Borthwick needs to give England another line-out option, because in the Ireland game they were reduced to scrambling to find throws that could be won between just two jumping targets. A heavier ball-carrier is needed in the back row, which could be Chandler Cunningham-South or moving Maro Itoje to blindside temporarily.
Individual mistakes and ill-discipline have undone England in the last two games, and it is axiomatic that this needs to change, but all of this must be predicated on a far harder mental and physical approach to the game.
Put simply, England this year are not a pack that frightens anybody. I do not mean fear in the traditional sense of the word. It is more the sense of apprehension that comes when you have to play against an opponent you know is going to demand every last effort from you; one who will not let you rest and who will, if you buckle, bully you to the final whistle.
In this regard, Itoje must lead conspicuously and produce his best form. It is time to, figuratively, take his boys over the top.