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Keele Medicine with Foundation Year

6-year programme providing an alternative pathway into medicine

Quick Facts

UCAS Code A104
Course Length 6 years
Annual Intake ~30 students
Admissions Test UCAT
Interview Format Two 15-minute online interviews
Location Staffordshire

HOW WE BUILT THIS

We compile these profiles from each university's own published admissions pages and review them monthly. Entry requirements do change mid-cycle, and universities sometimes publish updates without announcing them.

Use this page to get oriented quickly, build your shortlist, and work out which questions to ask — then confirm the specifics that your application depends on (grades, admissions test, fees, eligibility) directly with the university before you apply. If you spot something that looks out of date, tell us and we will check it.

Last reviewed: October 2026 · Entry year covered: 2027

About Keele A104

Interested in Keele Extended Medicine? This programme provides an alternative pathway with an additional preparatory year. Here you'll find the entry requirements, eligibility criteria, and application process for 2027 entry.

Keele University Medicine with Foundation Year (A104) is a 6-year programme designed for students who may not have the traditional science A-Level background or who come from widening participation backgrounds. The foundation year provides essential scientific knowledge and skills before students join the standard MBChB programme.

Keele is known for its campus-based environment and community feel. The medical school has strong links with Royal Stoke University Hospital and other NHS trusts across Staffordshire and the Midlands.

Who Is A104 For?

The A104 programme is suitable for:

  • Students without A-Level Chemistry (if you have Biology)
  • Students from widening participation backgrounds
  • Mature students returning to education
  • Students who achieved lower grades due to circumstances beyond their control
  • Students who took non-traditional routes to higher education

Note: This is not exclusively a widening participation programme. Any student meeting the entry requirements can apply, but WP applicants may receive additional consideration.

Keele Extended Medicine Entry Requirements

A-Level Requirements

Qualification Requirement
A-Level Grades BBC
Required Subjects Preferably Chemistry; Biology acceptable if no Chemistry
Accepted A-Levels Wide range of subjects accepted alongside science

GCSE Requirements

  • Five GCSEs at grade 6/B, including double or triple-award science, or three separate sciences
  • If Mathematics and English Language (including a pass in speaking and listening) are not among the five subjects at grade 6, a minimum of 5/C is required in them

UCAT Requirements

Aspect Detail
UCAT Required Yes
Cut-off Score Yes. Applicants with a total UCAT score lower than 1,700 will not be considered
How It's Used Combined with academic record for shortlisting
SJT Band Band 4 is a hard exclusion — an SJT result in Band 4 means you will not be considered

"Keele's A104 is one of the more accessible foundation programmes because it's not strictly limited to widening participation candidates. If you don't have Chemistry A-Level but do have Biology, this is a realistic option. The campus environment is great for students who want a close-knit community feel rather than a big city."

— Dr. Ash, Future Doc

Note: The UCAT format changed in July 2025 with the removal of Abstract Reasoning, reducing the maximum score from 3,600 to 2,700. Cut-off scores and statistics from previous years may not directly apply to the current format.

Interview Process

Aspect Detail
Format Two separate interviews — not an MMI
Duration 15 minutes each, usually scheduled around 2 hours apart
Delivery Online via Microsoft Teams
Interview Period January to March

Course Structure

Foundation Year

The foundation year covers core sciences including biology, chemistry, and human anatomy and physiology. You'll also develop academic skills such as scientific writing, data analysis, and critical thinking. Early exposure to healthcare settings helps you understand clinical practice.

Years 1-5: MBChB Programme

After the foundation year, you join the standard MBChB programme. Keele's curriculum emphasises early clinical exposure and patient contact, with placements across Staffordshire and the wider Midlands region.

Special Applicant Categories

International Students

Not Eligible

A104 is not open to international applicants. Being "ordinarily resident in the UK" is a mandatory Essential Criterion for the programme, and Keele states the course is not open to graduates or to applicants with international fee status. International applicants should look at Keele's A100 programme instead.

Resits

Not Usually Accepted

Keele states that resits are not usually accepted for A104: students who are resitting qualifications should apply for A100 instead.

Medicine Entry Routes at Keele

Route UCAS code Length Standard A-level offer
Medicine MBChB A100 5 years A*AA, or AAA plus an EPQ at grade A
Health Foundation Year for Medicine A104 6 years BBC from three A-levels including Chemistry or Biology

Keele has no dental school and runs no graduate-entry medicine programme. Graduate applicants who do not meet the A-level or science GCSE requirements for A100 take the GAMSAT route into A100 instead.

Contextual & Widening Participation Offers

A contextual offer is an adjustment a university makes for applicants whose circumstances have made their education harder than the grades alone suggest. Universities use them because they recognise that two students with the same predicted grades have not always had the same run at them. They are a formal, published part of the admissions process — not a favour, and not something you have to argue for.

What the adjustment actually is varies by school, and it matters more than most applicants realise. Depending on where you apply, qualifying can mean: a lower grade offer; being ranked against other widening participation applicants rather than the whole field; a guaranteed or prioritised interview; a lower admissions test threshold or extra shortlisting points; relaxed GCSE or subject requirements; or access to a separate gateway or foundation year route.

They Might Apply To You If…

  • Group 1 — you must meet all of these: ordinarily resident in the UK; attended a non-selective maintained school for GCSEs and a maintained school for A-levels; currently in the second and final year of A-level study (usually Year 13) or completed those qualifications at the required grades in the previous academic year; and attended a school for GCSEs with an Attainment 8 score below the national average (for 2027 entry Keele uses the 2024–25 school performance measure). Where no Attainment 8 score exists, Keele looks at whether the school's free school meals percentage is above the national average, or failing that at POLAR4 quintile 1 for the school — or, for home-schooled applicants, the POLAR4 quintile of your home postcode.
  • Group 2 — you must also meet at least one of these, within Years 9–13: a parent or guardian in receipt of means-tested benefits for at least three months in your last five years of schooling; more than three months in local authority care; eligibility for free school meals at any point; receipt of a 16–19 bursary for a purpose other than meals; or receipt of a UCAT bursary.
  • Students on the Keele Steps2Medicine scheme, and anyone currently in local authority care, are eligible for consideration on this route and should say so in their UCAS application.
  • Applicants from military families are considered if they attended non-selective schools for GCSE and A-level and meet the academic criteria.

If you meet Group 1 and Group 2, Keele will consider you for A104 — a six-year route into the MBChB entered at BBC rather than A*AA, with relaxed GCSE requirements and acceptance of qualifications A100 will not look at. You must evidence the criteria at the point of application; Keele emails you to request it.

What It Gets You

How it helps What that means for you
A route four grades below the direct-entry offer A104 is entered at BBC from three A-levels including Chemistry or Biology, against A*AA (or AAA plus an EPQ at grade A) for the five-year A100.
Relaxed GCSE requirements Five GCSEs at grade 6/B including double/triple-award science or three separate sciences. If Maths and English Language are not among those five at grade 6, a minimum of 5/C is required in them.
Qualifications A100 will not accept A104 accepts T-Levels (Distinction in Health, Healthcare Science or Science, with at least B in the core component and at least Merit in the occupational specialism) and a range of BTEC/AAQ combinations — DDM in a BTEC Extended Diploma in Applied Science, Health & Social Care or Sport & Exercise Science, for example. A100 accepts neither T-Levels nor BTEC Extended Diplomas.
A one-grade reduction and a shortlisting point on A100 If you also apply to the five-year A100 and meet Keele's contextual indicators — POLAR4 or IMD quintile 1–2 at a state school, care leaver, refugee or asylum seeker, free school meals, young carer, first in family, or armed forces connection — you get a reduction of one full grade plus an additional point on the UCAT grade used at shortlisting.
A three-grade reduction and an automatic interview on A100 via Steps2Medicine Completing Keele's Steps2Medicine programme, or another UKWPMED-recognised programme, gives an automatic interview (provided you meet the GCSE requirements and the minimum UCAT threshold) and a reduction of three full grades: A*AA becomes ABB, or IB 766/37 points becomes 664/32. This is the highest-value widening access route Keele publishes.
An extra shortlisting point for UCAT bursary holders and Keele Region applicants A UCAT Bursary, or studying at a centre in the defined Keele Region (Cheshire East, Cheshire West and Chester, Derby, Derbyshire, Dudley, Sandwell, Shropshire, Staffordshire, Stoke-on-Trent, Telford and Wrekin, Walsall, Wolverhampton, Wrexham), gives Medicine applicants an additional point on the UCAT grade at the shortlisting stage.

What It Does Not Do

  • Keele's contextual and alternative offer schemes apply to all undergraduate courses except D100 Veterinary Medicine and Surgery and Keele's Foundation Year courses — so A104 itself does not receive a contextual grade reduction on top of its BBC requirement.
  • The benefits do not stack. If you qualify for more than one scheme you get the most generous single offer, not a combined reduction.
  • The Keele Region and UCAT Bursary schemes give medicine applicants only an extra shortlisting point — no grade reduction, unlike most of Keele's other health courses.
  • A UCAT total below 1,700, or an SJT result in band 4, is an automatic rejection for home applicants on both A100 and A104. There is no widening participation exemption. (International applicants to A100 face a higher threshold of 1,950.)
  • A104 is not open to international fee status applicants, to graduates, or to anyone who has already started or completed another higher education programme.
  • Applications from students retaking Level 3 qualifications are not accepted for A104, and anyone who completed A-levels in 2025 or earlier is not eligible for the reduced grade requirements.
  • Access to HE students are directed to A100 instead — A104 is for school leavers.
  • If you meet the social and educational criteria for A104 but also meet the academic criteria for A100, Keele advises you to apply to A100 instead, because you are unlikely to benefit from the extra year.
  • Progression into the MBChB is not automatic: you need 40% across Semester 1 modules (45 credits) and a 70% progression mark across Semester 2 and year-long modules (75 credits). Progression to the MBChB from any foundation year other than A104 is not permitted.
  • BTEC qualifications are not accepted for the five-year A100 at all.

See every UK medical and dental school's widening participation scheme to compare what each one actually gives you.

Fees (2027/28)

Fee Status Annual Tuition
Home (UK) students £10,050 per year
International students Not eligible to apply — A104 is closed to applicants with international fee status

Keele's 2027-entry Medicine pages state that the tuition fee for UK Home students starting in 2027/28 is set by the UK Government and will be £10,050. A104 is open to UK/Home applicants only, so there is no international rate to quote for this course. (For the five-year A100, Keele states that international fees for 2027/28 entry have not yet been confirmed; the 2026/27 rate was £46,700.)

In subsequent years of the course, UK Home fees may change in line with government policy. The foundation year is a full year of study and is charged as such — budget for six years of tuition, not five.

How to Strengthen Your Application

Applying to medical school requires more than meeting the minimum entry requirements. Here are practical steps to strengthen your application:

For an overview of all UK medical schools and how they compare, see the UK Medical Schools hub page.

Keele Extended Medicine FAQ

Do I need Chemistry A-Level for Keele A104?

Chemistry is preferred but not essential. If you have Biology A-Level but not Chemistry, you can still apply to A104. The foundation year will teach you the chemistry you need.

Is Keele A104 only for widening participation students?

No. While WP students are encouraged to apply and may receive additional consideration, the A104 programme is open to any student who meets the entry requirements and would benefit from the foundation year.

What's the campus like at Keele?

Keele has a beautiful, self-contained campus in the Staffordshire countryside. Most students live on or near campus, creating a close-knit community. It's different from urban medical schools but many students prefer the focused environment.

Official Resources


Need Help With Your Keele Medicine with Foundation Year Application?

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Dr. Ash

Dr. Ash

Founder of Future Doc and creator of the Predictable Offer Protocol. A qualified doctor and dentist who has helped thousands of students secure medical and dental school offers through Future Doc's interconnected coaching system.

Last updated: February 2026