What Replaced the BMAT? UK Medicine Applications Are UCAT-Only Now
The BMAT sat for the last time in October 2023. Every UK medical school that used it — Oxford, Cambridge, Imperial, UCL, Lancaster, Brighton and Sussex — now requires the UCAT instead. Here is what actually changed, and what it means for how you prepare.
If you have been reading about medicine applications for more than about ten minutes, you have already hit a page telling you to prepare for the BMAT. Ignore it. The BMAT no longer exists.
Cambridge Assessment withdrew from the admissions testing market and discontinued the BioMedical Admissions Test; the final sitting was in October 2023, for students applying for 2024 entry. There have been no new BMAT papers since, and there is no successor paper. Every UK medical school that used it has moved its applicants onto the University Clinical Aptitude Test (UCAT). For standard-entry undergraduate medicine in the UK, there is now exactly one admissions test, and it is the UCAT.
This matters more than a name change, because the two tests were not measuring the same thing. The BMAT had a section of actual science content you could revise. The UCAT does not have one. The single biggest mistake made by people working from stale advice is preparing for a test that rewarded biology and chemistry knowledge, when the test they are actually sitting rewards speed and judgement and contains no science at all.
Below: what happened, which universities changed, what the UCAT actually consists of in 2026, the dates for this cycle, and an honest account of what you can and cannot revise — including where a study tool like Scholarly is useful and, just as importantly, where it isn't.
Quick answer
The BMAT was discontinued by Cambridge Assessment after its final sitting on 18 October 2023. Nothing replaced it as a separate paper. Every UK university that required it — Oxford, Cambridge, Imperial, UCL, Lancaster, and Brighton and Sussex Medical School — now requires the UCAT instead, joining every other UK medical school (Leeds and Keele had already switched a cycle earlier). The UCAT is a two-hour, computer-based aptitude test of four subtests: Verbal Reasoning, Decision Making, Quantitative Reasoning and Situational Judgement. Abstract Reasoning was removed from 2025, so the maximum total is now 2700 across the three cognitive subtests (300–900 each), with Situational Judgement reported separately in Bands 1–4. Crucially, there is no science section — unlike the old BMAT, you cannot revise content for it. What you can still revise is everything else in the application: your A-level Biology and Chemistry, which is where the actual grade requirements bite.
What happened to the BMAT
The BMAT was run by Cambridge Assessment Admissions Testing, and it had a structure that made sense to people who liked exams: a thinking-skills section, a science and maths section drawing on GCSE-level content, and a short written task — an essay, marked for the quality of the argument.
In 2023, Cambridge Assessment announced it was withdrawing from the admissions testing business. The BMAT ran for the last time that October and no new papers have been produced since. It went out alongside several of the same body's other admissions tests. There was no handover to another provider and no replacement paper commissioned: the test simply stopped.
The universities that had been using it therefore had to do something for the next cycle, and every single one of them made the same decision — adopt the UCAT, which the great majority of UK medical schools were already using through the UCAT Consortium.
Which universities changed
Every former BMAT medical school now names the UCAT on its own admissions pages. In their own words:
- University of Oxford — "every applicant must register for and sit the University Clinical Aptitude Test (UCAT)".
- University of Cambridge — "You will need to take the University Clinical Aptitude Test." (Cambridge has also said that for 2027 entry it will look at an applicant's overall cognitive subtest score and will not use the Situational Judgement score.)
- Imperial College London — every applicant to the MBBS/BSc must sit the UCAT, with scores used to help decide who is shortlisted for the Multiple Mini Interviews.
- UCL — "All applicants must take the University Clinical Aptitude Test (UCAT)."
- Lancaster University — "All applicants must take the University Clinical Aptitude Test (UCAT) to be eligible for consideration at Lancaster Medical School."
- Brighton and Sussex Medical School — UCAT, with the Situational Judgement band used explicitly in shortlisting.
Leeds and Keele had already moved to the UCAT before the final BMAT sitting. The practical upshot: whichever UK medical schools you apply to for standard entry, you sit one test, once, and the same score goes to all of them. The old strategic game of picking universities partly to avoid one test or the other is over.
That is genuinely simpler. It also means the UCAT now carries more weight than it used to, because it is the only common numerical signal every medical school has about you before interview — and some of them, as the BSMS example shows, will reject on the Situational Judgement band alone.
The UCAT is not a BMAT with a different name
This is the part that stale advice gets wrong, and it changes how you should spend your summer.
The BMAT tested science knowledge. Section 2 was content: biology, chemistry, physics and maths at roughly GCSE level, and you could revise it the way you revise anything — learn the material, practise the questions, get better. There was also an essay, which rewarded structured writing.
The UCAT tests neither. It has no science section and no essay. It is an aptitude test, sat on a computer at a Pearson VUE test centre in about two hours, and it is built around processing information correctly under severe time pressure.
Since 2025 it has had four subtests. Abstract Reasoning — the pattern-matching section that used to be part of it — was withdrawn by the UCAT Consortium, which gave two reasons: it had lower predictive validity than the other sections (it was worse at predicting how candidates would go on to perform at university), and it was highly coachable (over a decade, candidate scores rose and response times fell, in a way the other subtests didn't). Removing it freed up time for the sections that remained.
What is left:
| Subtest | Questions | Time | Scored |
|---|---|---|---|
| Verbal Reasoning | 44 | 22 minutes | 300–900 |
| Decision Making | 35 | 37 minutes | 300–900 |
| Quantitative Reasoning | 36 | 26 minutes | 300–900 |
| Situational Judgement | 69 | 26 minutes | Band 1–4 |
The three cognitive subtests give a total out of 2700 (down from 3600 when Abstract Reasoning existed — so any "good score" thresholds you read from before 2025 are on the wrong scale and meaningless to you). Situational Judgement is reported separately as a band, with Band 1 the highest.
Now do the division, because it tells you what the test really is. Verbal Reasoning gives you thirty seconds per question. Situational Judgement gives you a shade over twenty seconds. Quantitative Reasoning gives you about forty-three seconds, including reading a data set. Decision Making is the generous one at roughly a minute.
Nobody fails the UCAT because they didn't know enough biology. People come out of it having left questions unanswered. It is a test of speed, accuracy and nerve, and that is a completely different preparation problem from the one the BMAT set.
Key dates for the 2026 cycle (2027 entry)
From the UCAT Consortium's official calendar:
- Registration opens: 20 May 2026, 14:00 UK time
- Booking opens: 23 June 2026, 14:00 UK time
- Testing runs: 13 July – 24 September 2026
- Booking and registration close: 16 September 2026, 15:00 UK time
- Results go to universities: early November
And the one that catches people out: the UCAS deadline for medicine is 15 October (6pm UK time) — you apply before the universities receive your scores. You will therefore be choosing your four medical schools while knowing your own score but before anyone has told you whether it is competitive there. Check the current fee and the bursary scheme on ucat.ac.uk; the fee is waived for eligible candidates, and a surprising number of people who qualify never apply for it.
Practical consequence: book early. Test slots in the popular weeks go, and the students who leave it late end up sitting in mid-September with their scores arriving days before the UCAS deadline — which is the worst possible position from which to choose where to apply.
So what do you actually revise?
Honestly: for the UCAT itself, nothing, in the content sense. There is no syllabus. There is nothing to learn.
What works is narrow and boring:
- Practise under the real clock. The official practice materials published by the UCAT Consortium on ucat.ac.uk use the actual test interface, which is the thing that catches people out — the on-screen calculator, the flag-for-review, the keyboard shortcuts. Sitting a paper mock is not the same test.
- Build a timing discipline per subtest. Thirty seconds a question means you must have a rule for when to guess and move on. Everyone who runs out of time knew this and didn't practise it.
- Learn the Decision Making question types. This is the one subtest where familiarity with the forms of question (syllogisms, probabilistic reasoning, logic puzzles) genuinely pays off.
- For Situational Judgement, read the professional-behaviour guidance the regulator and medical schools point to, and understand what "appropriate" means in a clinical-student context rather than what you would personally do. It is the most learnable of the four, and — see BSMS — a Band 4 can end an application on its own.
That is it. Anyone selling you a way to revise content for the UCAT is selling you a way to prepare for the test that was cancelled in 2023.
Where Scholarly helps — and where it doesn't
Let us be straight about this, because the internet will not be.
Scholarly will not raise your UCAT score. It is a source-grounded study workspace: you give it your own material and it turns it into notes, flashcards, quizzes and summaries grounded in that material. That is a very good fit for content exams and a very poor fit for a timed aptitude test with no syllabus. Flashcards do not make you faster at Verbal Reasoning. Use the official practice tests for that, and don't let anyone tell you otherwise.
Where it is genuinely useful is the rest of the application — which, now that the science section of the BMAT is gone, is where all the content-based work actually lives:
- A-level Biology and Chemistry. The grades are the hard gate, and they are brutal: Cambridge asks for A*A*A with Chemistry; UCL for A*AA including A*A in Chemistry and Biology; Lancaster and Brighton and Sussex for AAA. That is a content exam, with a specification, and it responds to exactly the kind of work the UCAT doesn't — condensed revision notes from your own class material, flashcards built from your lecture PDFs and textbook chapters, and practice quizzes that make you retrieve rather than reread. Losing your offer on a chemistry grade after scoring well on the UCAT is a real and common way for this to go wrong.
- A revision plan that survives the application year. Year 13 with a medicine application in it is a scheduling problem before it is anything else: UCAT practice through the summer, UCAS by 15 October, interviews from December, and A-levels waiting at the end of it. A revision timetable that reserves protected slots for each of those is worth more than any single study hack. Our guide to building a revision timetable that survives week two covers the design.
- Interview background knowledge. Ethics frameworks, how the NHS is structured, the current issues in healthcare you are expected to have an opinion about. This is reading you do from real sources — and turning your own reading into structured notes and a set of flashcards you can drill on the bus is exactly what the tool is for. Note the limit: it can help you learn the material. It cannot give you the experience, the reflection or the judgement the interviewer is actually assessing.
- Working out your predicted-grade position. The UCAS points calculator is useful for the rest of your application; for medicine, note that the offers are stated in grades and subjects, not tariff points, so the grades are what you plan against.
What we will not do, and what you should not ask any AI tool to do: write your personal statement. It is checked, it is discussed at interview, and a statement you did not write is a statement you cannot defend when a consultant asks you about the third paragraph. Read your own material, take your own notes, write your own sentences.
Graduate entry is a different lane
One important exception to "UCAT-only". Standard-entry undergraduate medicine is UCAT across the board — but several graduate-entry medicine programmes use the GAMSAT instead (or as an alternative route), including courses at St George's, Nottingham, Swansea, Plymouth, Surrey and ScotGEM among others. GAMSAT is run by ACER, sits twice a year, and — unlike the UCAT — does have a science-reasoning component that assumes degree-level background.
If you are a graduate applicant, check each course's own page: some want GAMSAT, some want UCAT, and a couple will take either. This is the one place where the "which test?" question has not been settled.
What "UCAT-only" does not mean
- It does not mean the science stopped mattering. It stopped being tested on the admissions test. It is still tested by your A-levels, and the A-level requirements are the highest they have ever been.
- It does not mean every university uses the score the same way. Some rank on total cognitive score; Cambridge has said it will disregard the Situational Judgement band for 2027 entry, while BSMS auto-rejects Band 4. Thresholds are set each year after all the scores are in — so any "cut-off" you read is last year's, and worth exactly what last year's is worth.
- It does not mean the interview is a formality. Multiple Mini Interviews are where a large amount of the decision happens, and the UCAT mostly determines whether you get one.
- It does not mean contextual offers vanished. Most medical schools apply lower UCAT thresholds and lower grade requirements to contextual applicants. If you might be eligible, find that page on each university's site — it is frequently worth more than any amount of extra practice.
FAQ
What replaced the BMAT? Nothing replaced it as a paper. It was discontinued by Cambridge Assessment after its final sitting in October 2023, and the universities that used it moved their applicants to the UCAT, which most UK medical schools already used. There is now one admissions test for standard-entry UK medicine.
Do Oxford and Cambridge still use the BMAT for medicine? No. Both now require the UCAT. Oxford's medicine admissions guidance states that every applicant must register for and sit the UCAT; Cambridge's course page says you will need to take the UCAT, and Cambridge has added that for 2027 entry it will use the overall cognitive score and not the Situational Judgement band.
Can I still revise science for the medicine admissions test? No — and this is the biggest practical change. The BMAT had a science and maths content section; the UCAT does not. It is an aptitude test of Verbal Reasoning, Decision Making, Quantitative Reasoning and Situational Judgement, sat under heavy time pressure. Your science knowledge now shows up in your A-level grades instead, which is where it should be revised.
Is Abstract Reasoning still in the UCAT? No. The UCAT Consortium withdrew Abstract Reasoning from 2025, citing its lower predictive validity and how coachable it had become. The maximum cognitive score is now 2700 rather than 3600, so any score thresholds you find from earlier cycles are on the old scale.
When do I sit the UCAT for 2027 entry? Testing runs from 13 July to 24 September 2026, with registration opening 20 May and booking opening 23 June. Booking and registration both close on 16 September 2026. The UCAS deadline for medicine is 15 October, and universities receive scores in early November — so book early and choose your four schools knowing your own score.
Will flashcards help my UCAT score? Not meaningfully, and we would rather say so. There is no content to learn. Time is far better spent on the official practice tests in the real test interface and on building a per-subtest timing rule. Save the flashcards for A-level Biology and Chemistry, where they do a great deal.
Related guides
- How to build a revision timetable that survives week two — how to fit UCAT practice, UCAS, interviews and A-levels into one year.
- How to revise from your lecture recordings without rewatching 50 hours — for when you get there.
- Tools: A-level revision · revision notes generator · PDF to flashcards · quizzes · revision timetable maker · UCAS points calculator



