Salisbury Foundation Trust

FOI_8815

Internal Reference Number: FOI_8815

Date Request Received: 04/08/2025 00:00:00

Date Request Replied To: 07/08/2025 00:00:00

This response was sent via: By Email

Request Summary: NHS Cloud Services

Request Category: Private Individuals

 
Question Number 1:
Please provide your organisation’s total spend on cloud infrastructure for the last three financial years. (Please use the following categories)

<£1M

£1M - £2M

£2M-£5M

£5M-£10M

>£10M


2022-2023

2023-2024

2024-2025
 
Answer To Question 1:
<£1m for all three
 
Question Number 2:
Please list all of the hyperscaler cloud providers your organization currently uses:

Amazon Web Services (AWS)

Google Cloud Platform (GCP)

Alibaba Cloud

Microsoft Azure

Oracle Cloud Infrastructure (OCI)

Other……………………………………..
 
Answer To Question 2:
Microsoft Azure
 
Question Number 3:
Is your organisation considering using more than one cloud provider?

Yes – already doing this

Yes – under consideration

No

No, considering switching fully

Other……………………………………..
 
Answer To Question 3:
Not currently
 
Question Number 4:
Do you have any commercial agreements with any cloud providers? If yes, please provide contract details (e.g. start/end date, amount, where you found the provider)
 
Answer To Question 4:
No
 
Question Number 5:
Please list the internal departments with the highest utilisation of cloud services.

Corporate Services

Finance and Resources

Adult Social Care and Health

Children's Services and Education

Housing and Homelessness

Other……………………………………..
 
Answer To Question 5:
Corporate Services
 
Question Number 6:
What percentage of your organisation’s data is currently hosted on cloud platforms versus on premises?

<10% hosted on cloud platforms

10-25% hosted on cloud platforms

25-50% hosted on cloud platforms

50-75% hosted on cloud platforms

75-100% hosted on cloud platforms
 
Answer To Question 6:
<10% hosted on cloud platforms
 
Question Number 7:
Have you implemented any policies regarding data sovereignty and/or cloud security? (If yes, please send a copy of any policies)

Yes

No

Other…………………………..
 
Answer To Question 7:
No
 
Question Number 8:
Please disclose any information your organisation holds relating to cyber incidents affecting your cloud systems.
 
Answer To Question 8:
Cyber exemption - please see attached
 
Question Number 9:
Ofcom/CMA Investigation

Ofcom has raised concerns that some of the largest cloud providers (like Amazon AWS and Microsoft Azure) make it difficult or expensive for organisations to switch providers. This led to a formal investigation by the CMA, which is expected to publish its final findings by 4 August 2025.

Is your organisation aware of the CMA investigation into major cloud providers and the concerns around switching costs, contracts, and competition?

Yes – fully aware

Somewhat aware

Not aware

Other…………………………..
 
Answer To Question 9:
Somewhat aware
 
Question Number 10:
Has your organisation taken any steps in response to this (for example, discussing risks of lock-in, reviewing contracts, or exploring alternative providers)?

Yes – formal review or actions taken

Yes – informal discussions only

No steps taken

Other…………………………..
 
Answer To Question 10:
N/A as currently very little cloud usage.
 
Question Number 11:
What concerns, if any, do you have with your current hyperscaler cloud provider?

Cost

Security

Reliability (e.g., SLAs/customer care)

Vendor Lock-in

Geopolitics

Environmental concerns (e.g., water usage, power consumption, emissions)

No concerns

Other…………………………..
 
Answer To Question 11:
Cost

Security

Reliability (e.g., SLAs/customer care)

Vendor Lock-in

Environmental concerns (e.g., water usage, power consumption, emissions)
 
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