The document discusses how cloud computing and future IT trends will impact organizations. It outlines 5 practical approaches for organizations: 1) moving away from traditional IT projects to providing services, 2) avoiding rushing solutions and making things "stupider, faster", 3) providing technology as a service, 4) fostering innovation, and 5) moving towards an IT counselling role to advise organizations. The presentation argues that cloud computing requires rethinking how IT is delivered and its role in organizations.