This case study details the implementation of Barracuda Cloud-to-Cloud Backup for NHS Scotland, focusing on the challenges faced by NHS Greater Glasgow and Clyde (NHSGGC) in managing Microsoft 365 data. With an annual budget exceeding £3 billion and over a million patients served, NHSGGC required a reliable backup solution to ensure data integrity and compliance amidst rigorous governance requirements. The case study outlines how the Barracuda solution supports 22 implementations on a single tenancy, facilitating ease of data recovery and maximizing IT productivity. It describes the procurement process that led to Barracuda being selected as the preferred vendor, emphasizing its technical capabilities and ease of deployment. The implementation process is documented, highlighting the integration with Active Directory and the management of Microsoft 365 licenses. The case study concludes with insights into the ongoing rollout of the backup solution across NHS Scotland, ensuring compliance with internal data retention policies while maintaining operational efficiency.