Residents in Sandwell and west Birmingham are taking part in discussions the future development of their health and social care services.
A series of meetings are being held to address the Towards 2010 Programme, which will see the Government invest up to £750 million in improving local facilities.
The money could be used to fund major schemes at hospitals, GP surgeries, day care and health centres.
More than 50 people including medical and social care staff, patient representatives, community representatives and local authority members have now begun looking at the options in detail.
An list of 12 options, which cover the full range of possible improvements to our health and social care sectors, has already been devised.
The suggested schemes range from keeping services the same to moving more services into the community to deliver care closer to people's homes.
The group will consider each option before drawing up a short list, which will be developed over the next few months to include three or four detailed proposals.
A major public consultation is planned for September, when local residents will be able to have their say and decide which of the proposed changes they would prefer.
Dr Colin Browne, a Tipton GP and part of the group, said: "Our overall aim is to improve the physical, social and mental well-being of the local population by making services more accessible and making Sandwell and the west of Birmingham a better place to live and work."
Bhavnita Patel, a housing regeneration officer at Race Equality Sandwell, added: "Health and social care services are important to all of us and we all have different needs.
"The three or four options that we choose need to meet the needs of everyone in Sandwell and the west of Birmingham, so the more people who take part in the public consultation in September the better."