
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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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.