Around 1,200 jobs are set to go next year after Birmingham City Council announced a raft of cuts worth £90 million - just 15 months after it emerged 6,000 roles were to be axed.
Council tax at Europe's largest local authority is also expected to rise by four per cent for 2016/17, adding £46 to the average annual household bill.
The council's budget, which goes out for consultation today, includes details of £258 million in cuts over the next four years.
Major savings are planned through combining forces with the NHS on care services for the elderly, including a £20 million cut already negotiated for 2016/17.
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The aim is to reduce dependence on acute and residential care and encourage more independent living.
Negotiations will also take place with trade unions over changes to workers' terms and conditions such as reductions in sick pay and increasing hours in the working week.
The council will look to cut spending on school crossing patrols, lollipop ladies and men by asking schools to pay for them or by finding alternative road safety measures.
More children with special needs will be asked to swap home-to-school mini buses and taxis for public transport, bikes or family lifts to save money.
New council leader John Clancy stressed that many services would have to be picked up by partners such as the NHS, schools and charities.
He said: "We have to start doing things differently with other people, other agencies, most specifically with the NHS, and health sector.
"This is a very challenging budget and we want to work with the people of Birmingham. The scale of the cuts is significant, we have to completely remodel and re- imagine the way the city council does things.
"This is the first budget under a Tory majority government, we have to live with these facts and figures for the next few years."
