We are committed to moving towards a neighbourhood health service, with more care delivered in local communities, to identify and address problems earlier and closer to home. Women’s health hubs are an example of this approach and can play a key role in delivering the government’s manifesto commitments on tackling long NHS waiting lists, as well as shifting care into the community. We have heard evidence from ICSs on the positive impacts that women`s health hubs have on both women's access to care in the community and their experience. The published Women's health hubs: cost benefit analysis demonstrated £5 benefits for every £1 spent on women’s health hubs. ICBs are responsible for commissioning services that meet the healthcare needs of their local population, and they have the freedom to do so - this includes women's health hubs. The core specification for women’s health hubs (linked in the government response to 'Recommendation 3' in 'Public understanding of reproductive health conditions' above) encourages ICBs to consider providing ultrasound and other diagnostic or treatment procedures in their women’s health hubs.