I did access and everyone who applied got offers from the unis they applied for. No one applied to RG as far as I know, no one could get into medicine with access grades etc. A levels are definitely better than access but beggars can't be choosers. There is not much consistency in marking, the teaching isn't always great, the support was dire. It's hard to run a home, care for a family and write loads of assignments while trying to learn what you weren't taught in enough detail. I went to a top grammar school and was supposed to do really well but I had to drop out because of illness, if I'd have carried on in that school then I would have gone further than I'm able to now. Access is enough to get into uni though and when you don't have a choice that's what matters.