A specification development workshop in Bristol on 1 November 2018 welcomed more than 50 people from across the region. It focused on how services could work more closely together within geographical locations within localities. These ‘locality hubs’ could be physical buildings where services are based together or services that may not be put together physically but may work closely together in other ways. Participants included clinicians, patients, carers, members of the public, general practices, third sector groups, community services providers, local authorities, sustainability and transformation partners and many others. The summary presented here reports themes in people’s feedback. It does not necessarily represent the opinions of every person or group involved, or the CCG’s views.