Medicine Clearance Advice

I need advice. I was really fortunate to have 2 offers for medicine and selected my firm as barts (A*AA) needed and sgul as my insurance (also A*AA as I did not firm it). My offer for St George's was for 2025 entry so I decided to firm Barts. I know this may sound crazy/paranoid but I just like to be prepared. I want to know my options if I do not meet the grades needed. However first I think there is some relevant backstory needed:

1. I cannot leave London- This is a non-neogotiable and so I know if I don't make the grades there's a good chance I will have to get into medicine through GEM.

2. I have my heart set on medicine, so I am willing to hear all options (APART from leave London- I just can't, please do not press me on the issue either)

Anyways if you have made it this far...thank you for reading. I'm in a situation where I can only apply to the schools closet to home and they unfortunately happen to be the most competitive schools

If anyone can please suggest me alternative courses I can do to get into GEM (preferably biology focused...but I'm really good with business + finance too)

A quick side note: I have heard that some London schools allow students to transfer to med in 1st or 2nd year, if anyone has more info on that greatly appreciated!!

You might be panicking over nothing but here it goes...
If you are hell bent in staying in London and don't get the grades, you can resit your A-levels and apply to KCL (however the way they word it strongly implies you will be disadvantaged) and Barts (Barts only if you're protected under the Equality and Diversity Act 2010). Else it's GEM for you, which is really best avoided because it's super competitive, one of the admissions tests (GAMSAT) is pure evil, and it means a whole lot of extra debt which you don't need. But anyways. Biomed would give you the full range of London GEM universities. Neuroscience might too, but I forget (you can easily check this online) and Psychology is the second most popular first degree for GEM students too (although note that KCL does not accept Psychology for their GEM course).
Very few universities have transfer schemes into Medicine. Even fewer have transfer into Medicine after just a single year in your first degree. And none of them are in London. Ever since St George shut down their transfer scheme, Queen Mary/Barts has the only transfer scheme, which is nothing more but that they guarantee you an interview for the Medicine programme if you're in the top 19 students from Biomed, Pharmacy and Neuroscience in year 2. You're battling hundreds of students for just 19 places, it's very competitive and realistically speaking, not very practical.
Of course, this headache (which at this point is purely theoretical anyway) would go away if you consider schools outside of London, which you will find some will be more than happy to accept resits and even have lower entry requirements. I don't know what's keeping you in London but if you have some sort of issue, I wholeheartedly recommend you get in touch with the charity www.childline.org while you're still under 19 and get advice from them!
Wish you the best,
SY

One thing I would note on the London point, it's possibly rather unlikely you will be able to remain in London for your entire medical career. Foundation post allocation is apparently essentially random now apparently based on preference ranking, and since London tends to be very popular, as I understand you are much less likely to get a post in London even if you rank all those posts high in your preferences. It also is often (maybe not always?) much more competitive than other regions for specialty training I gather so you may need to decide against a career in a particular specialty if you just don't meet the requirements for potentially more competitive posts in London.
I think you realistically probably need to make peace with the fact that if you are pursuing a career in medicine in the UK there is a pretty good chance sooner or later, at least for some time during that process, you may need to leave London. If you resolutely can't or won't leave London then you may eventually face a reality that you need to decide between pursuing a career in medicine (or in a particular area of medicine) or staying in London - and that point may come right at the start if you don't meet your grade requirements for the initial admission to the medical degree...

I need advice. I was really fortunate to have 2 offers for medicine and selected my firm as barts (A*AA) needed and sgul as my insurance (also A*AA as I did not firm it). My offer for St George's was for 2025 entry so I decided to firm Barts. I know this may sound crazy/paranoid but I just like to be prepared. I want to know my options if I do not meet the grades needed. However first I think there is some relevant backstory needed:
1. I cannot leave London- This is a non-neogotiable and so I know if I don't make the grades there's a good chance I will have to get into medicine through GEM.
2. I have my heart set on medicine, so I am willing to hear all options (APART from leave London- I just can't, please do not press me on the issue either)
Anyways if you have made it this far...thank you for reading. I'm in a situation where I can only apply to the schools closet to home and they unfortunately happen to be the most competitive schools
If anyone can please suggest me alternative courses I can do to get into GEM (preferably biology focused...but I'm really good with business + finance too)
A quick side note: I have heard that some London schools allow students to transfer to med in 1st or 2nd year, if anyone has more info on that greatly appreciated!!