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Cost management

For many NHS and healthcare organisations, governing their costs is a major concern when adopting cloud technologies. Balancing performance demands, adoption pacing, and cloud services costs can be challenging. This is especially relevant during major business transformations that implement cloud technologies.

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The main areas that need to be addressed within your cloud with regards to cost management are:

Billing and cost information

You should associate all assets deployed to the cloud with a billing unit and application or workload. This policy will ensure that your cost management discipline is effective.

Budgeting 

Any cloud deployment must be allocated to billing cost centre code with an approved budget and a mechanism for budgetary limits with alerts and notifications.

Utilisation

Each billing cost centre code with an allocated cloud budget will meet annually to set budgets, quarterly to adjust budgets, and monthly to allocate time for reviewing planned versus actual spending. Discuss any deviations greater than 20% with the billing unit leader monthly.

Last edited: 6 October 2025 8:09 am