NHS England has officially decommissioned all physical data centres after successfully transitioning NHS Spine to the cloud earlier this year. This move provides a secure, adaptable, and sustainable infrastructure for the health and care system in England. The transition to the cloud allows for improved data integration, faster transactions, and scalability. With the decommissioning of the data centres, NHS England is now focused on optimizing existing services by utilizing native cloud services and reducing dependencies within Spine. This transformation aims to enable rapid response to changing health and care demands, deliver better user outcomes, comply with NHS architecture principles, foster ecosystem innovation, rationalize provision costs, and optimize operations. The transition to the cloud marks a significant milestone for NHS Spine, which handles over 1.3 billion messages a month and is crucial for securely sharing information through various national services.