The government's modernisation action teams meet in London today to polish their ideas before presenting them to ministers in the next fortnight.
The meeting at Westminster's Queen Elizabeth II conference centre will see members of the six teams present draft action plans and consider the results of this month's public consultation on the future of the NHS.
Action team members expect to look at any overlap between the plans and areas of agreement or disagreement.
They will then have about 10 days to finalise their proposals before submitting them to ministers for consolidation into a single national plan for the NHS.
There will be a follow-up plenary session in July before its publication.
Although drafts were being finalised as HSJ went to press and were deemed 'confidential', some details were available. Potentially radical ideas discussed in the various teams include:
supernumerary status for junior doctors;
performance assessment frameworks for all NHS staff and new incentive schemes to replace salary-based schemes;
a single registration body for all health professions, the development of multi-skilled health workers and joint training for all NHS staff;
further development of NHS Direct so it becomes the 'gateway' to the NHS;
new elective centres to carry out planned operations;
an increased role for primary care services;
merging of local authority community plans with health improvement programmes, along with an increased emphasis on prevention.
However, the partnership team is expected to back down from a controversial proposal that health services should take over management and provision of social care services.
Health secretary Alan Milburn last week appeared to support the idea, put forward by the NHS Confederation.
But the team is expected to call for removal of barriers between the sectors.
The most far-reaching proposal from the prevention team - to merge local authority community plans with health improvement programmes - would have implications for primary care trust and health authority boundaries and, if accepted by ministers, could herald a shake-up.
The idea of making NHS Direct the entry point to the NHS has always been resisted by GPs, and would be controversial - as would elective surgery centres, another idea put forward by the NHS Confederation.
Despite earlier criticisms of 'control freakery' by ministers overseeing the groups, most members contacted by HSJ last week were positive about the work.
Liz Sargent, general manger of rehabilitation services at Hinchingbrooke trust in Cambridgeshire and a member of the professions and workforce team, said: 'Ministers have listened and lead in relation to areas that they might not know about. I feel it's been a good process.'
However, others voiced their lingering doubts. One said: 'I don't know why it all has to be so secret.'