Both must be met. This is the most common misconception among IB applicants to medicine.
The points bands below show where the main clusters of schools sit. Note that many schools publish a minimum offer; the typical competitive offer is often one to two points higher. Imperial, for instance, publishes a minimum of 38 but the typical offer made to at least half of successful applicants is 39

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IB Predicted Grades and Medicine Offers: What You Need to Know
UK medical schools make offers based on your predicted grades, not your results. This sounds straightforward, but it creates a specific trap for IB applicants that A-level students rarely fall into in the same way.
When a medical school offers you 38 IB points with 6,6,6 at Higher Level, they are offering you a conditional place on the expectation that your final May results meet those numbers. If your predicted grades sit at 38 but your final results come in at 37, your offer is withdrawn. There is no rounding, no goodwill margin, and at competitive schools essentially no appeal route.
The implication is that your predicted grades need to sit comfortably above the offer level, not at it. A student predicted 38 applying to schools with a 38-point minimum has no buffer. One subject underperforming in the May exams by a single grade - a 5 instead of a 6 in Chemistry, for instance - ends the cycle.
The safer approach is to treat your predicted grades minus two points as your realistic floor, and build your school list from there. If your predicted total is 40 with 7,6,6 at HL, schools requiring 38 are your solid choices, schools at 39 are your reaches, and Cambridge or Oxford represent genuine stretches requiring a strong overall application beyond grades alone.
There is a second complication specific to the IB. Predicted grades in the Diploma are issued by your school's IB coordinator, and different schools predict with different levels of conservatism. Some coordinators predict at ceiling; others predict cautiously to protect students from over-reaching.
Medical school admissions teams are aware of this variation. A predicted 42 from a school known to inflate predictions carries less weight than a predicted 40 from a school with a track record of accuracy. This is not something you can control directly, but it is worth understanding - particularly if your coordinator predicts below your target offer level despite strong internal performance.
Finally, if you receive a predicted grade that you believe significantly underestimates your ability, speak to your coordinator early. Once UCAS is submitted in October, predicted grades are very difficult to revise upward. The conversation needs to happen in September at the latest.
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IB Requirements Summary By Score Per Medical School
Here is a summary of each medical school:
34 points: Buckingham, Greater Manchester (widening participation), Hull York, Nottingham, UEA
35 points: Sunderland
36 points: Aberdeen, ARU, Bangor, Brighton and Sussex, Brunel, Cardiff, Edge Hill, Lancaster, Leeds, Leicester (6,6,6 route), Lincoln, Liverpool, Manchester (A100), Newcastle, Plymouth, QUB, Sheffield, Southampton, St Andrews (minimum), St George's, St Mary's, UCLAN
37 points: Aston, Barts (QMUL), Dundee, Harper and Keele
38 points: Exeter, Glasgow, Imperial (minimum), KCL
39 points: Oxford, UCL
40 points: Edinburgh
41 to 42 points (Cambridge): The MSC does not publish a fixed total. In practice, the majority of successful IB applicants score 41 to 42 with 777 at HL.
Graduate entry only (IB not applicable): Chester, Pears Cumbria, Swansea, Warwick
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IB requirements for all UK medical schools - 2027 Entry
The table below covers every UK medical school that accepts IB applicants for 2026 entry. Click the school name to read its full profile on TheUKCATPeople.
Always verify requirements directly with each institution before submitting your UCAS application - requirements can change mid-cycle.
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What IB subjects do you need to study medicine in the UK?
Before anything else: Chemistry and Biology at Higher Level is the non-negotiable baseline for most UK medical schools. If you are planning your Diploma subject choices with medicine in mind, these two should be your starting point. Offering either at Standard Level only will close the majority of doors, including every Russell Group medical school.
Higher Level: the essentials
Your three Higher Level subjects should include Chemistry HL and Biology HL in virtually all cases. Your third HL subject is where you have the most flexibility: Maths (either Analysis and Approaches or Applications and Interpretation), Physics, and Psychology are all strong choices.
Lancaster is notably flexible, allowing any two of Biology, Chemistry, and Psychology as your required science HLs - meaning you could theoretically offer Chemistry and Psychology without Biology at HL. Harper and Keele takes a similarly broad approach, accepting Economics, Maths, Physics, or Psychology as a third HL science alongside Biology or Chemistry. These remain exceptions; the overwhelming majority of schools expect both Chemistry and Biology at HL.
On the Maths question: both the Analysis and Approaches (AA) and Applications and Interpretation (AI) courses are accepted at most schools, including Imperial. The old convention that AA was strongly preferred no longer applies universally, though checking individual school requirements before finalising your subject choices remains prudent.
Standard Level: the details that matter
SL requirements vary more than most guides acknowledge. The following SL conditions appear most frequently across medical school requirements.
English Language at SL grade 5 or above is required by Leeds, St George's, and others if English is not offered at GCSE or HL. Maths at SL grade 5 or above is required by several schools including St George's if not covered at GCSE. All SL subjects at grade 5 or above is Newcastle's explicit condition. Sheffield requires a minimum grade 4 across all SL subjects. Harper and Keele requires SL grades of 6,6,5 with English at SL grade 6 specifically.
Glasgow is worth singling out. It requires 6,6,6 at HL including Chemistry and Biology, but also Physics or Maths at SL grade 6 and English at SL grade 6. That SL condition makes Glasgow's total profile considerably more demanding than its 38-point headline figure alone suggests.
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Which UK medical schools do not require Chemistry at Higher Level IB?
A small group of schools allows Biology as the primary required HL science without mandating Chemistry HL alongside it.
Exeter requires Biology HL and allows any other science as the second HL. Southampton, Bristol, and QUB follow a similar pattern. Lancaster allows any two of Biology, Chemistry, and Psychology.
However, offering Chemistry at Higher Level remains strongly advisable regardless of where you apply. It underpins pharmacology, biochemistry, and the majority of pre-clinical study content across all programmes.
Dropping Chemistry entirely from your Higher Level choices will limit you significantly even where the admissions rules technically allow it.
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IB versus A-levels for medicine: which gives you a better chance for UK Medical Schools
Neither qualification is formally preferred over the other by UK medical schools. All institutions that accept the IB treat it on an equivalent basis to A-levels. However, there are some practical differences worth understanding.
On grade conversion, admissions teams may use IB-to-A-level conversion tables when comparing applicants. A grade 7 at HL is broadly equivalent to an A*, grade 6 to an A, and grade 5 to a B. These conversions are approximate and not universally standardised, which can occasionally disadvantage IB students at schools that shortlist primarily on converted grades.
On personal statement material, the IB's Extended Essay, Theory of Knowledge, and CAS programme provide richer material for demonstrating independent research, critical thinking, and community engagement — all qualities medicine values. IB students often find they have more to draw on when writing their personal statement for precisely this reason.
On workload, the IB carries a consistently high demand across all six subjects simultaneously. A-level students concentrating on three subjects can go deeper in the sciences most relevant to medicine. Neither approach is objectively better.
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Applying to UK medical school with the IB as an international student
The IB Diploma is the most widely accepted non-UK qualification for medicine admissions, and international students apply through the same UCAS process as home applicants. However, several important differences apply.
On place availability, most UK medical schools cap the number of international places, often at far fewer than home places. Competition at international level is proportionally higher. Several schools - including Sheffield, Nottingham, and Manchester - have historically limited or not offered international undergraduate places for medicine. Always check the specific international admissions policy of each school before applying.
On English language, most schools require IELTS of 7.0 overall with no component below 7.0 for applicants whose first language is not English. Schools with IB requirements often note that a Diploma studied entirely in English may satisfy the language condition - but confirm this directly with each admissions team rather than assuming.
On fees, international tuition fees for medicine are substantially higher than home fees, typically £35,000 to £50,000 per year at most UK medical schools. This is a significant financial commitment across a five or six-year programme.
On interviews, Oxford and Cambridge require international candidates to attend in-person interviews in the UK. Most other schools now offer online MMI options for international applicants.
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What if your IB grades are borderline or you are resitting?
Several medical schools specify that their IB requirements must be achieved at first sitting. Liverpool is explicit about this, stating that the 36-point minimum must be met at first sitting, and that resit applicants should expect a higher threshold. Birmingham requires HL grades to be met at first sitting, even across unrelated subjects. Cardiff states directly that it does not accept IB repeats.
If you have already sat your IB exams and narrowly missed a grade condition, your options are limited but not zero. Some schools will consider contextual factors in borderline cases. Contact the admissions team of any school you are interested in directly and explain your situation. Some schools will advise whether a remarking of a specific paper could bring you to the threshold.
At UCL, Imperial, Oxford, and Cambridge, entry thresholds for resit applicants are applied strictly. These schools receive sufficient first-time applicants meeting full requirements that they rarely need to consider resit candidates. Do not assume borderline contextual consideration applies at these institutions.
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Frequently asked questions
What is the minimum IB score for medicine in the UK?
The lowest published IB minimum for a UK medical school that accepts school-leaver applicants is 34 points, at Buckingham, Greater Manchester (widening participation route), Hull York, Nottingham, and UEA. The majority of medical schools sit at 36 points. These are minimums - the typical competitive offer is usually higher, and your overall application profile including UCAT score, personal statement, and interview performance all contribute to the final decision.
Does Cambridge medicine require 40 or 42 IB points?
Cambridge does not publish a fixed minimum IB points total in the same way as other universities, and the Medical Schools Council tool does not list a specific figure. The official prospectus indicates the typical offer is in the range of 40 to 42 points with 776 or 777 at Higher Level. In practice, the majority of IB students admitted to Cambridge medicine score 41 to 42 with 777 at HL. A score of 40 with 776 at HL could be competitive at certain Colleges but should not be assumed sufficient across the board.
Which UK medical schools accept IB without Chemistry at Higher Level?
Exeter, Southampton, and Bristol require Biology HL and allow the second required science to be chosen from Chemistry, Physics, or Maths. Lancaster allows any two of Biology, Chemistry, and Psychology at HL, making it the most flexible school on subject requirements. However, offering Chemistry at Higher Level is strongly advisable regardless of where you apply, as it underpins pharmacology and the majority of pre-clinical study content.
Can you get into UCL medicine with IB?
Yes. UCL requires 39 IB points with a minimum of 19 points from three Higher Level subjects. Biology and Chemistry must both be offered at HL, with one at grade 6 and one at grade 7 in either order. No Higher Level score should fall below 5. English Language and Mathematics must be covered at GCSE grade B or 6 or above if they are not included in your IB Diploma.
What IB score do I need for Imperial College London medicine?
Imperial's minimum published requirement is 38 IB points with Biology and Chemistry at Higher Level - both at grade 6 minimum - and English at Standard Level grade 5. The typical offer made to at least half of successful applicants is 39 points, with a grade 7 in either Biology or Chemistry at HL. Building your application around the 38-point minimum is a risk; 39 with strong HL science grades is the realistic competitive target.
Is Biology required at Higher Level for UK medical schools?
The majority of UK medical schools require Biology at Higher Level, either as a fixed requirement or as one of two acceptable science HL subjects. A handful of schools - including Bristol and Exeter - require Chemistry HL and allow Biology, Physics, or Maths as the second science HL. Offering Biology HL is strongly recommended regardless: it directly covers the content most relevant to the first two years of medical training, and several schools including Barts, Aberdeen, and Dundee require it explicitly.
What happens if I miss my IB grade offer for medicine?
If you miss either the total points requirement or a subject-specific HL grade, your offer will almost certainly be withdrawn - both conditions must be met simultaneously. Your options at that point include contacting the admissions team immediately to explain circumstances and asking whether the grade is reviewable; requesting a remark on the specific paper where you narrowly missed; applying through UCAS Clearing if the school participates (very few medical schools do); or reapplying the following year, usually with a higher threshold as a resit applicant. Taking a structured gap year and reapplying is the most common and successful route after a near-miss.
Do I still need to take the UCAT as an IB student?
Yes. The UCAT requirement applies equally to all applicants regardless of qualification route. If you are applying to schools that require the UCAT - which is the majority - you must sit it in the summer before your UCAS application, typically between July and October of your final year. Oxford uses its own pre-interview assessment rather than the UCAT. Cambridge Colleges use varying assessments. Buckingham does not require an admissions test. All other schools in this table require the UCAT.
Can I study medicine in the UK with 35 IB points?
Yes, though your options narrow considerably. At 35 points with the right HL subject combination you meet the published minimum for Sunderland. Several 36-point schools may also consider 35 in exceptional circumstances with a very strong UCAT score and relevant contextual factors. Your HL grades and UCAT performance become especially important at this total. At 35 points you would not meet the minimum for Edinburgh, KCL, Glasgow, Exeter, Barts, Imperial, Oxford, UCL, or Cambridge.
Does the IB Extended Essay help a medicine application?
The Extended Essay is not formally weighted in the admissions process in the way that HL grades are. However, a well-executed EE in a subject relevant to medicine - a biology investigation or chemistry research question, for instance - provides strong material for both the personal statement and the interview. Interviewers at many medical schools ask candidates about independent research and intellectual interests beyond the curriculum, and an EE on a medically relevant topic is a natural and credible answer to that question. Choose your EE topic with both academic rigour and application utility in mind.
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