Doctors in the Black Country and West Birmingham region are set to vote on a proposed merger.
If successful, the proposed merger would create a £2bn per year health trust.
The GPs are deciding on whether to approve a merger of the CCGs which cover Sandwell, Wolerhampton, Dudley, Walsall and West Birmingham.
According to a local news report from the Express & Star, health bosses say the move will not affect local services to patients – and could even improve them.
Dr Ian Sykes, chairman of Sandwell and West Birmingham Clinical Commissioning Group (SWBCCG), said: “We have been told that we have have to cut our management costs in order to save money, to reinvest that resource back into the health service however it is impossible to run the full service on with 20 per cent less staff.
“So that is why we having a conversation with stakeholders on the possibility of merging with the view to possible emerging as one CCG for the whole of the Black Country and West Birmingham on April 1.”
Adding: “This isn’t a proposal to change any services we offer, in fact I hope if we were to merge it would actually improve services for patients.”