The whole process seems a balancing act from start to finish! DD pondered for quite some time whether to take Further Maths or not. We know that it won't add to her application as she is already doing Maths, so no benefit at all for Medicine but we had to have the 'what if you don't get into med school, and she decided that if it didn't work, she would want to consider studying Maths as ultimately, it is the subject that she is really gifted at.
DD 'lost out' going to a large secondary school which focus is on getting as many pupils to get C grades, however, she is now in an independent (LA funded) 6th form which likes to act as a private school. They are only 120 pupils per year and she already knew quite a lot of them through doing her various other activities outside of school. It is others who suggested she goes for Headgirl. She is quite well liked, so it really was no big deal at all. If it can help in anyway for her application, all the better, but it was never going to take her away from volunteering. As I think I've wrote before, I have read on a number of sources that what they are looking for is commitment and that volunteering even a couple of hours a week long term is going to be valued over a short full-time spell.
We debated for some time last year whether she should attend a college more than an hour away, but with excellent result, or this local independent school which is only in it's 2nd year of 6th form but less than 10 minutes walk away. We ended up picking the second and so far, I think we definitely made the right choice as the school certainly seems to be providing the right academic level and attitude, and being so close, it allows her to be much more involved in outside activities.
My worry is how quickly it is all going!