UCAT 2026Medical School ApplicationsUCAT History
UCAT After COVID: How the Pandemic Changed Medical Admissions and What It Means Now
18 Mar 20262 min read
The COVID-19 pandemic created significant disruptions to UCAT and medical admissions between 2020 and 2022. This guide explains how those disruptions affected admissions standards, what has changed since, and what lessons from the pandemic period are still relevant in 2026.

In 2020, the initial pandemic restrictions created serious logistical challenges for UCAT delivery. Pearson VUE test centres were temporarily closed in early 2020, and for students whose sitting was in the early part of the testing window, appointments were cancelled or rescheduled. UCAT introduced OnVUE — an online proctored testing option — as an emergency measure to allow students to sit from home when test centre access was restricted.
OnVUE testing continued to be offered as an alternative option through the 2021 and 2022 cycles, with varying levels of uptake depending on centre availability. The option remains available for 2026 for candidates who face genuine access difficulties due to distance, civil unrest, or natural disaster — it is not a standard alternative to in-person testing for convenience reasons.
Some universities temporarily modified their UCAT thresholds or usage models during the pandemic period to account for the disruption and the potential that testing conditions affected some students' performance. These modifications were generally temporary, and by the 2023 cycle most institutions had reverted to standard UCAT usage.
The pandemic created a temporary increase in medical school applications, as prospective students reassessed career priorities in response to the healthcare crisis. This surge in applications raised the effective competition for UCAT-weighted places and contributed to higher effective score thresholds in 2021 and 2022 at some institutions.
The 2025 format change — removing Abstract Reasoning — represents the most significant structural evolution in UCAT since the pandemic. The UCAT Consortium's decision to remove AR was based on pre-pandemic research showing lower predictive validity for AR, but the change was implemented in 2025 rather than earlier partly because the pandemic period was not an appropriate time for structural test changes.
For 2026 applicants, the practical implication is that the score distribution data from 2020–2022 is less reliable as a benchmark than 2023–2025 data, and the 2025 data (the first year under the new format) is the most relevant historical reference available.
Despite the pandemic disruption, several things about UCAT and medical admissions have remained stable. The fundamental skills UCAT tests — verbal reasoning, decision making, quantitative reasoning, situational judgement — are unchanged and remain relevant to medical practice. The preparation principles that produce score improvement — technique-first learning, deliberate error review, timed practice, full mocks — are unchanged. The competitive nature of medical school entry is unchanged; if anything, the pandemic reinforced the importance of strong clinical experience and professional character in medical school applications.
For 2026 students, the pandemic period is largely historical context rather than current relevance. The test is back to its standard in-person format at Pearson VUE centres for the vast majority of candidates. The format has changed significantly (AR removal), but the admissions process is operating normally. Focus your energy on 2025 and 2026 data, not on the disrupted years of 2020–2022.


