A major public consultation exercise is being launched today by a Midland health trust which could become one of the UK's first care trusts.
Solihull Primary Care Trust will spend three months listening to patients, carers, volunteers and healthcare professionals on the issue.
If the consultation is successful, the PCT would become obsolete on March 31, 2006 and be replaced with a care trust from April.
The new body would still be an NHS organisation, which would combine the PCT's key functions with Solihull Metropolitan Borough Council's adult social services.
This move aims to improve patient care by reducing duplication of paperwork, allowing staff to spend more time with them.
Keiron Murphy, chief executive of Solihull PCT, said: "As we are spending public money we need to be seen to be getting the best value we can.
"Solihull Care Trust will enable patients to be more involved in the services and care they need to access.
"There are four other care trusts in Britain but Solihull will be blazing the trail for these in the West Midlands.
"This is not a savings exercise although there will obviously be some savings in bringing the two organisations together as one body."
Mainstream services provided by Heart of England Foundation Hospital NHS Trust - which includes Heartlands and Solihull hospitals - will not be affected by the proposals.
Birmingham and Solihull Mental Health Trust and the town's Children's Trust will not be included either.
Solihull health bosses admitted staff from both organisations would have to undergo training.
Mr Murphy added: "The front door to the NHS in Solihull is not going to change, you will still go to your GP, local clinic or hospital."