Middleton makes six changes for England ahead of decider against USA

England coach Simon Middleton has made a total of six changes for the deciding Pool B Women's World Cup encounter against USA in Dublin.

Sarah Hunter, who was on the bench in the game against Italy has returned back to the starting XV and have taken over the reins from Emily Scarratt. The line-up also features Sarah Bern, who has recovered from an ankle injury while Kay Wilson, who crossed over four times in the opening game against Spain has been promoted from the bench as well.

Hooker Vicky Fleetwood who has just flown into Dublin after recovering from a ligament injury has managed to find a spot among the replacements.

Middleton is wary of the challenge ahead and is hopeful of a complete performance from his team.

"This is a winner-takes-all game in terms of topping the pool and will require a full effort from the squad to get the job done," said Middleton.

"We know playing against USA will be tough. They play a very physical game and have some dangerous players on the ball, but we have prepared well and the squad are in a good place, not only physically but mentally.

"We have confidence in the entire squad and it's now about going out and making sure we put in a full 80-minute performance."

England squad:

Danielle Waterman, Amy Wilson Hardy, Emily Scarratt, Amber Reed, Kay Wilson, Katy Mclean, Natasha Hunt; Vickii Cornborough, Amy Cokayne, Sarah Bern. Abbie Scott, Tamara Taylor, Alex Matthews, Marlie Packer, Sarah Hunter.

Replacements: Vicky Fleetwood, Rochelle Clark, Justine Lucas, Poppy Cleall, Harriet Millar-Mills, Leanne Riley, Rachael Burford, Megan Jones.