Before you start — do you need this? This wizard is for buying the paid platform, and only one authorised person per practice does it. If you just want the benchmarking dashboards, they're free for all NHS staff — no registration of your organisation needed. If your practice already subscribes, join its existing account instead. See What's free and what's paid?

Who should register first? The first person to register a practice becomes its Nexus administrator and controls who else at the practice can access it — so this first registration should be made by the practice manager or a senior partner. We check this when reviewing each request; if someone else registers first, we'll email them asking their practice manager to register instead. Once the administrator is set up, they invite everyone else from within Nexus in a couple of clicks.

Registering your GP surgery on Nexus is a three-step wizard. You'll need your NHS email address and, ideally, your surgery's ODS code. It takes about five minutes; approval then typically takes 1–2 working days.

From the signed-out home page choose Medicus customer → Register your GP surgery (or follow a registration link you've been given).

Step 1 — Your details

Enter your full name and work email. The email must be an NHS address (@nhs.net or an nhs.uk address).

Step 2 — Find your surgery

Search for your surgery by name or ODS code — the search runs against the live NHS Organisation Data Service. Select your practice from the results; you'll see its name, ODS code, address and status to confirm it's the right one.

If your surgery doesn't appear, ask your IT team for the practice's ODS code.

If your practice is already on Nexus, the wizard tells you so and switches to a Request access flow instead — your practice's existing Nexus administrator is asked to approve you, and there's no billing or setup to do. See Joining your organisation's existing account.

Step 3 — Patients, plan and payment

• Registered patient count — filled in automatically from the latest NHS publication where available; otherwise enter it yourself. (You can update it later in Practice → Settings.)
• Clinical system — EMIS Web, SystmOne (TPP), Medicus, Vision (Cegedim) or Other. This tailors your onboarding and which build tools you're offered.
• Subscription plan — choose a tier. Pricing is per registered patient per month (for example Standard 10p, Plus 15p, Enterprise 20p per patient per month — see the in-app pricing page at /pricing for current tiers). You can change plan after sign-up.
• How would you like to start?
• Free 90-day trial — no card details needed; billing is set up when the trial ends.
• Subscribe now — card details are collected at the end via Stripe. Your card is validated and saved, but nothing is charged until your account is approved.
• Trial code (optional) — if Primary Care IT has given you a trial code, enter it here. A valid code applies its own trial length and skips payment entirely. See Trial codes.
• Administrator confirmation — confirm whether you're authorised to act as the administrator for the organisation. The first user of a new organisation becomes its admin on approval.

An estimated monthly cost is shown throughout, based on your patient count and chosen tier. All prices exclude VAT.

What happens next

After you submit (and, for paid sign-ups, confirm your card with Stripe):

1. The Primary Care IT team verifies your membership of the surgery.
2. Once approved — usually within 1–2 working days — you receive an email with a link to set your password and sign in.
3. Billing starts on approval, or after your free trial if you used one.

If you cancelled out of the Stripe page by mistake, the confirmation screen offers an Add payment details button to retry — or you can register again and choose the free trial.

Questions? Contact support@primarycareit.co.uk.

Related articles

• Your first sign-in
• Inviting team members
• Platform tiers and à-la-carte packages
• Managing your subscription and invoices