Health chiefs in the west of England are hoping to slash £10m from bureaucracy which they say will be invested into frontline care.
Avon, Gloucestershire and Wiltshire Strategic Health Authority, are asking the public for their views on the future of healthcare in the region.
It is proposing merging some of 12 primary care trusts to save the cash.
People have three months to view the options for restructuring and to put forward their comments.
The proposals include enabling GPs to have more say in how services are planned, delivered and paid for.
The consultation period ends on 22 March.