Medicine is an elite profession, traditionally dominated by white, male, middle- or upper-class people, often from medical families. Some advances to diversify the profession have succeeded, but only 4% of medics come from a working-class background, and these doctors will experience an average class pay gap of £3,640. Most WP activities focus on fair access, but the barriers to success, once candidates are admitted to medical school, are under-researched. Medical student activism has highlighted how financial barriers impact on academic achievement and career progression, but we do not yet have the data to substantiate this connection. This paper will share work-in-progress from current research taking place at Lancaster Medical School, as well as lessons learned concerning the most significant structural and financial barriers to success for Lancaster medical students with limited financial means. It will also outline what we’ve done to mitigate these to date, and further actions we’re planning to take.