All I can offer is anecdotal evidence here, and it’s very limited as there were only 11 that did Access/were mature students (2 from the same college as me) across the entire Sciences - so Physics, Chemistry, Bio, Medicine, Pharmacy. 3 (I living myself) did Microbio, the other two I went to college with did Chemistry, there were 3 on Biochem, 2 in Neuroscience, 1 in Pharmacy and 7/10 of us got a First.
No Physics in the Access course, and no Foundation Med offered there (at the time, might have changed now).
All 11 of us found the A Level kids were entirely unprepared for lab work (we had done a lot of it in comparison), the speed at which things were taught, the weekly mini exams, the semester big exams, and the general “find out things yourself” (this in particular).
They were far better at huge end of year exams, though. I struggled like fuck to recall all the information from the entire year and I almost didn’t get my First due to the results of those big exams (2:1s).
I knew I wasn’t as strong in them and aimed to get as many Exceptional/High 1:1s as possible in assignments, coursework, labs etc to balance it out. Even after I was Dx with ADHD/SpLDs in my first semester (medicated and adjustments put in place), I still found it incredibly stressful.
I’d have preferred a Foundation year over Access for the simple reason of funding. I’d have happily taken on extra SF debt.
College paid for my 1YO to be in nursery the 2.5 days, but wouldn’t cover wrap around for my other two. I wasn’t working at the time as I’d fled DV, so I used my Income Support (£65 a week) to pay for that childcare.
There was a lot of studying to do outside of those 2.5 days, as well as revision and assignments, so on top of living on one small meal per day, I was often awake till 1-2am. I was rather underweight and exhausted by the time I’d finished the course.
I had no family support whatsoever.
I had to be relentless and stubborn for those four years. I was told not to apply to those Unis as they wouldn’t take me, and if they did, I wouldn’t get the grades needed, and if I did, I’d fail out after a year. Don’t tell me what I can and cannot do.
I often wonder how many other amazing female STEM minds are out there, unable to join us because they didn’t have the opportunity to do it at the “normal” age and can’t find way to get out of their crap job/being a SAHM/horrible husband etc.