Health bosses in Cheshire are aiming to cut £20m from their budgets by next March.
That's the proposal from both NHS Vale Royal and NHS South Cheshire Clinical Commissioning Groups (CCGs) which have the same governing body and cover the middle and south of the county.
The NHS has told all its health organisations to be more efficient while still delivering the same quality of service.
The two CCGs are also planning to merge with East Cheshire CCG and West Cheshire CCG next year, subject to approval from doctors.
Often the care that is better quality is not necessarily more expensive – often quality care is more efficient care. If you can put in a system whereby someone is seen once rather than multiple times and it is better quality, then it will be more efficient.”