Nexus has one Create account path. You pick your organisation first; we then offer the right options for that site. All self-serve accounts need an NHS email (@nhs.net or any nhs.uk address).
When you visit Nexus signed out, choose Sign in or Create account. Patients can use Find & compare GP practices without an account.
Existing users simply Sign in.
Every Create account path emails a confirmation link first. We have to know you can read that NHS inbox before the account can sign in, or before our team picks up a purchase or Medicus trial request. If the link says "access denied" or that it has expired, NHS mail security sometimes visits links while scanning your inbox: sign in anyway, or ask for a new link. See Sign-in problems.
ICB / CCG medicines management teams who need monitoring-rule access use a separate registration link on the sign-in page: not Create account. That path does not pick a GP practice ODS and does not found a practice organisation; our team reviews the application after you confirm your email.