University of Manchester- what does this mean?

In general they don't, but this is for medicine - looks like they are trying to put off people who try year on year with substantially the same application. Seems reasonable to me.

But what if the application is different like with new work experience etc?

Like why can’t you also apply every year? What’s wrong with that? I know they’re trying to reduce numbers but still..

They're saying that's fine for a reapplication (though asking applicants to contact them before applying). It's just not fine for a re-re-application.

But this is giving me lots of stress. I just received an email about how I was rejected due to low ucat which was just my problem. Obviously I’m going to try my best but what if I mess up my ucat again? I have anxiety which causes my low ucat so I’m really worried now about what if I won’t get accepted next year? What will I do then? I won’t be able to move from home since my anxiety is that bad...

Like I said, my anxiety is something I have to live with as I have ocd too so I can’t move away. I won’t get cured in a year so

So maybe you need an alternate plan while you get the anxiety and ocd under control that's over a longer period of time.

Getting in won't solve your problem if you're then assigned to the Preston clinical base. It's potentially commutable, but then why not also look at UCLAN or Leeds medical schools?

My suggestion would be to work on the wider and more personal issues. You can't expect that everything will go your way even if you get a place. You still need flexibility and resilience throughout your life and that can take work to develop.

Preston is still in Manchester.