Anyone with an NHS email address can use the Nexus benchmark dashboards for free: no card details and no trial clock. Create account, pick your organisation, then choose Free dashboards. We set up a Foundation organisation for your site so you can invite colleagues later and upgrade in place. This is not a taster of the paid product that expires: the free tier is permanent.
Free access covers the dashboards built on published NHS data; live clinical features (real-time recall, monitoring compliance, in-year QOF) are part of the optional paid platform. See What's free and what's paid?
On the signed-out home page choose Create account (or go to /signup/nhs / /?register=1). You'll be asked for:
@nhs.net or nhs.uk), role, and password (at least 8 characters).We then email a confirmation link to that NHS address. You cannot sign in until you open it. That check is how we know the address is yours.
If the confirmation link says "access denied" or that it has expired, the link has already been used. NHS mail security sometimes visits links while scanning your inbox. Your address is confirmed anyway, so just sign in with the password you chose. See Sign-in problems.
Everything is public, aggregate data. No patient-identifiable information. A banner in the app reminds you which access you hold.
Choose NHS England as your organisation type and you'll land on the National performance dashboard each time you sign in, rather than a single ICB. Nothing extra to request. The national view is included for every free account, whatever level you work at.
If your practice later subscribes to the paid platform, your account can be attached to the organisation with access to its packages. See Joining your organisation's existing account.
Once your account is attached to a subscribing practice, it becomes a full organisation account: at your next sign-in you'll be asked to set up two-factor authentication (see Your first sign-in), and your home page changes from the free benchmarking dashboards to your practice's performance dashboards.
Choosing Free dashboards when you create an account sets up a Foundation organisation for the site you named. If you signed up earlier and still only see the free dashboards, use Set up your organisation's account in the banner at the top. We email a confirmation link to your NHS address. Once you open it, the Primary Care IT team verifies your role and approves the organisation: nothing is charged, and there is no trial clock.
If a colleague is already the administrator, you join their organisation instead and they approve you. See Inviting team members.
Insight Credits for AI Insights are not included with a Foundation account: an administrator buys a pack when the organisation wants to use it.