There are concerns about whether health care should be transferred to Peterborough and Cambridgeshire, with warnings that Council members should not be "blinded" with money.
A report on whether the Cambridgeshire and Peterborough Combined Authority – the mayors of the county – should work to increase health care spending in the region is "in the final stages".
The combined authority, which is already the lead authority for transport in the region, intends to adopt additional powers and budgets for health and social care for adults.
It is hoped that taking responsibility for health spending will enable more effective service delivery.
According to a report to the Cambridgeshire Health Board yesterday (Thursday, November 22), a report said: "Summarized public agency partners have a unique opportunity to make public services more seamless, responsive to local needs, more sustainable, and Common solutions deliver results to citizens of Cambridgeshire and Peterborough.
"The Cambridgeshire and Peterborough Independent Economic Commission's recent report has also highlighted the importance of better integrating health and care in our region."
The report also states that the combined authority is developing a "compelling proposal" to secure state funding for an "innovative, systemic solution to health and social care" (including pre-financing for reforms).
Paul Raynes, director of strategy and planning at the combined agency, said the public body could potentially help speed up the improvement of health care and social care for adults. He said a report from the ResPublica think tank on how health care spending could be developed is now in the final phase.
Mr. Raynes said the devolution deal included a commitment to work with health care. He said that after the publication of the ResPublica report, the united authority would start "serious talks with partners" to make a proposal to the government.
The Board heard that Cambridgeshire was examining how health spending was distributed in places like Manchester, where the local government was responsible for funding £ 6 billion of health care and £ 450 million was provided for the city's "transformation" services.
Cllr Linda Jones, however, warned against being blinded by big pots and said she was not convinced that healthcare spending in Manchester was so successful.
Cllr Jones said: "At the moment it's just rhetoric. I'm worried that you're going to make a devolution bid, and the pot of money will be so big that people jump right into it, and that's the wrong reason to do that. We have to understand exactly what we do. "
Cllr Jones said she was "skeptical" to rely on the counselors' reports to decide on politics, saying that they often only reflect the prevailing thoughts rather than question them.
"We need a much bigger picture," said Cllr Jones. "We need more work to make us confident."
Val Moore, chairman of Healthwatch Cambridgeshire, chairman of the meeting, said that any proposal to delegate health services should prove to the government that it is effective and efficient.
The Board took note of the report and the work done so far.
Josh Thomas, rapporteur on local democracy