diff --git a/infrastructure/terraform/per_account/dev/main.tf b/infrastructure/terraform/per_account/dev/main.tf
index 2fb525520..10751de6d 100644
--- a/infrastructure/terraform/per_account/dev/main.tf
+++ b/infrastructure/terraform/per_account/dev/main.tf
@@ -101,3 +101,16 @@ module "vpc" {
 resource "aws_route53_zone" "dev-ns" {
   name = "api.cpm.dev.national.nhs.uk"
 }
+
+module "billing-alert" {
+  source                              = "../modules/billing-alert"
+  prefix                              = "${local.project}--${terraform.workspace}"
+  metric_name                         = "EstimatedCharges"
+  metric_statistic                    = "Maximum"
+  metric_number_of_evaluation_periods = 1
+  threshold_dollars                   = 20
+  recipients                          = [] # get from secrets
+  tags = {
+    Name = "${local.project}--${replace(terraform.workspace, "_", "-")}"
+  }
+}
diff --git a/infrastructure/terraform/per_account/modules/billing-alert/main.tf b/infrastructure/terraform/per_account/modules/billing-alert/main.tf
new file mode 100644
index 000000000..8f7d17aaf
--- /dev/null
+++ b/infrastructure/terraform/per_account/modules/billing-alert/main.tf
@@ -0,0 +1,33 @@
+resource "aws_cloudwatch_metric_alarm" "account_billing_alarm" {
+  alarm_name        = "${var.prefix}--billing-alarm--${var.threshold_dollars}--${var.metric_name}"
+  alarm_description = "Billing Alarm of ${var.threshold_dollars} USD (${var.metric_name})"
+  namespace         = "AWS/Billing"
+  tags              = var.tags
+
+  # If statistic(metric) >= threshold in dollars then trigger topic
+  metric_name         = var.metric_name
+  comparison_operator = "GreaterThanOrEqualToThreshold"
+  threshold           = var.threshold_dollars
+  alarm_actions       = [aws_sns_topic.sns_alert_topic.arn]
+
+  # Evaluate a new statistic(metric) every 6 hours
+  period = 6 * 60 * 60 # seconds
+
+  # Calculate statistic(metric) over the specified number evaluation periods
+  statistic           = var.metric_statistic
+  evaluation_periods  = var.metric_number_of_evaluation_periods
+  datapoints_to_alarm = 1
+}
+
+
+resource "aws_sns_topic" "sns_alert_topic" {
+  name = "${var.prefix}--billing-alarm-${var.threshold_dollars}--${var.metric_name}"
+  tags = var.tags
+}
+
+resource "aws_sns_topic_subscription" "email_target" {
+  count     = length(var.recipients)
+  topic_arn = aws_sns_topic.sns_alert_topic.arn
+  protocol  = "email"
+  endpoint  = var.recipients[count.index]
+}
diff --git a/infrastructure/terraform/per_account/modules/billing-alert/vars.tf b/infrastructure/terraform/per_account/modules/billing-alert/vars.tf
new file mode 100644
index 000000000..c3fa341fa
--- /dev/null
+++ b/infrastructure/terraform/per_account/modules/billing-alert/vars.tf
@@ -0,0 +1,26 @@
+variable "prefix" {
+  type = string
+}
+
+variable "threshold_dollars" {
+  type = number
+}
+variable "recipients" {
+  type = list(string)
+}
+
+variable "metric_name" {
+  type = string
+}
+
+variable "metric_number_of_evaluation_periods" {
+  type = number
+}
+
+variable "metric_statistic" {
+  type = string
+}
+
+variable "tags" {
+
+}
diff --git a/pyproject.toml b/pyproject.toml
index 1aebb32da..30bacaf82 100644
--- a/pyproject.toml
+++ b/pyproject.toml
@@ -27,6 +27,7 @@ urllib3 = "<3"
 orjson = "^3.9.15"
 attrs = "^24.2.0"
 locust = "^2.29.1"
+gevent = "<24.10.2"
 
 [tool.poetry.group.dev.dependencies]
 pre-commit = "^4.0.0"
diff --git a/scripts/infrastructure/policies/deployment2-policy.json b/scripts/infrastructure/policies/deployment2-policy.json
index 643b904d1..e62025976 100644
--- a/scripts/infrastructure/policies/deployment2-policy.json
+++ b/scripts/infrastructure/policies/deployment2-policy.json
@@ -256,7 +256,11 @@
         "acm:ListCertificates",
         "resource-groups:ListGroups",
         "lambda:ListEventSourceMappings",
-        "iam:ListRoles"
+        "iam:ListRoles",
+        "sns:CreateTopic",
+        "sns:TagResource",
+        "sns:SetTopicAttributes",
+        "sns:GetTopicAttributes"
       ],
       "Resource": ["*"]
     }