Nexus shows you only the features you can actually use. If a menu item or page someone else has is missing for you, it's almost always one of these:
Menus are driven by your organisation's packages. If your organisation doesn't hold, say, the monitoring package, the Monitoring menu simply doesn't appear — there's no locked or greyed-out version. To add a package, an admin can contact support@primarycareit.co.uk (current options are on the in-app /pricing page).
Build tools are per clinical system: Medicus Searches / Medicus Dashboards for Medicus sites, EMIS Templates for EMIS Web, TPP Templates for SystmOne. A package that doesn't apply to your system won't show.
Some entries under Practice are only visible to organisation admins — Team members and Billing in particular. Check whether an admin sees it; if so, you may just need the admin role (or the task belongs with your admin).
A few features have their own access lists on top of packages — for example FFT staff access is configured per site. If the practice holds the package but you personally see a "not enabled for you" message, ask your admin to add you.
Some views appear only when the underlying data exists. My QOF data shows only once your clinical QOF data has been ingested from your Nexus (Medicus) clinical system. Items marked IM1 light up when multi-practice live data is connected.
Free NHS data access covers the benchmark dashboards only. If your practice is a paying customer, join its organisation account to get the full feature set — see Joining your organisation's existing account.
Ask your organisation admin first (they can see your status in Practice → Team members), then contact support@primarycareit.co.uk.