yes they are harder to get into because of the smaller amount of spaces but you must have specific criteria as they lower the grade requirements, examples of some of the requirements may be: your school was non selective state in the bottom.40% of the uk, you are the first in your family to go to university, your family have a low income, you live in a disadvantaged area. the whole point of a foundation course in medicine is to give disadvantaged students an opportunity to study medicine so I think the requirements can be as low as BBC but you'll have to fit the requirements