GPs in Stoke-on-Trent are to form an executive committee for health care delivery ahead of the merger of Staffordshire's primary care trusts.
Stoke-on-Trent Primary Care Trust (PCT) will merge with two other PCTs within two years in a government shake-up to provide more care in the community.
Graham Urwin from Stoke PCT said the city's GPs had already started working with it to ensure a smooth handover.
He said a new single trust for the county could be in place by April 2011.
The plan is for North Staffordshire, South Staffordshire and Stoke-on-Trent's PCTs to be abolished and replaced by a single trust, sharing senior management, finance, human resources and business administration.
Mr Urwin, chief executive of Stoke-on-Trent PCT said: "I am working with the leading GPs in Stoke already.
"Ultimately it will be their decision about how they come together and how they form and how they want to manage this, but already they help us with a number of our tasks and help us by influencing our policies."