If your practice already uses Nexus, you don't register a new organisation — you join the existing one. There are two ways in.
Option 1 — You were invited by email
Your practice's Nexus administrator can invite you from Practice → Team members. You'll receive an email with a sign-up link:
- Open the link — the You've been invited / Join your practice page appears with your email pre-filled.
- Create a password (at least 8 characters) and press Create account.
- You've joined your organisation — a practice admin then approves your access, and you'll be able to sign in once approved.
Already have a Nexus account with that email? (For example, you signed up for the free NHS dashboards first.) The page will ask you to sign in rather than create a second account — sign in with your existing password, then open the invitation link again and you'll be joined to the practice. Use Forgot password on the sign-in page if you need to. Your existing password is never changed by an invitation.
Option 2 — Self-serve: request access
If you weren't invited, use the standard registration wizard:
- From the signed-out home page choose Register your GP surgery.
- Enter your name and NHS email, then find your surgery by name or ODS code.
- Because your practice is already a customer, the wizard switches to a Request access flow — you'll see a notice that your practice is already on Primary Care IT and there's no billing or setup needed.
- Press Request access.
Your practice's own Nexus administrator is notified to approve you. Once they do, you receive an email with a link to set your password and sign in.
While you wait
Until an admin approves you, signing in shows a *pending approval* screen. If it's taking a while, ask your practice's Nexus administrator to check Practice → Team members — pending members are listed there with an Approve action.
Already signed in and need a second organisation?
If you work across more than one organisation, you can request to join another from /organisations/join while signed in. Once you belong to more than one, an organisation switcher appears in the header.
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