The four Clinical Commissioning Groups in Herefordshire and Worcestershire are to become a single organisation in April 2020.
A single NHS Herefordshire and Worcestershire CCG will be created, replacing NHS Herefordshire CCG, NHS Redditch and Bromsgrove CCG, NHS South Worcestershire CCG and NHS Wyre Forest CCG.
The merger, which has been given conditional approval by NHS England and NHS Improvement, follows a period of engagement with the public, staff, providers and other key stakeholders.
It has also been supported by GP practices in Herefordshire and Worcestershire as well as each CCG Governing Body.
Some final steps still remain before the final approval is granted, meaning the CCGs are now working towards 1 April 2020 for the creation of the new CCG.
NHS England says the plan to merge does not affect any health or care services provided by NHS organisations or local councils across the area, but aims to reduce the duplication of roles and governance that sit behind the scenes within the four organisations.
It is also consistent with the expectation set out in the NHS Long Term Plan that there should be more streamlined commissioning arrangements in place across the Herefordshire and Worcestershire footprint.
Simon Trickett, accountable officer for the Herefordshire and Worcestershire CCGs, said: “Our main priority is, and always will be, our patients and the health and wellbeing of our local population. Having already set up combined governance and decision-making arrangements across the four CCGs, this is the next logical step.”
Adding: “We will not lose sight of the different needs of our local communities and we will continue to work with local organisations so that people’s needs, views and experiences remain at the heart of our decision making.”
A public engagement exercise conducted across Herefordshire and Worcestershire earlier this year drew support for proposals to bring together the four CCGs, with over half of the respondents in favour of the creation of a single CCG.