The first results of a new NHS test have revealed most patients are satifised with their standard of care.
Despite months of criticism about hospitals and A&E departments, only 36 out of more than 4,000 NHS wards had an overall negative figure in June.
This is a fall of 30 from April, when the so-called Friends and Family Test was first introduced.
A&E services scored between 100 to minus 13 and scores for inpatients ranked from 100 to 43.
But there will be disappointment at the response rate, which was just 13.1% across England.
Patients are asked one simply question - whether they are likely to recommend the ward or A&E department they were treated in to friends and family.
They chose from six responses ranging from extremely likely to extremely unlikely and were asked to give reasons for their score.
More than 400,000 people completed the survey and results relate to around 4,500 NHS wards and 144 A&E services.
NHS England's national director for patients and information Tim Kelsey said the initiative was a "major step forward".
"Direct patient and citizen feedback is vital to improving the services the NHS provides. Trusts can concentrate their focus on improvement with this information," he said.
"From this first publication, we can see a significant and real variation in the quality of customer service across the NHS.
"There are home truths here and everyone will expect those Trusts who have large numbers of their patients choosing not to recommend their services to respond as quickly as possible."
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